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CERTIFICATE OF LIABILITY INSURANCE (289) DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 09/30/2013 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 2 certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Aon Risk Insurance Services West, Inc. PHONE (866) 283-7122 FAX (800) 363-0105 N Los Angeles CA Office (A/C.No.Ext): AIC.No.: a 707 Wilshire Boulevard E-MAIL p suite 2600 ADDRESS: _ Los Angeles CA 90017-0460 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER AI National Union Fire Ins Co of Pittsburgh 19445 Tetra Tech, Inc. INSURER B: Insurance Co of the state of PA 19429 201 East Pine street Orlando FL 32801 USA INSURER C: Lexington Insurance Company 19437 INSURER D: AIG Europe Limited AA1120841 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570051523176 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 POLICY EFF POLICY EAP AUU INSR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY GL EACH OCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $1,000,000 CLAIMS-MADE Fxl OCCUR MED EXP(Any one person) $10,000 X X,C,U Coverage PERSONAL&ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 N GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $4,000,000 POLICY PRO- o X LOC A � AUTOMOBILE LIABILITY CA 327 52 65 10 01 2013 10 01 2014 COMBINED SINGLE LIMIT M Ea accident $1,000,000 X ANY AUTO BODILY INJURY(Per person) Z ALL OWNED SCHEDULED BODILY INJURY(Per accident) N AUTOS AUTOS NON-OWNED PROPERTY DAMAGE V AUTOS X HIRED AUTOS E - Per accident N D X UMBRELLA LIAB I X I OCCUR TH1300027 10/01/2013 10/01/2014 EACH OCCURRENCE $10,000,000 V EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED I X RETENTION$100,000 B WORKERS COMPENSATION AND Wc15656017 10/01/2013 10/01/2014 WC STATU- OTH- B EMPLOYERS'LIABILITY Y/N Wc15656011 10/01/2013 10/01/2014 X TORY LIMITS ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 B OFFICER/MEMBER EXCLUDED? F9 N/A WC15656012 10/01/2013 10/01/2014 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C contractor Prof 028182375 10/01/2013 10/01/2014 Each claim $5,000,000 Prof/Poll Liab Agggregate $5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) �r city of Clearwater, Florida is included as Additional Insured as required by written contract, but limited to the operations of the Insured under said contract, with respect to the General Liability and Automobile Liability policies. General Liability and Automobile Liability evidenced herein is Primary and Non-Contributory to other insurance available to The city of Clearwater, Florida, its officers, officials, employees and volunteers, but only to the extent required by written contract with the insured. A Waiver of Subrogation is granted in favor of certificate Holder as required by written contract but limited to the operations of the Insured under said contract, with respect to the General Liability and Auto Liability policies. Cross Liability/severability of Interest is included under the General Liability policy where required by written 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, Florida AUTHORIZED REPRESENTATIVE Attn: City clerk PO Box 4748 _ An r-,c � rn ,-,i,i• Clearwater FL 33758-4748 USA ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000036654 LOC#: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk Insurance Services West, Inc. Tetra Tech, Inc. POLICY NUMBER See certificate Number: 570051523176 CARRIER T77CODE1 See certificate Number: 570051523176 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Additional Description of Operations/Locations/Vehicles: contract. Stop Gap coverage for the following states: OH, ND, WA, WY. ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD