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CERTIFICATE OF LIABILITY INSURANCE (146)� m DATE (M�IDD/YYYY) :oR° CERTIFICATE OF LIABILITY INSURANCE �,�„�� 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 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 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 CONTA NAME: Wallace, Welch & Willingham PHONE _ _ aC No : - :2902 P.O. Box 33020 E-MAIL St. Petersburg FL 33733 ADDRESS. _ INSURER S AFFORDING COVERAGE NAIC # INSURERA:Amaricura Inc Cn !�dRR INSURED A D Morgan Corp 716 N Renellie Dr Tampa FL 33609 ADMOR-1 F: GOVERAGES GERTIFIGATE NUM6ER: 1062331648 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. NOTIMTHSTANDING 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 ThIE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 7ypE OF INSURANCE AD L SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICYNUMBER MM/DDIYYYY MM/DD/YYYY A GENERALLIABILI7Y PP20826110002 /20/2013 /20/2014 EACHOCCURRENCE $1,0OO,OQO X DAMA E TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence 5100,000 CLAIMS-MADE � OCCUR MED EXP (Any one person) $5,000 . PERSONAL & ADV INJURY $1,000,000 GENERALAGGREGATE $2,0OO,OqO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,0OO,OQO POLICY X PR� LOC $ A AUTOMOBILE LIABIL17v CA2082611 /20/2013 /20/2014 Ea accident 1 000 000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Peraccident) $ AUTOS AUTOS . NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident . $ B X UMBRELLA LIAB X OCCUR L4030570254 /20/2013 /20/2014 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$0 S q WORKERS COMPENSATION C208261200 /26/2012 /26/2013 X � STATU- OTH- AND EMPLOYERS' LIABILITY Y � N - ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? � N � A � (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $500,000 A Equipment Floater PP2082611000001 /20/2013 /20/2014 Non Owned 100,000 � Professional Liability OOG27059910001 1/11/2013 /11/2014 Limit 1,000,000 Ded. 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project: Construction Management at Risk Services for Continuing Contracts City of Clearwater defined as The City of Clearwater itself, its council, the community redevelopment agency of the city of clearvvater, a Florida governmental agency created pursuant to Part III, Chapter 163, Florida Statute, its duly appointed officers, or other public bodies, officers, employees, volunteers, representatives and agents are Additional Insureds on a primary and non-contributory basis includinr� completed operations with respect to General Liability if required by written contract. City of Clearvvater defined as The City of Clearwater itself, its council, the community redevelopment agency of the city of clearwater, a Florida governmental agency created pursuant to Part III, See Attached... CER7IFICATE HOLDER City of Clearwater Attention: City Clerk P.O. Box 4748 Clearwater FL 33758-4748 ACORD 25 (2010/05) �� Y � � �;; `� � ON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEILED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE "3.�,<� ' * � �:��"i��b fi";�`��- r � �� s,,.,,,,_,, ��' ��`� ��u;.� O 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD a�d °� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/2112013 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 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 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/sl. PRODUCER Nallace, Welch & Willingham '.O. Box 33020 >t. Petersburg FL 33733 INSURED A D Morgan Corp 716 N Renellie Dr Tampa FL 33609 ADMOR-1 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1062331648 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 T() WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POIICY EFF POLICY EXP LTR TYPE OF INSURANCE IN R VWD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY PP20826110002 /20/2013 /20/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Eaoccurrence $100,000 CLAIMS-MADE � OCCUR MED EXP (Any one person) $5,0(10 PERSONAL & ADV INJURY $1,0(10,000 GENERAL AGGREGATE $2,0{10,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,0(10,000 POLICY %� PRO- LOC $ A AUTOMOBILE LIABILITY CA2082611 /20/2013 /20/2014 Ea accident 1,OQQ,000 %� ANYAUTO � BODILYINJURY(Perperson) $ ALL OWNED SCHEDULED -- AUTOS AUTOS BODILY INJURY (Per accitlent) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS qUTOS Per accident $ $ B X UMBRELLA LIAB X OCCUR L4030570254 /20/2013 /20/2014 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$O $ q WORKERS COMPENSATION C208261200 /26/2012 /26/2013 X WC STATU- OTH- AND EMPLOYERS' LIABILITY Y� N Y I _ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $500,1}00 OFFICER/MEMBER EXCLUDED? N� N � A - (Mantlatory In NH) E.L. DISEASE - EA EMPLOYE $500,000 If yes, describe under - DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $500,000 A Equipment Floater CPP2082611000001 /20/2013 /20/2014 Non Owned 100,000 � Professional Liability COOG27059910001 1/11/2013 !11/2014 Limit 1,000,000 Ded. 2�.5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project: Construction Management at Risk Services for Continuing Contracts City of Clearwater defined as The City of Clearwater itself, its council, the community redevelopment agency of the city of clearwaler, a Florida governmental agency created pursuant to Part III, Chapter 163, Florida Statute, its duly appointed officers, or other public bodies, officers, employees, volunteers, representatives and agents are Additional Insureds on a primary and non-contributory basis inclucling completed operations with respect to General Liability if required by written contract. City of Clearwater defined as The City of Clearwater itself, its council, the community redevelopment agency of the city of clearwater, a Florida governmental agency created pursuant to Part III, See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE e�? �,� �q±��.� TME EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Clearwater �'��,$ a„ �` �.� �� ACCORDANCE WITH THE POLICY PROVISIONS. Attention: City Clerk P.O. BOX 4%48 �" '�'"}� �.^$�'"�J� �1,' ,�q' THORIZED REPRESENTATIVE Clearvvater FL 33758-4748 ��° ��p°'e(�++�'s`•°�°�n a�*� � ^,n ��rbvi��i.� i�a4�6r W Y��6��WW+' �.�r Y'�/ ? . J ACORD 25 (2010/05) v iaaa-cv-iu H�vrcu �vrcrurcAiwn. v�n rignts reserved. The ACORD name and logo are registered marks of ACORD