CERTIFCATE OF INSURANCE
PRODUCER
MARSH RISK & INSURANCE SERVICES
THREE EMBARCADERO CENTER
PO BOX 193880
(415) 743-8000
CALlFORNA LICENSE NO. 0437153
SAN FRANCSICO, CA 94119-3880
RSA-F-ALL-W/PRO- FL TAM
CERTIFICATE NUMBER
SEA-000503997 -00
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
URS
COMPANY
A NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA.
INSURED
URS CORPORATION
100 CALIFORNIA STREET
SUITE 500
SAN FRANCISCO, CA 94111
COMPANY
B AMERICAN MANUFACTURERS MUTUAL INSURANCE CO.
COMPANY
C AMERICAN INTERNATIONAL SPECIALTY LINES INS. CO.
COMPANY
D INSURANCE CO. OF THE STATE OF PA
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WIHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDNY) DATE (MM/DDNY)
A GENERAL LIABILITY GL933-1972 04/01 i02 04/01/03 GENERAL AGGREGATE $ 2,000,000
COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 2,000,000
CLAIMS MADE [8] OCCUR PERSONAL & ADV INJURY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
$ 1,000,000
X PER PROJECT AGGREGAT $ 5,000
B AUTOMOBILE LIABILITY F5Y006395-00 AOS 04/01/02 04/01/03 $ 1,000,000
COMBINED SINGLE LIMIT
B X ANY AUTO F5Y006396-00 HI 04/01/02 04/01/03
B ALL OWNED AUTOS F5Y006397-00 VA 04/01/02 04/01/03 BODILY INJURY $
B SCHEDULED AUTOS F5Y006398-00 TX 04/01/02 04/01/03 (Per person)
B X HIRED AUTOS X3P084803-00 MASS 04/01/02 04/01/03 BODILY INJURY
X (Per accident) $
NON-OWNED AUTOS
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
A WORKERS COMPENSATION A~lD 708-4967 AOS 01/01/02 01/01i03 X
EMPLOYERS' LIABILITY
A 708-4968 CA 01/01/02 01/01/03
D THE PROPRIETOR/ INCL 708-4970 MA, TX, VA 01/01/02 01/01/03 EL DISEASE-POLICY LIMIT
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE-EACH EMPLOYEE
OTHER
C PROF. LIABILITY (E&O) 476-3090 04/01/02 04/01/03 EACH CLAIM $1,000,000
CLAIMS MADE FORM AGGREGATE $1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS)
CLEARWATER CITY PROPERTY - BROWNFIELD REHABILITATION 901-927 CLEVELAND ST.
PROJECT NO.: C1-00009165.00 STATE OF FLORIDA IS AN ADDITIONAL INSURED AS RESPECTS GENERAL & AUTO LIABILITY.
CITY OF CLEARWATER
112 SOUTH OSCEOLA AVENUE
CLEARWATER, FL 33766
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATIE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL ---.3.D. DAYS WRITT1EN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES.
MARSH USA INC.
BY: Michio Nekota