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CERTIFICATE OF LIABILITY INSURANCE (259)ACO � DATOSM28/20�) � 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 CONTACT � AO� rtisk Services South, Inc. �E� � Frankl i n TN Offi ce �,q �NNo, Ert�: C866) 283-7122 ac. No. :�847) 953-5390 � 501 Corporate Centre Drive e�nna� o Suite 300 ADDRESS: _ Franklin TN 37067 USA INSURER(S) AFFORDiNG COVERAGE NAIC # INSURED Malcolm Pirnie, Inc. 44 5. eroadway 15th & 16th Floors White Plains NY 10602 USA INSURERA: L2X1�9t0� Insurance INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: 37 COVERAGES CERTIFICATE NUMBER: 570050062406 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 TNPE OF INSURANCE INSR NND POLICY NUMBER MMIDD MMID LIMRS GENERAL LIABILfTY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY PREMISES Ea occurtence CLAIMS-MADE ❑ OCCUR MED EXP (Any one person) PERSONAL 8 ADV INJURY � GENERALAGGREGATE N � GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG g POLICY PRo- LOC .� -:..'� o AUTOMOBILE LIABILITY �` � COMBINED SINGLE LIMIT � Ea ac ident ANY AUTO BODILY INJURY ( Per person) O ALLOWNED SCHEDULED ��d� � � �� BODILYINJURY(Peraccident) m AUTOS AUTOS �" HIRED AUTOS NON-OWNED PROPERTY DAMAGE V AUTOS Per accident � � !' (�,{�� : �iva R i .n l;, 1, ."� �y�� j �'�yGy""'W �N�� Y''.�lY L'�YJ�S;. � m UMBRELLA LIAB OCCUR � x �"" '�'' 'Y EACH OCCURRENCE V �.'`�:��.,,�.. a� L ,�. V �� iW EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND WC STATU- OTI+ EMPLOYERS' LU161LITY TORY LIMITS ER ANY PROPRIETOR / PARTNER / EXECUTIVE Y� N E.L. EACH ACCIDENT OFFICEFLMEMBER EXCLUDED? ❑ N � A (Mandalory in NFQ E.L. DISEASE-EA EMPLOYEE IF yes, describe under � DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT n Archit&Eng Prof 01544 990 06/O1/2013 06/O1/2014 Each Claim 51,000,000 — Prof & Poll �iab ,4nnual aggregate 51,000,000 � SIa applies per policy ter s& condi ions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addkional Remarks Schedule, if more space is required) Re: All Operations of the Named Insured. For Professional �iability coverage, the Aggregate �imit 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. � � z i�: CERTIFICATE HOLDER CANCELLATION rGJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WfTH THE ' POLICY PROVISIONS. Cl ty of Cl earwate r AUTMORIZED REPRESENTATNE attn: City Clerk P.O. Box 5748 � `'��y �s� �� Clearwater FL 33758 USA �_ !l �a�fc 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000005571 LOC #: '4�°R°� ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon 2isk Services south, �nc. Malcolm Pirnie, znc. POLICY NUMBER See Certificate Number: 570050062406 CARRIER NAIC CODE see Certi fi cate Number: 570050062406 EFFECTIVE DATE: a��inonu►� �nna�Ks 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. [NSR ADDL SOBR POLICY POLICY L7.R TYPE OF INSURANCE INSR W VD pOLICY NUMBER EFFECTIVE EXPIRATION LIMITS DATE DATE MM/DD MM/DD OTHER X Claims-Made X Professional �iabil X and Contractors X Pollution �iability ACORD 101 (2008/01) � 2008 ACORD CORPORA710N. All rights ►eserved. The ACORD name and logo are registered marks of ACORD