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CERTIFICATE OF LIABILITY INSURANCE (312)AlCt 'R1 CERTIFICATE OF LIABILITY INSURANCE V DATE(MM /DD/YYYY) 07/10/2014 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 Mutual Insurance Inc 1900 1st Ave North PO Box 12350 St Petersburg FL 33713 CONTACT William Wanless ext 2213 CONE (727) ((727) 821-7483 (AHONO, Pct). ( 727 896 -0006 FAX Nn)• E-MAIL SS. wwanless @mutualinsuranceinc.com INSURER(S) AFFORDING COVERAGE NAIL # INSURER A :ATS /Admiral Ins Co LIABILITY COMMERCIAL GENERAL LIABILITY INSURED Compass Engineering & Surveying Inc Deuel & Associates 565 S Hercules Ave Unit 11 & 12 Clearwater FL 33764 - INSURER B : Auto Owners Insurance Co 18988 INSURER C :SUM /Bridgefield Cas Ins 19 4/2013 ° ' )� ' . INSURER D :Southern Owners Ins 10190 INSURER E : DAMAGE ED nce) INSURER F : COVERAGES CERTIFICATE NUMBER: Al • 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 MISR SUBR wvn POLIO .may •�(MJ/�1n/YYYY) POLICY EFF POLICY EXP (MM /Rn/YYYYL LIMITS D GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 2068939113 r ;' J M " Aam -r^ ' d'' `V".."� 19 4/2013 ° ' )� ' . 10/13/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE ED nce) $ 300,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 X No Deductible PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEM_ AGGREGATE POLICY X LIMIT APPLIES PF PER: LOC PRODUCTS - COMP /OP AGG $ 1,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X - SCHEDULED AUTOS NON -OWNED AUTOS 4699170300 10/13/2013 10/13/2014 (OMBcideDtSINGLE LIMIT 8 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 4700541901 10/13/2013 10/13/2014 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED RETENTON$ $ C WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If -yes, describe under DESCRIPTION OF OPERATIONS below Y / N _ y NIA 019615870 08/01/2014 08/01/2015 X WC STATU- TORY LIMITS 0TH - FR E.L. EACH ACCIDENT $ 1,000,000 E . DISEASE - EA EMPLOYEE $ 1,000,000 E . DISEASE - POLICY LIMIT 1,000,000 $ A Architects & Engineers Professional Liability - Claims Made $5,000 Deductible E0000009046 -07 06/15/2014 06/15/2015 Each Occurrence 1,000,000 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) 30 days notice of cancellation except for 10 day days notice for non - payment of premium. CERTIFICATE HOLDER CANCELLATION 016116 City of Clearwater Attn: City Clerk P 0 Box 4748 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 ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD