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CERTIFICATE OF LIABILITY INSURANCE (147)° � CERTIFICATE OF LIABILITY INSURANCE �D1�E��MMIDD/YYYY) i 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), AUT'HORIZED 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, subJiect 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, Inc. 300 1stAve. So., 5th Floor 3aint Petersburg FL 33701 INSURED A D Morgan Corp 716 N Renellie Dr Tampa FL 33609 ADMORGA-01 D: E: NAIC # COVERAGES CERTIFICATE NUMBER: 2113765759 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIGY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WFiICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TF�E TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TypE OF INSURANCE ADD POLICY EPF POLICY EXP LIMITS LTR INSR WVD POLICYNUMBER MM/DD/YYYY MM/DD/YYYY C GENERAL LIABILITY Y CPP20826110101 � � 0/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY ��° PREM SES Ea occu ence 5100,000 CLAIMS-MADE � OCCUR � MED EXP (Any one person) $5,000 . �� y PERSONAL&ADVINJURY $1,000,000 GENERALAGGREGATE $2,0OO,OUO GEN'LAGGREGATELIMITAPPLIESPER: ^ 1y� ,`, �s� ��,�0� �,;i'�w� PRODUCTS-COMP/OPAGG $2,0OO,OUO PRO- ��a ��e�..... �� $ POLICY LOC sa . � , � R?' A AUTOMOBILE LIABILITY CA20826100101 '"'""" �� /20/2014 Ea accident 1 000 Op0 %� ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS - NONAWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Peraccident . $ 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 $ q WORKERS COMPENSA710N C208261200 /26/2012 !26/2013 X � STATU- OTH- AND EMPLOYERS' LIABILITY ' ANY PROPRIETOR/PARTNER/EXECUTIVE Y� N 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 PP2082611000101 /20/2013 /20/2014 Not Owned 100,000 DESCRIP710N OF OPERAT10N5 / 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 clearwater, 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 including 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 City of Clearwater Attention: City Clerk P.O. Box 4748 Clearwater FL 33758-4748 ACORD 25 (2010/05) iN_1: Cy ��i\I[�l:l SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE � O 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE I F/�11�n�DDMlYY) 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 Wallace, Welch & Willingham P.O. Box 33020 St. Petersburg FL 33733 INSURED A D Morgan Corp 716 N Renellie Dr Tampa FL 33609 ADMOR-1 F: AFFORDING COVERAGES CERTIFICATE NUMBER: 264898688 REVISIUN NUMt3tK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIC�Y PERIOD INDICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIICH 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 ADDL UB POLICY EFF POLICY EXP LIMITS LTR INSR NND POLICY NUMBER MM/DDIYYYY MM/DD/YYYY A GENERALLIABILITY PP20826110101 /20/2013 /20/2014 EACHOCCURRENCE $1,000,000 x DAMA E TO RENTED COMMERCIALGENERALLIABILITY PREMISES Eaoccurrence 5100,000 CLAIMS-MADE � OCCUR �,��.� �� MED EXP (Any one person) $5,000 _ .a:� _.%,±-z PERSONAL & ADV INJURY $1,000,000 4� r�.�� q t.�,�.t GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: "�'� s� "' "�-�' tl� PRODUCTS - COMP/OP AGG $2,000,000 POLICY X PRO- LOC $ B AUTOMOBILE LIABILITY CA2082610010 h�E �f�"" �'r;; ��3�� iY0/2014 Ea accident 1 000 000 X `�^e �+�;;+�'•.� �,�' `�'�'�" ca „p, �" r BODILYINJURY(Perperson) $ ANYAUTO �':��..• v✓".. � � :aV� C�`'� �3 - ALL OWNED SCHEDULED BODILY INJURY (Peraccident) $ AUTOS AUTOS $ - NON-OWNED pe�r accRden DAMAGE HIREDAUTOS AUTOS - $ C X UMBRELLA LIAB X OCCUR L4030570254 /20/2013 /20/2014 EACH OCCURRENCE $5,000,0f)0 EXCESS lIA6 CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION $0 $ g WORKERS COMPENSATION C208261201 /26/2013 /26/2014 X � STATU- OTH- AND EMPLOYERS' LIABILITY - ANY PROPRIETOR/PARTNER/EXECUTIVE Y� N N � A E.L. EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) E.L. OISEASE - EA EMPLOYE $500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $500,000 A Equipment Floater PP20826110101 /2G/2013 /20/2014 Non Owned 100,000 � Professional Liabitity OOG27059910001 1/11/2013 /11/2014 Limit 1,000,000 Ded. 25,0�10 DESCRIPTION OF OPERATIONS / LOCATION5/ VEHICLES (Attach ACORD 701, 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 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 City of Clearwater Attention: City Clerk P.O. Box 4748 Clearwater FL 33758-4748 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE L� O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD