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CERTIFICATE OF LIABILITY INSURANCE (292)AC Q� � CERTIFICATE OF LIABILITY INSURANCE YYY) DATE(12/31/2013 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 Aon Risk Services South, Inc. Franklin TN office 501 Corporate Centre Drive Suite 300 Franklin TN 37067 USA CONTACT NAME' (A/iC. No. Ext): (866) 283 -7122 FAX No.): 800- 363 -0105 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Malcolm Pirnie, Inc. 44 South Broadway 15th Floor White Plains NY 10601 USA INSURER A: Greenwich Insurance Company 22322 INSURER B: XL Specialty Insurance Co 37885 INSURER C: 7,24 « . �`y ti:'Si° .,,i. 1 • 6 V. INSURER D: -' INSURER E: $1,000,000 INSURER F: $1,000,000 COVERAGES CERTIFICATE NUMBER: 570052497460 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 INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP (MMIDDIYYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL CLAIMS -MADE I X LIABILITY OCCUR GECO01076112 General Liability 7,24 « . �`y ti:'Si° .,,i. 1 • 6 V. 11/01/2015 I t- laa . �a -' EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 MED EXP (Any one person) $10,000 PERSONAL BADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 7 POLICY [ PRO- I "' I LOC JECT B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS — _ X SCHEDULED AUTOS NON -OWNED AUTOS AEC0010 7 5 8 12 U Cr y! y i 7 COQ Auto (AOS)4 /z ' �`o1 /e /2015 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) A X — UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE UEC001075912 umbrella 01/01/2014 01/01/2015 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 DED I X RETENTION 310 000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR I PARTNER f EXECUTIVE OFFICER/MEMBER EXCLUDED, (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below YIN N N / A RWD943516308 01/01/2014 01/01/2015 " TORY ST LIMITS U H ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: All operations of the Named Insured. If required by written agreement, the Certificate Holder is included as additional insured as it pertains to the work or services performed for the certificate holder (except for wc) subject to all terms, exclusions and conditions of such policies. If specifically required by written agreement, the policies of the Insured will provide for Contractual Liability, waiver of Subrogation, or separation of Insureds /Severability of Interests. If required by written agreement, the WC /EL, General, Auto & umbrella /Excess liability policies of the Insured will be primary and non - contributory with any other insurance as it pertains to the work or services performed for the certificate holder. The "xCU" exclusion has been removed for General Liability insurance. CERTIFICATE HOLDER CANCELLATION City of Clearwater Attn: City Clerk PO Box 5748 Clearwater FL 33758 USA 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 s4. c_ �GIEYL c�'ilrLifGlC7Gli �k6Gt; ems/ 9lGti ACORD 25 (2010105) ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Holder Identifier : Certificate No : -'�+NiN A R>C3 CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 12/31/2013 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 Aon Risk Services South, Inc. Franklin TN Office 501 Corporate Centre Drive Suite 300 Franklin TN 37067 USA CONTACT NAME: PHONE (866) 283 -7122 FAX 800- 363 -0105 (NC. No. Ext): (NC. No.): E -MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIL # INSURED Malcolm Pirnie. Inc. 44 South Broadway 15th Floor white Plains NY 10601 USA INSURER A: Greenwich Insurance Company 22322 INSURER B: XL Specialty Insurance Co 37885 INSURER C: 01/01/2015 INSURER D: $1,000,000 INSURER E: $1,000,000 INSURER F: $10,000 :570052502618 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 INSR- LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY POLICY EXP IMMIDDIYYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X I OCCUR GEC001076112 General Liability , r 1'� ti ' 01/01/2014 �q " a �'r"t'm.+ );t ). -, ( ) , ' 01/01/2015 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 7 POLICY Fr H ^ j I LOCr'-'–'r- B AUTOMOBILE X X ,PjECT LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS - X _ SCHEDULED AUTOS NON -OWNED AUTOS AEC00107581 'rc (� Auto (AOS) . °'^` `„ +, •- �r `� �� "" s V I... J.� `,01/01/2014t0$401/2015 V �,� `fr J � COMBINED SINGLE LIMIT (Ea accident) $1, 000, 000 BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) A X UMBRELLA LIAR EXCESS LIAB X — OCCUR CLAIMS -MADE uE0001075912 Umbrella 01/01/2014 01/01/2015 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 DOD X RETENTION 310 000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR I PARTNER I EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y I N N N I A RWD943516308 01/01/2014 01/01/2015 X TORY L M Ts I 10TH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS ! LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, i more space is required) Re: All Operations of the Named Insured. City of Clearwater 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, Auto Liability and Umbrella Liability policies. General Liability and Auto Liability evidenced herein is primary and non - contributory to other insurance available to the Additional Insured, but only to the extent required by written contract with the insured. A waiver of Subrogation is granted in favor of Additional Insured as required by written contract but limited to the operations of the Insured under said contract, with respect to the General Liability, Auto Liability, umbrella Liability and workers' Compensation policies. CERTIFICATE HOLDER CANCELLATION City of Clearwater Attn: City Clerk P.O. Box 4748 Clearwater FL 33758 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE HALL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. MI rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Holder Identifier : Certificate No : 570052502618