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CERTIFICATE OF LIABILITY INSURANCE (343)U ACORD TM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 4/25/2014 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(les) 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 BB &T - Landrum Yaeger 3375 -B Capital Circle, NE PO Box 14099 Tallahassee, FL 32317 NApp MEACT Scott Jay PHONE (NC, No, Ext): 850- 386 -2143 FAX (NC, No): 888- 328 -1326 E -MAIL sjay@bbandt.com ADDRESS: 'Y@ INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Westfield Insurance Company 24112 INSURED George F Young of Florida Inc George F Young Inc 299 Dr ML King Jr N Saint Petersburg, FL 33701 INSURER B : CMM5700700 ( ? , , ,_ ._ . . INSURER C : 4/1/2015* INSURER D : $1,000,000 INSURER E : PREMISES (EaENTuErrence) INSURER F : CERTIFICATE NUMBER: 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (POLICY I D/YYYY) (MMIDDY/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CMM5700700 ( ? , , ,_ ._ . . \l/�t8/2014 V L - / . 4/1/2015* EEACCI -I OCCURRENCE $1,000,000 $500,000 $1 0,000 PREMISES (EaENTuErrence) MED EXP (Any one person) CLAIMS -MADE X OCCUR PERSONAL 8 ADV INJURY $1,000,000 X PD Ded:1,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE 7 POLICY X LIMIT JECT APPLIES PRO PER: LOC $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED NON -OWNED AUTOS CMM57007110. - 28/ -20*4- 4/1/2015* COMa accaBINEdenDSt) INGLE LIMIT (E $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A x UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CMM5700700 2/28/2014 4/1/2015* EACH OCCURRENCE $6,000,000 AGGREGATE $6,000,000 $ DED X RETENT ON $0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A VrC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ E DISEASE - EA EMPLOYEE $ E . DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) *Policy Expiration Date Extended to 4/1/2015 City of Clearwater Project #13 -0004 -EN and PO USTI 09373 KCA Project No. 6201207.02 (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION City of Clearwater Attn: City Clerk 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 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD #512245712/M12240035 NS9 KCA Task Work Oder #2 Design of Island Estates 4 Bridges: #155513, #15514. #15515, & #15516 City of Clearwater is named as Additional Insured with respects to General Liability and Auto Liability. A Waiver of Subrogation applies. SAGITTA 25.3 (2010/05) 2 of 2 #S12245712/M12240035 buenitf: I aue wu - - - ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 2128/2014 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(les) 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 BB&T - Landrum Yaeger 3375 -B Capital Circle, NE PO Box 14099 Tallahassee, FL 32317 CONTACT Scott Jay PHONE 850 -386 -2143 FAX 888- 328 -1326 (A/C, No, EsO; (A/C, No): E -MAIL .1. Cbbandt.com ADDRESS: y '� INSURER(S) AFFORDING COVERAGE NAIC s INSURER A: Westfield Insurance Company 24112 INSURED George F Young of Florida Inc George F Young Inc 299 Dr ML King Jr N Saint Petersburg, FL 33701 INSURER B : CMM5700700 �f ¢'t� ��''?? 3,"'. 0„d -t�l INSURER C : ' , .1�. I y i °' AND INSURER D : EACH INSURER E : �OCCURRENCE PREMISES (Ea o rence) INSURER F : MED EXP (Any one person) • 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 (MDD/YYYY) POLICY EXP (MMIDDIYYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CMM5700700 �f ¢'t� ��''?? 3,"'. 0„d -t�l (Iy�� ' `�' d „ '�r-' f..�L���e ' , .1�. I y i °' AND 03/12/2015 .,, r EACH $1,000,000 �OCCURRENCE PREMISES (Ea o rence) $500,000 $ 1 0 000 MED EXP (Any one person) CLAIMS -MADE X OCCUR $1,000,000 $2,000,000 PERSONAL&ADVINJURY X PD Dad:1,000 GENERAL AGGREGATE PRODUCTS - COMP /OPAGG $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY II PRO- n LOC JECT $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED NON -OWNED AUTOS )I cc CM M5700700'k ° �"" ` (��'- 0 1' 4 °b3/12/2015 FEaeccldeDntSINGLE LIMIT $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 CMM5700700 02/28/2014 03/12/2014 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 $ DED I X RETENTION $0 WORKERS COMPENSATION ANY EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? I (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A - IWC S ATU- I 'W E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) City of Clearwater Project #13- 0004 -EN and PO #ST109373 KCA Project No. 6201207.02 KCA Task Work Oder #2 Design of Island Estates 4 Bridges: #155513, #15514. #15515, & #15516 City of Clearwater Is named as Additional Insured with respects to General Liability and Auto Liability. A Waiver of Subrogation applies. I City of Clearwater Attn: City Y ty Clerk 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 Are( Jar- ACORD 25 (2010/05) 1 of 1 #S11935478/M11932106 ® 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NS9