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CERTIFICATE OF LIABILITY INSURANCE (258)'��'� CERTIFICATE OF LIABILITY INSURANCE °��`M"�°°"�> 05/28/2013 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 m the terms and conditions of the policy, certain policies may require an endorsement A statement on this cert�cate does not confer rights to the w certificate holder in lieu of such endorsement(s). � m PRODUCER C�EACT � AO� rtisk Services SOUth, Inc. � Frankl i n TN Offi ce �yH�Npj , E��; C866) 283-7122 F� No :<847) 953-5390 � 501 Corporate Centre Drive e-n�w� p 5uite 300 ADDRESS: _ Franklin TN 37067 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: L2Xlfljt0� Insurance Company 19437 ARG4DIS U.S., InC. INSURERB: 630 Plaza �rive, Suite 100 Highlands Ranch CO 80129 USA INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570050066629 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 WHICH 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. Limits shown are as requested LTR TYPE OF INSURANCE INSR YWD POLICY NUMBER MMIDD MMID LIMRS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABIIITY PREMISES Ea occurrence CLAIMS-MADE ❑ OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY N m GENERALAGGREGATE m m O GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG � POLICY PRa LOC � AUTOMOBILE LL481LITY , (',,� ��,.. COMBINED SINGLE LIMIT � .��:�� Eaaccident .. ANY AUTO BODILY INJURY ( Per person) Z ALL OWNED SCHEDULED A RS �� y BODILY INJURY (Per accident) � AUTOS AUTOS � ��' ¢� _^'� ' HIRED AUTOS NON-OWNED � a� �� 4+' '°r ��' � PROPERTY DAMAGE V AUTOS Per accident � _ E_�<. r:� � UMBRELLA LU18 OCCUR "n ° ° ��e� ' � � � EACH OCCURRENCE V p��'"�i�:�r�a'�'� �" �fr� : L�..i � EXCESSLIAB CLAIMS-MADE L�°�•+�� °'"�`b�ZrO� AGGREGATE DED RETENTION � WORKERS COMPENSATION AND WC STATU- OTF� EMPLOYERS' LWBIIITY Y� N TORY LIMITS ER ANY PROPRIETOR / PARTNER I EXECUTIVE E.L. EACH ACCIDENT OFFICERIMEMBER EXCLUDED9 ❑ N / A (Mandatory in t� E.L. DISEASE-EA EMPLOYEE If yes, describe under DESCRIPTION Of OPERATIpNS below E.L. DISEASE-POLICY LIMR n Contractor Poll 015448990 06/O1/2013 06/O1/2014 Each Claim $1,000,000 — Prof. & voll. Liability annual aggregate 51,000,000 � SIR applies per policy ter s& condi ions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 701, Additbnal Remarks Sehedule, if more spaee is required) � Re: all operations of the Named insured. For Professional Liability coverage, the Aggregate Limit is the total insurance � available for claims presented within the policy period for all operations of the insured. The �imit will be reduced by � payments of indemnity and expense: � Cancellation Provision shown herein is subject to shorter or longer time periods depending on the jurisdiction of, and reason � for, the cancellation. � � CERTIFICATE HOLDER CANCELLATION � SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE VYILL BE DELNERED MI ACCORDANCE 1MTN THE POLJCY PROVISIONS. Cl ty of Cl earwater AUTHOR¢ED REPRESENTATNE Attn: City Clerk P.O. Box 5748 � "'�� r „s�s�' � ^�� Cl earwater FL 33758 USa �j_ !l C�/ C_�/ Sr�i�% c! c/ OO 7988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ..i� m AGENCY CUSTOMER ID: 570000005571 LOC #: A�'RD ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk Services South, Inc. ARCADIS U.S., Inc. POLICY NUMBER see Certificate Number: 570050066629 CARRIER NAIC CODE See Certificate Number: 570050066629 EFFECTIVEDATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Cert�cate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR TypE OF INSURANCE �DL SUBR ppLICY NUMBER EFFECTIVE EXPIRATION LIMITS LTR INSR WVD DATE DATE MM/DD MM/DD OTHER X Claims-Made X Professional �iabil X and Contractors X Pollution �iability ACORD 101 (2008/07) p 2008 ACORD CORPORATION. All rlghts reserved. The ACORD name and logo are registered marics oi ACORD '�� °� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YWY) 05/28/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEFL 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 poiicy(ies) must be endorsed. if SUBROGATION IS WAIVED, subject to m the terms and conditions of the policy, certain poiicies may require an endorsement A statement on this certificate does not confer rights to the � certificate holder in lieu of such endorsement(s). � PRODUCER COHTACT m 'O Aon rtisk Services 5outh, inc. �E' � Frankl i n TN offi ce �aCNNO, EM�: C866) 283-7122 aC No :(847) 953-5390 � 501 Corporate Centre Drive e-Hw� p Suite 300 ADDRESS: _ Franklin TN 37067 usa ARCADIS U.S., Inc. 630 Plaza Drive, Suite 100 Highlands Ranch CO 80129 uSA INSURER(S) AFFORDING COVERAGE NAIC # iNSUrtertn: Lexington Insurance Company 19437 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570050059182 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 WHICH 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. Limita shown are as requested LTR TYPE OF INSURANCE INSR NND POLICY tA1MBER MMIDD MMIDD LIMRS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence CLAIMS-MADE ❑ OCCUR MED EXP (My one person) PERSONAL & ADV INJURY � GENERALAGGREGATE � O GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG � POLICY PRa LOC � � `� g AUTOMOBILE LL4BILITY �� -'��" COMBINED SINGLE LIMIT � � Ea accident ANY AUTO BODILY INJURY ( Per person). O ALLOWNED SCHEDULED �� Q �� BODILYINJURY(Peraccident) y AUTOS AUTOS HIRED AUTOS NON-0WNED PROPERTY DAMAGE � py Per accident � AUTOS �s�6'��EC�J`$.L � � �a'��+� ,.�'�0.�� T �N UMBRELLA LIAB OCCUR ;e,�,,,;�� - ° ; � � � ;� '�,,,sJ ��,=�. � � EACH OCCURRENCE V EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND WC STATU- OTI-4 EMPLOYERS' LWBILITY TORY LIMITS ER ANV PROPRIETOR / PARTNER / EXECUTIVE Y� N E.L. EACH ACCIDENT OFFICERIMEMBER EXCLUDEDI ❑ N / A (Mandatory in I� E.L. DISEASE-EA EMPLOYEE If yes, describe under • DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT A Contractor voll 015448990 06/O1/2013 06/O1/2014 each Claim 55,�00,000 — Prof. & Poll. Liability annual Aggregate 55,000,000 � SIR applies per policy ter s& condi ions DESCRIPTION OP OPERATIONS / LOCATIONS / VEHICLES (Attaeh ACORD 101, Additlonal Remarks Seheduk, M more space is required) �"- RE: PHASE I, 1498 S. GREENWOOD AVE. FOR PROFESSIONAL LIABILITY COVERAGE, THE AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE � FOR CLAIMS PRESENTED WITHIN THE POLICY PERIOD FOR ALL OPERATIONS OF THE INSURED. THE LIMIT WILL BE REDUCED BY PAYMENTS OF �i INDEMNITY AND EXPENSE. CANCELLATION PROVISION SHOWN HEREIN IS SUBJECT TO SHORTER OR LONGER TIME PERIODS DEPENDING ON THE ,�y ]URISDICTION OF, AND REASON FOR, THE CANCELLATION. � �� CERTIFICATE HOLDER CANCELLATION � SHOULD ANY OF TNE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE 1MTH THE POLICY PROVISIONS. CITY OF CLEARWATER AuTHOR¢ED REPRESENiATNE ATTN: CITY CLERK P.O. BOX 4748 S R�/�� s�� r„�� CLEARWATER FL 33758-4748 USA N/ p_ �� C�i c�Q'a�s :�d� c./ 07988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD .i� � AGENCY CUSTOMER ID: 570000005571 LOC #: '4� ° ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk Services South, Inc. ARCADIS U.S., Inc. POLICY NUMBER See Certificate Number: 570050059182 CARRIER NAIC CODE See Certificate Number: 570050059182 EFFECTIVEDATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR ADDL SUBR POLICY POLICY LTR T1TE OF INSORANCE �SR W VD POLICY NUMBER EFFECTIVE EXPIRATION LIMI7S DATE DATE MM/DD MM/DD OTHER X Claims-Made X Professional �iabil X and Contractors X Pollution Liability ACORD 101 (2008/01) � 2008 ACORD CORPORATION. All dghta reaerved. The ACORD name and logo aro regiatered marks of ACORD AC �� DATE(MM/DD/YYYY) `,., CERTIFICATE OF LIABILITY INSURANCE 05/28/2D13 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 'i 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 statemerrt on this certificate does not confer rights to the I certificate holder in lieu of such endorsement(sl. Aon Risk Services south, Inc. Franklin TN office 501 Corporate Centre Drive Suite 300 Franklin TN 37067 USA CADIS U.S., I�C. 0 Plaza orive, Suite 100 ghlands rtanch Co 80129 Usa, E-NUUL ADDRESS: INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: (866) 283-7122 INSURER(S) AFFORDING COVERAGE xington insurance Company (847) 953-5390 NUMBER: NAIC # 19437 � m w .. c m v � m 'a 'o i 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 WHICH 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. Limits shown are as requested LTR TYPE OF INSURANCE INSR NND POLICY NUMBER MMIDD MMID LIMITS GENERAL LU181LITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY PREMISES Ea occurtence CLAIMS-MADE ❑ OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY p N GENERALAGGREGATE m GEN'L AGGREGATE LIMIT APPLIES PER: �� ` �� PRODUCTS - COMP/OP AGG � O POLICY PRa LOC r AUTOMOBILE LL461LITY . COMBINED SINGLE LIMIT � E a cident .��.;5c� � � �3 .. ANY AUTO BODILY INJURY ( Per person) Z ALL OWNED SCHEDULED BODILY INJURY (Per accident) w AUTOS AUTOS PROPERTY DAMAGE V HIREDAUTOS NON-OWNED �9Yc 3�� ,.�`�� u� � peraccident 1� AUTOS �� n � � � , r � m UMBRELLALIAB OCCUR � EACH OCCURRENCE V EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND WC STATU- OTI-F EMPLOYERS' LL461LITV TORY LIMITS ER ANY PROPRIETOR I PARTNER / EXECUTIVE Y� N E.L. EACH ACCIDENT OFFICERIMEMBER EXCLUDED? ❑ N � A (Mandalory In 1� E.L. DISEASE-EA EMPLOYEE N yes,describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT - n Contractor Poll 015448990 06/O1/2013 06/O1/Z014 Each Claim $5,000,000 — Prof. & Poll. Liability annual Aggregate $5,000,000 � SIR applies per policy ter s& condi ions DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attaoh ACORD 101, Additional Remarks Schedub, if more space is requfred) � Evidence of Insurance. � For Professional Liability coverage, the aggregate Limit is the total insurance available for claims presented within the � policy period for all operations of the insured. The Limit will be reduced by payments of indemnity and expense. � Cancellation Provision shown herein is subject to shorter or longer time periods depending on the jurisdiction of, and reason � for, the cancellation. � z: CERTIFICATE HOLDER CANCELLATION � SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELIED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITM THE POLICY PROVISIONS. Clty Of Clearwater AUTHORIZED REPRESENTATNE ,attn: Kathy Bedini (City Clerk) P.O. sox 4748 'Q �i Glearwater FL 33758-4748 USa (�% �!�C%fst�a�t�ed ��fi ✓�sEt c_�GLO9$ c/ ACORD 25 (2010/05) 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD O � AGENCY CUSTOMER ID: 570000005571 LOC #: '4� ° ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk Services South, Inc. ARCADIS U.S., Inc. POLICY NUMBER see Certificate Number: 570050062903 CARRIER NAIC CODE See Certi fi cate Number: 570050062903 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR ADDL SUBR POLICY POLICY L7.R TYPE OF INSURANCE INSR WVD �LICY NUMBER EFFECTIVE EXPIRATION L[MITS DATE DATE M/DD MM/DD OTHER X Claims-Made X Professional �iabil X and Contractors X vollution �iability ACORD 101 (2008/01) m 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are reglstend marks of ACORD