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CERTIFICATE OF LIABILITY INSURANCE (4)'4� °® CERTIFICATE OF LIABILITY INSURANCE 3/19/2015 ) 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 Greyling Insurance Brokerage 3780 Mansell Road Suite 370 Alpharetta GA 30022 CONTACT Jerry NO Old NAME: rY Y (1iGNNo.Extl: (770)552 -4225 I rtixc. No),(866)550 -4082 AD DRESS:7erry.noyolaWgreyling.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:National Union Fire Ins Co 19445 INSURED Kimley -Horn and Associates, Inc. P.O. Box 33068 Raleigh NC 27636 INSURER B :Commerce & Industry Insurance 19410 INSURERC:New Hampshire Insurance Company 23841 INSURERD:Lloyd's of London 085202 INSURER E : $ 500, 000 INSURERF: CLAIMS -MADE I OCCUR OCCUR COVERAGES CERTIFICATE NUMBER:15 -16 ( Kimley Sharda) 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 (MM/DD/YYYY) POLICY EXP (MM/DDIYYYY) LIMITS A GENERAL X UABILITY COMMERCIAL GENERAL LIABILITY 9645227 r- ,, —•- ,I g m 4/ /1/2015 LL's_ 4/1/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE O RENTED PREMISES (Ea occurrence) $ 500, 000 CLAIMS -MADE I OCCUR OCCUR MED EXP (Any one person) $ 25,000 X Contractual Liability PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 7 POLICY 5C1 T07 [il LOC A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS !{ SCHEDULED AUTOS NON -0 AUTOS WNED " ''''' • p �� 4982985 . �"'� ,a + +`d �s b-, - 2 4/1/2016 SINGLE LIMIT (Ea accident) $ 1, 000, 000. BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE BE 020733086 4/1/2015 4/1/2016 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ DED I X I RETENTION$ 10,000 C A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER /EXECUTIVE (Mandatory NH) EXCLUDED? N ( ry ) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 39901450 (AOS) 39901451 (CA) 4/1/2015 4/1/2015 4/1/2016 4/1/2016 I WCSTATU- I X TORY I IMITS OTH- ER E.L. EACH ACCIDENT $ 1, 000, 000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Professional Liability P070831500 4/1/2015 4/1/2016 PerClaim $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re Parking Consultant of Record; Mark Santo. The City of Clearwater is named as an Additional Insured on the above referenced liability policies with the exception of workers compensation & professional liability where required by written contract. The above referenced liability policies with the exception of professional liability are primary & non - contributory where required by written contract. Waiver of Subrogation is applicable where required by written contract & allowed by law. ERTIFICATE HOLDER CANCELLATION City of Clearwater City Clerk 100 South Myrtle Avenue Suite 220 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 David Collings /JERRY ��_____ J'... ACORD 25 (2010/05) INS025 (201005).01 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD