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PIER 60 REFURBISHMENT - 11-0046-MA - CERTIFICATE OF LIABILITY INSURANCEACOR1:7' BILTM -1 OP ID: P2 CERTIFICATE OF LIABILITY INSURANCE DATE tMMIUD,TTTT) 12/27/2013 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 411, ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED RESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ORTANT: 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 Fisher Brown Div, Pensacola 1701 West Garden Street Pensacola, FL 32502 Alan D. Moore, CPCU Phone: 850 -432 -7474 Fax: 850 - 438 -4678 CNTACT NAME: Kathy W. King, CIC< AAI (A/C, No, Ext): 8504704672 AADDRESS: kkingtwfbbins.com FAX No): 601 408$334 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : National Fire Ins of Hartford INSURED Biltmore Construction Co, Inc. Mrs. Vae Hyde 1055 Ponce de Leon Blvd. Belleair, FL 33756 INSURER B : FCC! Insurance Company 10178 INSURER C: American Guarantee & Liability INSURER D : INSURER E : INSURER F : COVERAGES • 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 SUER WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 4034571222 2013 g, 31 01/01/2014 01/01/2015 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occurrenceRENTED ) DAMAGES ( 1 $ 1,000,000 � CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE 'L AGGREGATE POLICY X LIMIT APPLIES PRO PER: LOC PRODUCTS - COMP /OP AGG $ 2,000,000 Emp Benef $ 1,000,000 UTOMOBILE X — X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS 403457712,'6 , 01/01/2014 01/01/2015 Ea accident) LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ C UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE AUC578165500 01/01/2014 01/01/2015 EACH OCCURRENCE $ 20,000,000 AGGREGATE $ 20,000,000 DED X RETENT ON $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE Y/N OFFICER /MEMBER EXCLUDED? n (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 001WC13A35641 01/01/2014 01/01/2015 X WC STATU- TORY LIMITS 0TH - ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) • Re: Project BCC 4025 -City of Clearwater, Florida, Pier 60 Rehabilitation, 7 Causeway Boulevard, Clearwater Beach, Fl 33767 See attached CANCELLATION • City of Clearwater, Florida CIO Engineering Group 100 South Myrtle Avenue Clearwater, FL 33756 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 Alan D. Moore, CPCU ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTEPAD INSURED'S NAME Biltmore Construction Co, Inc. BILTM -1 OP ID: P2 PAGE 2 DATE 12/27/13 Certificate holder is an additional insured as respects General liability, Auto Liability and Umbrella if required by written contract. Waiver of Subrogation in favor of certificate holder as respects General Liability, uto Liability, Umbrella, and Workers Compensation if required by written ontract. General liability is primary and non - contributory if required by written contract. Auto is primary for owned vehicles. Should any of the above policies be cancelled before the expiration date thereof, 30 days written notice will be mailed to the certificate holder.