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CERTIFICATE OF LIABILITY INSURANCE (278)SDIENV ACORDTM CERTIFICATE OF LIABILITY INSURANCE M/DD/Y 8/26/2013 DATE (MM/DDN YYY) 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 USI Insurance Services, LLC, 1715 N. Westshore Blvd. Suite 700 Tampa, FL 33607 CONTACT NAME: PHONE FAX No, d): 813 321 -7500 (ac, No): 813 321 -7525 ( F, E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Admiral Insurance Company 24856 INSURED S D I Environmental Services, Inc. 3816 W Linebaugh Avenue #200 Tampa, FL 33618 INSURER B: Travelers Indemnity Company 25658 INSURER c : Travelers Casualty & Surety Co 31194 Travelers Indemnity Co of CT NsURERD: raveers emn ty 25682 INSURER E : INSURER F : X COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE INSR WVD POLICY NUMBER FEIECC173840 '" .. (MMM/LDO //YYYY) 09/0212013 (MMOILDDY/YYYYL 09/02/2014 LIMITS $1,000,000 A GENERALUABILITY X COMMERCIAL GENERAL LIABILITY X X EEACCHq�OECCURRENCE PREMISES (Ea occurrence) $ 50,000 MED EXP (Any one person) $ 5,000 $1,000,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY GENERAL AGGREGATE s2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GE 'L AGGREGATE POLICY LIMIT APPLIES PRO- JET PER: LOC $ D AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NO OWNED AUTOS X BA2562L144 "` 07129/2013 07/29/2014 COMBINEn SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X X CUP6416Y164 06/30/2013 06/30/2014 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 $ DED X RETENT ON $1 0000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) tf yes, describe under DESCRIPTION OF OPERATIONS below / N 1 N / A X UB7082Y944 09/01/2013 09/01/2014 X TORY LIMITS ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 A Professional Liab & Pollution Liab FEIECC173840 09/02/2013 09/02/2014 $1,000,000 per claim $2,000,000 aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Professional Liability coverage is written on a claims -made basis. CERTIFICATE HOLDER CANCELLATION City of Clearwater Attn: City Clerk PO Box 4748 Clearwater, FL 33758 -4748 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 0e. ACORD 25 (2010/05) 1 of 1 #S10847360/M10847344 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KEBEW