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CERTIFICATE OF LIABILITY INSURANCE (293)A ° - CERTIFICATE OF LIABILITY INSURANCE DAT 12/31/2013 Y ) 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 PHONE FAX (AIC. No. Ext): (866) 283 -7122 (AIC. No.): 800- 363 -0105 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Arcadis U.S. Inc. 630 Plaza Drive Suite 200 Highlands Ranch CO 80129 USA INSURER A: Greenwich Insurance Company 22322 INSURER B: XL Specialty Insurance Co 37885 INSURER C: EACH OCCURRENCE INSURER D: X X GEN'L INSURER E: DAMAGETO RENTED PREMISES (Ea occurrence) INSURER F: CLAIMS -MADE I X CERTIFICATE NUMBER: 570052501489 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 MM1DDlYYYY POLICY EXP )MMIDDIYYYYI LIMITS A GENERAL. LIABILITY GEC00107 [p�rsm `'�r �e �,:,, r'"I { l,� �` -.- -i b Av „F ce ;_il ,, . -� ^ - ° .. q �� '` m a '� t � t.. 1/Ol/201� . J t I �'k* 01/01/2015 EACH OCCURRENCE $1,000,000 X X GEN'L COMMERCIAL GENERAL LIABILITY DAMAGETO RENTED PREMISES (Ea occurrence) $1,000,000 CLAIMS -MADE I X OCCUR MED EXP (Any one person) $10,000 Contractual AGGREGATE LIMIT APPLIES PER: LOC PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPIOP AGG $2,000,000 POLICY JECT B B AUTOMOBILE LIABILITY AEOU13'1(ijS d `v �''f S z I AOS AEC001719510 MA 60 }/2014 L"- i 01/01/2014 01/01/2015 01/01/2015 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X X ANY AUTO BODILY INJURY( Per person) ALL OWNED AUTOS HIRED AUTOS — — X — SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) A X ^- UMBRELLA LIAB EXCESS LIAB DED I X RETENTION X 310 OCCUR CLAIMS -MADE 000 UEC001075912 01/01/2014 01/01/2015 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 B B WORKERS COMPENSATION AND NIA RWD943516308 AOS RWR943516708 WI 01/01/2014 01/01/2014 01/01/2015 01/01/2015 X WC STATU- TORY LIMITS OTH- ER EMPLOYERS' LIABILITY ANY PROPRIETOR I PARTNER / EXECUTIVE OFFICERJMEMBER EXCLUDED? (Mandatory in NH) Y 1 N N E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below 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: Phase I, 1498 S. Greenwood Ave. Certificate Holder is added as an Additional Insured excluding Workers' Compensation and Employers' Liability as required by written contract but limited to the operations of the Insured under said contract, and always subject to the policy terms, conditions and exclusions. 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, and always subject to the policy terms, conditions and exclusions. coverage is considered Primary and is limited to the operations of the Insured.Cancellation Provision shown herein is subject to shorter or longer time periods depending on the jurisdiction of, and reason for, the cancellation. CERTIFICATE HOLDER CANCELLATION Holder Identifier : Certificate No : 570052501489 City of Clearwater Attn: City Clerk P 0 BoX 4748 Clearwater FL 33758-4748 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE BE DELIVERED IN ACCORDANCE WITH THE EXPIRATION DATE THEREOF, NOTICE WILL POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (Z `!fie . -mac. c L. ACORD 25 (2010105) ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ��"1 ® f a CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 12/312013 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): (A/C. No.): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Arcadis U.S. Inc. 630 Plaza Drive Suite 200 Highlands Ranch CO 80129 USA INSURER A: Greenwich Insurance Company 22322 INSURER B: XL Specialty Insurance Co 37885 INSURER C: /2014 L, +'� p e - -. f ti'‘ INSURER D: EACH OCCURRENCE INSURER E: DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER F: MED EXP (Any one person) NUMBER: 570052504859 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 POLI [*1 POLICY FF D/WYY1 POLICY EXP (MMIDDIYYYY) LIMITS A GENERAL X X LIABILITY COMMERCIAL GENERAL CLAIMS -MADE X Contractual LIABILITY OCCUR GEC00107611ry.;��j �1 'a .=..m q '� � <' 5 `:) �; � r ' -'_' �m 1- .A y c ,>'e,' rtS ` 3 /2014 L, +'� p e - -. f ti'‘ 61/01/2015 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 MED EXP (Any one person) $10,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 GENII AGGREGATE LIMIT APPLIES PER. PRO- POLICY X X LOC JECT B B AUTOMOBILE X -- X — LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS — — X — SCHEDULED AUTOS NON -OWNED AUTOS AEC001 S81Y' -J s '4.J A05 AEC001719510 MA V3.$6142014 01/01/2014 01/01/2015 01/01/2015 COMBINED SINGLE LIMIT /Ea accident) $1,000,000 BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) A X UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE UEC001075912 01/01/2014 01/01/2015 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 DED I X RETENTION 310 000 B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER f EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below Y 1 N N N/A RwD943516308 A05 RwR943516708 WI 01/01/2014 01/01/2014 01/01/2015 01/01/2015 X WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 72.� E.L. DISE "]LICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, i more space is required) Evidence of Insurance. Cancellation Provision shown herein is subject to shorter or longer time periods depending on the jurisdiction of, and reason for, the cancellation. CERTIFICATE HOLDER CANCELLATION City of Clearwater Attn: Kathy Bedini (City Clerk) P.O. Box 4748 Clearwater FL 33758 -4748 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. Holder Identifier : Certificate No : 570052504859 AUTHORIZED REPRESENTATIVE @1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD