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CERTIFICATE OF LIABILITY INSURANCE (12),�"', KINGE-1 OP ID: KR A�RU� CERTIFICATE OF LIABILITY INSURANCE DATE�MMIDD/YYYY) 12/.1/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE ROLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTMORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, aubject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer riglhts to the certificate holder in lieu of such endorsement(sl. PRODUCER Lykes Insurance, Inc. - WP P. O. Box 2703 Winter Park, FL 32790 Mark E. Jackson A129051 INSURED King Engineering Associates, Inc. 4921 Memorial Highway #300 Tampa, FL 33654 Phone: 407-644-5722� NAME:`"� Kristin Mclntosh FaX:407-628-1363 1eHONu �.��.407-478-4979 a�oRess: kmcintosh@lykesinsurance.com INSURER(S) AFFORDING COVERAGE �r,suRERn:Continental Insurance Compan� INSURER B : INSURER C : INSURER E : 407-628-1363 NAIC 35289 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WMICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THF TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TypE OF INSURANCE A� POLICY EFF POUCY FJ(P LIMITS LTR POLICY NUMBER MM/DDlYYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DA D PREMISES Ea occurrence $ CLAIMS-MADE � OCCUR MED EXP (Any one person) $ . PERSONAL 8 ADV INJURY $ GENERALAGGREGATE $ _ GEN'L AGGREGATE IIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ P�LICY PRO- LOC . .-,.,. $ - AUTOMOBILE LIABILITY + � s COMBINED SINGLE LIMIT . � -- Ea accident ____ _ ANY AUTO � y BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS � HIRED AUTOS NON-OWNED _ ° PROPERN DAMAGE $ AUTOS Per accident $ - UMBRELLA LIAB OCCUR 4.-.. • � ° � ' ' " EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE �',�, -- �� ' " ' � � AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y/ N " ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERlMEMBER EXCLUDED7 � N � A ' (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under ' DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional AEH113805181 01I01/73 01/01/74 Ea Claim 2,000,00 Aggregate 4,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more spaca is required) Blanket Waiver of Subrogation ia included when required by contract. CITY474 City of Clearwater Attn: City Clerk P.O. Box 4748 Clearwater, FL 33758-4748 SHOUID ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEU BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELI�'ERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTNORIZED REPRESENTATIVE i����f �/��oGil...-- O 7988-2010 ACORD CORPORATION. All rights r�served. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD �'��� KINGE-1 OP ID: KR '`�`.°-'�O CERTIFICATE OF LIABILITY INSURANCE DATE�MM/DD/YYYY) 12/21/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLGER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE IPOLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lykes Insurance, Inc. - WP P. O. Box 2703 Winter Park, FL 32790 Mark E. Jackson A129051 INSURED King Engineering Associates, Inc. 4921 Memorial Highway #300 Tampa, FL 33654 Phone: 407�44-5722 NAME:`'� Kristin Mclntosh Fax:407-628-1363 ,A"cNN .E�r407-478-4979 n:Continental Insurance Com s: INSURER D : 407-62�-1363 35289 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WIiICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE A � POLICY N POLICY EFF POLICY EXP /YYYY MM/DD/YYYY LIMITS GENERAL UABIUTY i EACH OCCURRENCE $ ' .... ': •_;. ; E - COMMERCIAL GENERAL LIABILIIY PREMISES Ea occurrence $ CLAIMS-MADE � OCCUR : MED EXP (Any one person) $ " PERSONAL 8 ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: °" " ' "` -" ' - ` PRODUCTS - COMP/OP AGG $ POLICY PRO- LOC � 4�.i. . L: . w:.s ._ :' 3A $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS � ) NON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS Peraccident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MAOE AGGREGATE $ DED RETENTION $ g WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYER$' LIABILITY Y/ N • ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? � N � A - (Mandatory in NH) E.L. OISEASE - EA EMPLOYEE $ If yes, descrioe under �- -- DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional AEH113805187 07/01/13 01101/14 Ea Claim 2,000,00 Aggregate 4,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addkional Remarka Sehedule, If more spaco is requirod) Blanket Waiver of Subrogation is included when required by contract. CITOCLE City of Clearwater City Clerk P.O. Box 4748 Clearwater, FL 33758-4748 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEp BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORRED REPRESENTATNE i�%�"/�£ �/�%otKr-- O 1988-2010 ACORD CORPORATiON. All rights reserved. ACORD 25 (2070/05) The ACORD name and logo are registered marks of ACORD ,acoR°� CERTIFICATE OF LIABILITY INSURANCE DATE�MM/D[)MlYY) _�-'_ 12/27/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEP:. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHGRI2ED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDI710NAL INSURED, the policy�ies) must be endorsed. If SUBROGATION IS WAIVED, SubjecN to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer right9 to the certificate holder in lieu of such endorsement s. PRODUCER TA T NAME: 3rown & Brown Insurance - Clearwater ac° No •7 7-4 1- 44 ac No: 4- ��� �.0. BOX �L4�J6 E-MAIL . 3uite 660 ADDRESS: _ FL 33757-2456 INSURED King Engineering Assoc., Inc. 4921 Memorial Hwy Ste 300 Tampa FL 33634 COVERAGES CERTIFICATE NUMBER: 1839671935 INSURER A : INSURER B : INSURER C : AFFORDING COVERAGE REVISION NUMBER: NAIC ri THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIGH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE 'fERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TypE OF INSURANCE ADDL SU6R POLICY EFF POLICV EXP LIMITS LTR IN R WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY , GENERAI LIABILITY EACH OCCURRENCE $ DAMAGET RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurtence $ CLAIMS-MADE � OCCUR MED EXP (Any one person) $ . PERSONAL 8 ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S POLICY PRa LOC $ AUTOMOBILE LIABILITY Ea accident ANY AUTO BODILY INJURY (Per person) 3 ALL OWNED SCHEDULED BODILY INJURY (Per accidenl) $ AUTOS NON-�OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Peraccident _ $ X UMBRELLn LIAB OCCUR EACH OCCURRENCE $ . EXCESSLIAB CLAIMS-MADE AGGREGATE E DED RETENTION$ a WORKERS COMPENSATION . WC STATU- OTH- AND EMPLOYERS' LIABILI7Y y� N - ANV PROPRIETOR/PARTNER/EXECUTIVE ❑ N� A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) E.L. L'ISEASE - EA EMPLOY: S If yes, describe under DESCR�PTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S A Directors 8 Officers OK6026734613 1/1/2013 /1/2014 Aggregate 2,000,000 Dedudible per claim 10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) -��!� -' �'' ._\ � � � � , �,�P � � � �.�.� �., �_ _.., r __ _.. � .� ,o n: :. n CERTIFICATE HOLDER .°"._ � "` ` �-° ^-��-'"�? �- .':.. CANCELLATION ..� te..,�:t City of Clearwater Attn: City Clerk PO Box 4748 Clearwater FL 33758-4748 t�� � SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED E3EFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE o%%��PZ...,T. ��o.�G O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSIY ISSUED CERTIFICATE