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CERTIFICATE OF LIABILITY INSURANCE (3)® A J � lam( /� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/27/2014 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 Greyling Insurance Brokerage 450 Northridge Parkway Suite 102 Atlanta GA 30350 CONTACT Jerry Noyola NAME: NO ola PA/c°NN0.Eztt (770) 552 -4225 I (AIC,Not: (866)550 -4082 ADDRESS: jerry.noyola @greyling.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:National Union Fire Ins Co 19445 INSURED Kimley -Horn and Associates, Inc. P.O. Box 33068 Raleigh NC 27636 INSURERB:COmmerCe & Industry Insurance 17410 INSURER C:New Hampshire Insurance Company 23841 INSURERD:Ll0yd's of London 085202 INSURER E : EACH OCCURRENCE INSURERF: X TE NUMBER:14 -15 (Kimley Sharda) 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 WWI POLICY NUMBER POLICY EFF IMM/DD/YYYYI POLICY EXP (MMIDDIYYYY) UNITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR GL 9645227 f1f { ;± H / [ C3 4,s 4/1/2014 4/1/2015 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO PREMISES (Ea Eoccurrence) $ 500, 000 CLAIMS -MADE X MEDEXP(Anyoneperson) $ 25,000 X Contractual Liability PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT POLICY 1 1► I TA, APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 7 I IE LI OC $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS -OWNED CA 49 82$1.85-',,. ,) 5 t ^v -:., ,i ' W .1;,.%.,-....4D ' j i- 44)1/2 .- - 4/1/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 $ X BODILY INJURY (Per person) SCHEDULED AUTOS BODILY INJURY (Per accident) $ X X NON PROPERTY DAMAGE (Per accident) $ _ _AUTOS $ B X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE 13E58430948 4/1/2014 4/1/2015 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 X I DED I RETENTION $ 10,000 $ C A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS N N /A NC 018112556 (AOS) NC 018112557 (CA) 4/1/2014 4/1/2014 4/1/2015 4/1/2015 X I WC STATU- I IOTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1, 000, 000 N E.L. DISEASE - EA EMPLOYEE $ 1,000,000 below E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 D Professional Liability 0879P070831401 4/1/2014 4/1/2015 Per Claim $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space is required) Re. Parking Consultant of Record; Mark Santo. The City of Clearwater is named as an Additional Insured on the above referenced liability policies with the exception of workers compensation & professional liability where required by written contract. The above referenced liability policies with the exception of professional liability are primary & non - contributory where required by written contract. Waiver of Subrogation is applicable where required by written contract & allowed by law. City of Clearwater City Clerk 100 South Myrtle Avenue Suite 220 Clearwater, FL 33758 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 David Collings /JERRY ___� ACORD 25 (2010/05) INS025 (201005)01 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD