CERTIFICATE OF LIABILITY INSURANCE (2)'4` °R°� CERTIFICATE OF LIABILITY INSURANCE 4i9i2o1��
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLaER. 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), 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 poiicy, ceRain 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 CONTACT JEr NO Old
AME: L% y _
Greyling Insurance Brokerage PHONE .(770) 552-4225 FAX .(866)550-4082
450 Nox'thridge Parkway E-Mai� .jerry.aoyola�greyliag.com
SLl7. tE 1 O i INSURER S AFFORDING COVERAGE NAIC #
Atlanta GA 30350 iNSUReRnNational Union Fire Ins. Co. 1!�445
INSURED INSURERB:CO1RI1tEY'Ce & Indust Insurance 13410
Kimley-Horn and Associates, Inc. INSURERCNEW Ham shire Insurance Com an 3841
P.O. Box 33068 iNSUReRO:Lexington Insurance Company __ 19437
Raleigh NC 27636
COVERAGES CERTIFICATENUMBER:13-14 (Kimley Sharda) REVISIONNUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLI(:Y PERIOD
INDICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 1MTH RESPECT TO V�lHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TI1E TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TypE OF INSURANCE ADDL SUBR pp��CY NUMBER MMILDDY� MhUDDY EXP LIMITS
LTR
GENERALLIABILITY EACHOCCURRENCE $ ]•,000,000
X COMMERCIALGENERALLIABILITY PREMI ETOaoccuiren 5 500,000
A CLAIMS-MADE �X OCCUR L 9645227 /1/2013 /1/2014 MEDEXP(Anyoneperson) $ 25,000
X COIItidCtudl Lidbility PERSONAL&ADVINJURY $ 1.000,�00
GENERALAGGREGATE $ ::.00O,OOO
GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMPlOPAGG $ ::.00O�OOO
POLICY X PR� X LOC $
AUTOMOBILELIABIUTY EaaB�caGeDSINGLELIMIT 1 000 000
A X ANY AUTO BODILY INJURY (Per person) $
ALLOWNED SCHEDULED 4982985 /1/2013 /1/2014 gpDILYINJURY(Peraccident) $
AUTOS AUTOS $ -
X HIREDAUTOS X A� O�ED pe�raccid ntDAMAGE
$
X UMBRELLALIAB X OCCUR EACHOCCURRENCE $ 5,000,000
B El(CESSLIAB CLAIMS-MADE AGGREGATE $ 5, 000, 000
DED X RETENTION 10,00 E 016395110 /1/2013 /1/2014 $
C WORKERS COMPENSATION X WC STATU- OTH-
AND EMPLOYERS' LIABILITY "
ANYPROPRIETOR/PARTNER/EXECUTIVE YIN � E.L.EACHACCIDENT $ .L�OOO OOO
OFfICERIMEMBER EXCLUDED? a N/A C 018112556 /1/2013 /1/2014
(Mandatory In NH) E.L. DISEASE -EA EMPLOYE $ 1, 000, 000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ l, 000 � OOO
D Professioa3l Liability 16017332 2/1/2012 /1/2014 perClaim $2,000,000
Aggregate $2, 000, 000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES �Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Re: Parking Coasultant of Record; Mark Santo. The City of Clearwater is named as an Additioaal Tasured
on the above referenced liability policies with the exceptioa of workers compensatioa & professiaaal
liability where required by written coatract. The above referenced liability policies with the exceptioa
of professional liability are primary & noa-coatributory where required by written coatract. Waiver of
Subrogation is applicable where required by written contract & allowed by law.
City of Clearwater
City Clerk
100 South Myrtle Avenue
Suite 220
Clearwater, FL 33758
ACORD 25 (2010/05)
INS025 r�n�nnsi m
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATiVE
Colliags/JERRY �!"��� �.�—y—
O 1988-2010 ACORD CORPORATION. All rights reserved.
T1+e A(`(1RIl n�me �nrl Innn ��n �nnicfn�erl m��4e nf A!'f1Rll