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CERTIFICATE OF LIABILITY INSURANCE (321)/4 R°® CERTIFICATE OF LIABILITY INSURANCE DATE(OM 3 /201YYYY) 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 Services Southwest, Inc. Houston Tx Office 5555 San Felipe Suite 1500 Houston TX 77056 USA CONTACT PHONE 8662837122 (800) 363 -0105 (NC. No. Ext): I FAX No.): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Cardno. Inc. 5415 Sw Westgate Drive Suite 100 Portland OR 97221 USA INSURER A: Commerce & industry Ins CO 19410 INSURER B: Lexington Insurance Company 19437 INSURER C: The Insurance Co of the State of PA 19429 INSURER D: New Hampshire Ins Co 23841 INSURER E: National Union Fire Ins Co of Pittsburgh 19445 INSURER F: Ironshore Specialty Insurance Company 25445 TIFICATE NUMBER: 570055497723 • 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 LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY Y EFF '��r ; POUCY EXP JMMID LIMITS C X COMMERCIAL GENERAL LIABILITY GL1721859 ( General Liability OCT�j �f L ^o�� r�T'. I�5 jtti,,,1 'tea. rl ALra L.. 'I' !' 201 _ AND 09/30/201 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE 1ORFNTED PREMISES (Ea occurrence) $100,000 MED EXP (Any one person) $5,000 PERSONAL 8 ADV INJURY $1,000,000 GEM_ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 R POLICY X JECT I I LOC PRODUCTS - COMP /OP AGG $2,000,000 OTHER: C E AUTOMOBILE LIABILITY CA 3582949 Auto (Aos) CA 2714604 Auto (MA) u9f3 j2D14 09/30/2014 09/30/2015 09/30/2015 COMBINED SINGLE LIMIT (Ea accident) $1, 000, 000 _ X — X ANY AUTO BODILY INJURY ( Per person) ALL OWNED AUTOS HIRED AUTOS — X — SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident ( ) Comprehensive Deduct $1,000 A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE 34196652 umbrella 09/30/2014 09/30/2015 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED I X'RETENTION $10 000 D D WORKERS EMPLOYERS' COMPENSATION ION AND YIN NIA wC039901297 WC _ AOS wc039901296 WC _ (NJ , PA) 09/30/2014 09/30/2014 09/30/2015 09/30/2015 X I PEATUTE I OTH- ER ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBEREXCLUDED? 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 B Archit &Eng Prof 031710951 Professional SIR applies per policy terns 09/30/2014 & condi 09/30/2015 :ions Each Claim Aggregate SIR $5,000,000 $5,000,000 $250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 01, Additional Remarks Schedule, may be attached if more space Is required) City of Clearwater is listed as additional insured with respect to the General, Auto and Excess Liability policies. Waiver of subrogation in favor of the additional insured applies to the General, Auto and Excess Liability policies. This insurance is primary and non - contributory over any other insurance maintained by certificate holder. CERTIFICATE HOLDER City of Clearwater Attn: City Clerk PO Box 4748 Clearwater FL 33758 -4748 USA CANCELLATION 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 (2014/01) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Holder Identifier : 158115 Certificate No : 570055497723 ACO L AGENCY CUSTOMER ID: 570000051836 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk services southwest, Inc. NAMED INSURED Cardno, Inc. POLICY NUMBER see Certificate Number: 570055497723 CARRIER See Certificate Number: 570055497723 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER G :Allied world National Assurance company 10690 INSURER SUER WVD INSURER POLICY EFFECTIVE DATE (MM/DD /YYYY) INSURER LIMITS ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD /YYYY) POLICY EXPIRATION DATE (MM/DD /YYYY) LIMITS AUTOMOBILE LIABILITY C CA 3582949 Auto (AOS) 09/30/2014 09/30/2015 Collision Deductible $1,000 EXCESS LIABILITY G 03092257 Excess 09/30/2014 09/30/2015 Aggregate $15,000,000 Each Occurrence $15,000,000 WORKERS COMPENSATION D N/A WC039901295 wC _ (IL,KY,NC,NH,UT,VT) 09/30/2014 09/30/2015 D N/A wc039901294 WC _ (AK,AZ,GA,VA) 09/30/2014 09/30/2015 D N/A wc025842892 WC _ FL 09/30/2014 09/30/2015 C N/A wc025842891 WC _ CA 09/30/2014 09/30/2015 D N/A WC012055045 we _ (MA,ND,OH,WA,WI,WY) 09/30/2014 09/30/2015 OTHER ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. AGENCY CUSTOMER ID: 570000051836 LOC #: ADDITIONAL REMARK P AGENCY Aon Risk Services Southwest, Inc. r NAMED INSURED Cardno, Inc. POLICY NUMBER See Certificate Number: 570055497723 CARRIER See certificate Number: 570055497723 NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. R IN TYPE OF INSURANCE INSL IND SD W POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) LIMITS F Poll Legal Liab 002161700 Pollution 09/30/2014 09/30/2015 Occurrence $5,000,000 Aggregate $5,000,000 Deductible $250,000 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. AWRY® AGENCY CUSTOMER ID: 570000051836 LOC #: L REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services southwest, Inc. NAMED INSURED Cardno, Inc. POLICY NUMBER See Certificate Number: 570055497723 CARRIER See Certificate Number: 570055497723 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance CARDNO NAMED INSUREDS ATC Group Services, Inc. Cardno EM- Assit, Inc. Cardno Emerging Markets USA, Ltd. Cardno ENTRIX Cardno ERI Cardno Haynes whaley, Inc. Cardno JFNew Cardno MMA Cardno NC, Inc. Cardno TBE (AZ) Cardno TBE (FL) Cardno TBE; TBE Group, Inc. Cardno TEC, Inc. Cardno USA, Inc. Cardno WRG, Inc. Cardno WRG, Inc. dba WRG Designs Inc. Cardno, Inc (OR) Cardno, Inc. (TX) Cardno PPI Engineering & Construction, Services LLC., PPI Technology services,LLC., PPI Quality & Asset Management, LLC., and its Affiliated Companies Entrix Inc. dba Cardno Entrix Environmental Resolutions, Inc. J.F. New & Associates, Inc. JFNew Marshall Miller & Associates, Inc TBE Group (Canada) ULC TBE Group, Inc. (Adden) TBE Group, Inc. dba: Cardno TBE TBE Group, Inc., Cardno TBE TBE Professional Services, PLLC WRG North Carolina PLLC xPSoftware ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved.