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CERTIFICATE OF LIABILITY INSURANCE (260)ACORD CERTIFICATE OF LIABILITY INSURANCE 4.....---- DATE(MM/DDIYYYY) 09/26/2013" 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 BYTHE 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 _ MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. 818 Town & Country Blvd, Suite 500 Houston, TX 77024 -4549 CONTACT NAME` (A/C PHONE Ext): 713-877-8975 FAX No): 713- 877 -8974 E4AAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC /1 INSURER A :AGCS Marine Insurance Company 22837 INSURED - Orion Marine Construction Inc. 5600 W. Commerce Street Tampa, FL 33616 _ - INSURER B :Lloyds of London OML92007479 INSURER C :New Hampshire Insurance Co. 10/01/2013 INSURER 0 Arch Insurance Company 11150 INSURER E :Signal Mutual Indemnity DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER F MED EXP (Any one person) COVERAGES CERTIFICATE NUMBER:U459YR6Y 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 SUBR WVD POLICY NUMBER POLICY EFF 1 /DD/YYYY) POLICY EXP (MM/DD/YYYYL LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY OML92007479 i1' -''` - 10/01/2013 10/01/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE X OCCUR X Sudden & Accidental Pollution PERSONAL & ADV INJURY $ 1,000,000 X Inc! Contractual GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER POLICY n 7m_ n LOC PRODUCTS - COMP /OP AGG $ 1.,000,000 $ C AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS Leased X SCHEDULED - AUTOS NON -OWNED AUTOS ' CA6407688 - 10/01/2013 10/01/2014 COMBINED SINGLE LIMIT (Ea accident) J 1,000,000 $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ - PROPERTY DAMAGE (Per accident) $ $ A B — X UMBRELLA LIAB EXCESS LIAB X _ OCCUR CLAIMS -MADE - OXL92007480 10/01/2013 10/01/2014 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ DED I I RETENTION$ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER in NH) EXCLUDED? (Mandatory in NH) If yes, it ascribe under DESCRIPTION OF OPERATIONS below YIN N / A - ZAWCI9867800 - 10/01/2013 10/01/2014 H - X I TORY LIMIT WC STATU- $ ) I I 0TER ` E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 E USL &H / JONES ACT 19100 10/01/2013 10/01/2014 USL &H - Statutory Contingent MEL $ 0 $ $ $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certficate Holder is named as an Additional Insured (except in respect of Workers Compensa ion) as required by written contract, subject to policy terms, conditions, and exclusions. Certificate Holder is provided with a Waiver of Subrogation as required by written contract, subject to policy terms, conditions, and exclusions. CERTIFICATE HOLDER CANCELLATION City of Clearwater P.O. 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 ACORD 25 (2010/05) Page 1 of 2 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC R AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page 2 of 2 PRODUCER MCGRIFF, SEIBELS St WILLIAMS OF TEXAS, INC. INSURED Orion Marine Construction Inc. POLICY NUMBER CARRIER - NAIC CODE ISSUE DATE 09/26/2013 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: 2ND LAYER EXCESS BUMEERSHOOT Policy No. MS-S4289, OXL92007481 Effective: 10/01/13 - 10/01/14 Insurance Company: Lloyds of London Limit: $15,000,000 Per Occurrence / AGCS Marine Insurance Company Policy follows form over scheduled underlying insurances subject to policy provisions, terms, conditions, definitions and exclusions. ACORD 101 (2008/01) 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE NUMBER:- U459YR6Y