CERTIFICATE OF LIABILITY INSURANCE (283) RECEIVED
ATE jMMfDD[YYYYI INSURANCE 2.1
1*.� CERTIFICATE OF 8/23/2413
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 GDI ALTER THE COA1 ' ' POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE I �� �� � �� tJTHORIZ D
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate Molder is an ADDITIONAL INSURED,the policy(ies)must the 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 Molder in lieu of such endorsement(s).
PRODUCER CONTACT
NAN9E:
Eidson Insurance,A Marsh&McLennan Agency �PHONE� FAX
2847 Edgewater Drive AfC.Na.Eztb (407) 849.0333 IAtc Nr,Ft4073 425--5634
E-MAIL. _w ,�..:.,...,_.
Orlando FL 32804 -ADDRESS'
1NSUFzEiq 5 A6.FFORDING COVERAGE ( NA1C
A:Continental Casualty Company 24443
INSURED (407) 675-5358 t
of Readxn 2
Reiss Environzental, Inc. & Reiss INSURER B:.I#assera.ca:n Caeua3 Cca 47427
Engineering, Inc WSURERC:C-sFpanWxcan -rO arty & Casualty___ 12357
1016 Spring :'Villas lit. INsIJRERD:Auto-Owners Insurance Co. 1 18968
Winter Springs FL 327085258 _INSURER E:
INSURER F:.
COVERAGES CERTIFICATE NUMBER:Cert ID 38864 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.
POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE POLICY NUMBER fM@ 113IJIYYYY NAM1�tI3OlYYYY 1. LIMITS
B X I COMMERCIAL GENERAL LIABILITY I I EACH OCCURRENCE 1,000,000
j P_A?C -E TO E,oN
0 §56 RkSCLAIMS
CLAIMS-MADE r OCCUR
I c
urrensel 30{},{P00
MED FXP(Any one person) �$ 10 004
t _PERSONAL&ADV INJURY $ 1,000,000
'GENL AGGREGATE LIMITAPPLIESPER. j ,GENERALAGGREGATE. 5.. 21000,000
X I r— _ - t—
X I POLICY�l ..,..pECT. �,Lfiyl, PRODUCTS Gs`.3MPIOP A iG 2,000,000 19THE'R. r s ,.,.m.... e,
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
_ r ( Ea accident', 1,000,00 0
D X(.ANYAUTO : 4472389700 18/19/2013 8/19/2014 BODILY INJURY(Per person) $ a........ J
ALL OWNED I SCHEDULED I
_ AUTOS AUTOS �BODILY INJURY(Per accident) $
NON-OWNED PRDPERTY DAMAGE ---
X HIRED AUTOS AUTOS 'Per aeCederlt 5
I C i
A i XIUM8RELLALIAB ....'Y.`...00CL3R. - - 2091445161. j9}21/2012 9/21./2.013 EACH OCCURRENCE S 11000,000
EXCESS LIAS ` CLAIMS-MAD E AGGREGATE i$ 11000,000
1
(OED 1 X I RETENTIONS 101000; ( �5
IWORKERSCOMPEN5ATiON i PER I DTI-$•
C 'ANO.EN�PLDYBRS'LIA�ILITY BNA3643796 19/21/201.2 9/21/2013 `�' STATUTE EI2.
ANY PROPRIETORIPARTNER�EXEC U TIV'E (""r ij El,EACH ACCIDENT 'S '1 444,400
OFHCER.MEMHER EXCLUDED? N rw -- —
(Mandatory In NI{) { [ £-L.DISEASE.-EA EMPLOYEE.S 1,000,000
DESCRIPTION OF OPERATIONS 6elo« t j E-L.DISEASE-POLICY LIMIT 15 _ 1,000,000
A Professional Liability ( AE11288355198 7/5/2413 71'9/2414 Each Claim. Limit/ $ 2,000,040
Aggregate
Full ?prior Acts Claims Made i Retention g 25,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 901,AddI ional Remarks Schadrie may be attached if more space is rggoired)
Proof of insurance Only.
Engineer ga d
CERTIFICATE HOLDER 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,
City of Clearwater
Attn: Engineering AUTHORIZED REPRESENTATIVE
P.O. Box 4748
Clearwater FL 337584748
1988.2013 ACORD CORPORATION. All rights reserved,.
ACORD 25(2013104) The ACORD name and logo are registered marks of ACORD