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CERTIFICATE OF LIABILITY INSURANCE (290) AC40 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/02/2013 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 CONTACT William Wanless ext 2213 Mutual Insurance Inc NAME: 1900 1st Ave North PHONE (727)896-0006 �� No:(727)821-7483 PO Box 12350 E-MAIess: wwanless @mutualinsuranceinc.com ADDR St Petersburg FL 33713 INSURERS AFFORDING COVERAGE NAIC# INSURERA:ATS/Admiral Ins Co INSURED Compass Engineering&Surveying Inc INSURER B: Auto Owners Insurance Co 18988 Deuel&Associates INSURERC:SUM/Bridgefield Cas Ins 565 S Hercules Ave INSURER D:Southern Owners Ins 10190 Unit 11 &12 INSURER E Clearwater FL 33764- INSURER F: 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 ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER LIMITS D GENERAL LIABILITY 20689391 10/13/2013 10/13/2014 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 CLAIMS-MADE [X] OCCUR MED EXP(Any one person) $ 10,000 X No Deductible PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 1,000,000 POLICY X PRO- LOC $ B AUTOMOBILE LIABILITY 4699170300 10/13/2013 10/13/2014 COMBINED SINGLE LIMIT 11000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS (Per acciden B X UMBRELLA LIAB X OCCUR 4700541901 10/13/2013 10/13/2014 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION $ C WORKERS COMPENSATION 019615870 08/01/2013 08/01/2014 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY YIN 1,000 1000 ANY PROPRIETOR/PARTNER/EXECUTIVE � E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Architects&Engineers Professional E0000009046-06 06/15/2013 06/15/2014 Each Occurrence 1,000,000 Liability-Claims Made $5,000 Deductible Aggregate 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) 30 days notice of cancellation except for 10 day days notice for non-payment of premium. CERTIFICATE HOLDER CANCELLATION A1016116 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Attn:City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. P O Box 4748 Clearwater FL 33758- AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010/05) The ACORD name and logo are registered marks of ACORD