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CERTIFICATE OF LIABILITY INSURANCE (5)WADET -8 OP ID: SM '4`�,... -- CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 10(03/2013 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 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 Phone: 248 - 553 -8300 Professional Underwriters, Inc Fax: 248 -553 -8305 3947513 Mile Road, Suite 106 Novi, MI 48377 Stephanie C. Mulligan NAME: CT Stephanie C. Mulligan (a�NN , E,d), 248- 553 -8300 FAX No): 248- 553 -8305 E-MAIL ADDRESS: smulligan @profunderwriters.com INSURER(S) AFFORDING COVERAGE NAIC It INSURER A: Travelers Indemnity Company 25658 INSURED Wade -Trim, Inc. Suite 1200 8100 Woodland Center Blvd. Tampa, FL 33614 INSURER B : Charter Oak Fire Insurance Co. 25615 INSURER C : Travelers Property Casualty 25674 INSURER D : Beaziey Insurance Company 37540 INSURER E : MED EXP (Any one person) INSURER F : • 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 LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER (MM/DD�Y) (MM /DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X 630-9921B797 10/01/2013 10/01/2014 EACH OCCURRENCE $ 1,000,000 pREM SES Ea oocuE ence) $ 1,000,000 MED EXP (Any one person) $ 10,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GE 'L AGGREGATE POLICY X LIMIT APPLIES FIN PER: LOC $ B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS 810-9921B797 10/01/2013 10/01/2014 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUP- 9921B797 10/01/2013 10/01/2014 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 $ DED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/ N N N / A PHUB- 9921B797 10/01/2013 10/01/2014 X WC STATU- TORY LIMITS 0TH - ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 D ARCH /ENG PROF LIAB CLAIMS MADE BASIS VI5W85130501 10/01/2013 10/01/2014 PER CLAIM 5,000,000 AGGREGATE 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule If more space Is required) PROJECT NAME: 5 YEAR ENGINEER OF RECORD CONTRACT. THE CITY OF CLEARWATER IS NAMED AS AN ADDITIONAL INSURED WITH RESPECT TO THE GENERAL LIABILITY. CANCELLATION CLEARWI CITY OF CLEARWATER ATTENTION: GLEN BAHNICK P.O. BOX 4748 CLEARWATER„ FL 33758 -4748 i 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 ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD