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CERTIFICATE OF LIABILITY INSURANCE (320).4 °'t°® CERTIFICATE OF LIABILITY INSURANCE DAT09/29/2014) 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 Aon Risk Insurance Services West, Inc. Los Angeles CA Office 707 Wi shire Boulevard Suite 2600 Los Angeles CA 90017 -0460 USA CONTACT NAME: (A/C No. Ext); (866) 283 -7122 I Fax (800) 363 -0105 (ac. No.): EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC it INSURED Tetra Tech. Inc. 201 East Pine Street Orlando FL 32801 USA INSURER &: Lexington Insurance Company 19437 INSURER B: National Union Fire Ins Co of Pittsburgh 19445 INSURER C: The Insurance Co of the State of PA 19429 INSURER D: AIG Europe Limited AA1120841 INSURER E: CLAIMS -MADE X OCCUR INSURER F: $1,000,000 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. Limits shown are as requested INSR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF • IYYYY POLICY EXP MWDDIYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY GL5388413 GE OCT 14 2014 ;t� g6 �'f" e'CI'iL COs 'ir. Ct)1 2014 / '� i �NT) S • " D 10/01/2015 EACH OCCURRENCE $2,000,000 CLAIMS -MADE X OCCUR DAMAGE TO REN itD PREMISES (Ea occurrence) $1,000,000 X X,C,U Coverage MED EXP (Any one person) $10,000 PERSONAL B ADV INJURY 82,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PEQ GENERAL AGGREGATE $4,000,006 HPOLICY X X LOC PRODUCTS- COMP /OPAGG $4,000,000 OTHER: B AUTOMOBILE LIABILITY CA 51017E j ,,,61, t4<10 /01/2015 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X — _ X ANY AUTO BODILY INJURY ( Per person) ALL OWNED AUTOS HIRED AUTOS — _AUTOS X SCHEDULED NON -OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) D X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE TH1400061 10/01/2014 10/01/2015 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 DED I X'RETENTION $100,000 C c C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN NIA wCO28328161 WCO28328165 WCO28328166 WCO28328167 10/01/2014 10/01/2014 10/01/201410/01 10/01/2014 10/01/2015 10/01/2015 /2015 10/01/2015 X I PER STATUTE IOTH- ER OFFICER/MEM EREXCLUDED ?C�1� N (Mandatory in NH) If yes, describe under E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 A Contractor Prof 028182375 Prof /Poll Liab 10/01/2013 10/01/2015 Each Claim Agggregate $5,000,000 $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 01, Additional Remarks Schedule, may be attached if more space is required) City of Clearwater, Florida is included as Additional Insured as required by written contract, but limited to the operations of the Insured under said contract, with respect to the General Liability and Automobile Liability policies. General Liability and Automobile Liability evidenced herein is Primary and Non- Contributory to other insurance available to The City of Clearwater, Florida, its officers, officials, employees and volunteers, but only to the extent required by written contract with the insured. A waiver of Subrogation is granted in favor of Certificate Holder as required by written contract but limited to the operations of the Insured under said contract, with respect to the General Liability and Auto Liability policies. Cross Liability /severability of Interest is included under the General Liability policy where required by written CERTIFICATE HOLDER CANCELLATION ACORD 25 (2014/01) @1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Holder Identifier : Certificate No : 570055324828 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Clearwater, Florida Attn: City Clerk PO Box 4748 Clearwater FL 33758 -4748 USA AUTHORIZEDREPRESENTATIVE t:. " s/>ecleLta tS :tii �9MR ACORD 25 (2014/01) @1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Holder Identifier : Certificate No : 570055324828 4WIW AGENCY CUSTOMER ID: 570000036654 LOC #: ADDITIONAL REMARKS SCHEDULE Paae of AGENCY Aon Risk Insurance Services west, Inc. NAMED INSURED Tetra Tech, Inc. POLICY NUMBER See Certificate Number: 570055324828 CARRIER See Certificate Number: 570055324828 NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Additional Description of Operations / Locations / Vehicles: contract. Stop Gap Coverage for the following states: OH, ND, WA, WY. ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved.