CERTIFICATE OF LIABILITY INSURANCE�
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A� oR°' � CERTIFICATE OF LIABILITY INSURANCE DATE�MM/DD/YYYY)
7/t/2o15 1/9/2015
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 COVERACaE 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 certi8cate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER Lockton Companies
Three City Place Dnve, Suite 900
St. Louis MO 63141-7081
(314) 432-0500
INSURED Corrpro Companies, Inc.
1319367 2069A Lake Industrial Court
Conyers GA 30013
Indian
Fire Insurance
COVERAGES CORC002 CERTIFICATE NUMBER: 13299906 REVISION NUMBER: XXXXXXX
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.
�LT R ADDL SUBR POLICY EFF POLICY EXP LIMITS
TYPE OF INSURANCE � POLICY NUMBER /
A X COMMERCIALGENERALLIABILITY y rJ CGE7409323 7/1/2014 7/1/ZO1S EACHOCCURRENCE Z OOO OOO
CLAIMS-MADE a OCCUR DAM GE O RENTED 1 OOO OOO
PREMISE Ea occurrence
A X P�100_000 SLR XCU / BROAD FORM PD MED EXP An one erson 10 ���
PERSONAL 8 ADV INJURY $ 2 OOO OOO
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4 OOO OOO
POLICY� jE � � LOC PRODUCTS - COMP/OP AGG $ 4 OOO OOO
OTHER $
B AUTOMOBILE LIABILITY y N AS2641004218024 7/1/2�14 7/1/201$ Ea socltleDtS NGLE LIMIT $ 2 QQQ o00
X ANY AUTO BODILY INJURY (Per person) S XXi�XXX
AUTOS NED qUTOSULED BODILY INJURY (Per accident $ XXXXXXX
HIRED AUTOS A�T SWNED PROPER DAMAGE g XXXXXXX
Per accident
$ XXXXXXX
UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX
EXCESS LIAB CLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXXXXXX
DED RETENTION $ $
WORKERSCOMPENSATION WA764D009004444 7/1/2014 7/1/201$ X STATUTE OTH-
C AND EMPLOYERS' LIABILITY N WC7641004218014 WI i/1/2�14 7/1/2015
C ANY PROPRIETORlPARTNER/EXECUTIVE Y� N � � E.L. EACH ACCIDENT $ I OOO OOO
C OPFICER/MEMBER EXCLUDED? N❑ N� A �EXCLUDING MONOPOLISTI 1
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE 1 OOO OOO
DESCRIPTI N OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 OOO OOO
D Professionat /Contractors y N CE0742002402 7/1/2014 7/1/2015 pRb�FESS ONA�LL PE I�CLAIM/AGG
p Pollution Liability (PROF-CLAIMS MADE)
$lOM COMBINED POLICY AGG LIM
DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is requfred)
CORRPRO JOB N[JMBER: 340201248 - RFP NO. 36-14. CITY OF CLEARWATER ARE ADDITIONAL INSUREDS IJNDER GENERAL LIABILITY r1ND AUTOMOBILE
LIABILITY ON A PRIMARY AND NON-CONTRIBUTORY BASIS WHERE APPLICABLE BY WRITTEN CONTRACT, BUT ONLY WITH RESPECT TO LIABILITY
ARISING OUT OF THE NAMED INSURED'S OPERATIONS; AND ARE ADDITIONAL INSUREDS UNDER CONTRACTOR'S POLLUTION LIABILITY WHEN
REQUIRED BY WRITTEN CONTRACT OR AGREEMENT ON A PRIMARY AND NON-CONTRIBUTORY BASIS AND SOLELY FOR "COVERED OPERATIONS°
PERFORMED BY OR ON BEFIALF OF THE NAMED INSURED. *'SEE ATTACHED ENDORSEMENTS'•
CERTIFICATE HOLDER CANCELLATION See Attachment
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
13299906 AUTHORIZED REPRESENTATIVE
CITY OF CLEARWATER
ATTN: CLEARWATER GAS SERVICES -ALYCE BENGE
PO BOX 4748
CLEARWATER FL 33758-4748 .�.
er.nRn �� r�n�ain�� 01988- RD O RA N. All rights reserved
The ACORD name and logo are registered marks of ACORD
r
� � �A.! i"l�.l[;;, IFt � I�`i�
This endarsemeni, �fiecfive an July 1, 2014, at 12:01 A.M. s#and�rd time, forms a part af
Policy Na. CG�74Q93�3 af fhe XL Ir�surance America, Inc.
issued tc► Gt3RR�R0 C{}Mf'ANIES, lNC.
THIS ENQt�RSEMEhtT CFiANGES THE PC?LIGY. PLEASE READ IT CAREF�}L�Y.
AGiDiTiQNAL tNSURER — t'�WNERS, LESSEE� tJR C+C}NTRACTQRS —
SC�lEDUl�EQ R�RSQN C}R f?R�ANtZ�4TiC?N
This endorsement mcadifies insuran�e p�cavided �rnder the foilowing:
COM�1IERCIAL GEtJEi�AL LIABILtTY �UVERAGE F'ART
hiame of Pe�son or Qr+�aniza#ic�n:
Any person or arganizatic�n with whom yau have ag�eed, #h�rcaugh written contract, agreement ar permit,
executed pri�r tv loss.
(if no entry apRears abave; information required ta cc�mplete this endc�rsement wili be s�ovvn in the
Declaratinns as appiicabie ta this endorsement.}
A. Section 11— Who Is An fnsured is amended ta include as an insured the persan of organizatir�n
shown in #he S�h�dul�, but aniy with respect to li�bility arising r�ut of yvur r�ngoing operations
performed fcar #hat insured.
B. With respect to ihe insurarrce afford�d �o th�se additi�nal insur�ds, #he fa(i�+w�r�g exc#u�ion is
added:
2. �xclusions
Th�s in�uranc� do�s nc�t apply to "k�odiiy injury,. c�r "pr€�perty damage"' c�ccurfing after:
(1} A!I work, inc(udir�g materia[s, parts ar equi�ament fiurnished ir� cpnnec#ic�n with
SuCh wOfk, 4n the prOjeCt {c�ther than SBt�iGe, maintenance car r8pairS) to be
perft�rmed by or on b�1��lfi af the additional insured(s} at #he site af the cavered
op�:ratie�ns has been cc�mpleted; o�
(2j 1"hat pc�rtion of "yaur wark" out c�f wh�ch the injury ar �amage ar"sses has been pcat
ta its intended use by any pers�n t�r or�ani�zati�n o#h�er than �n�ther cor�tractc�r or
subcontractar engaged �n pe�forrning� operations for a principal as a p�rt of the
�ame proj�ct:
..
All ather ierrns and conditic�ns remain unchanged.
�lutt�or�zed R.epres�ntative
MANUS �U ��14 X.L. America, Iric. A!! Rights Reserved.
�fay not be copied without permissic�n.
�
EhIC}OR��MEN7
Th�s endorsement, effective on ,1uly 1, 2014, at 12.t}1 A.M, st�ndar�i time, forms a part ofi
Policy No. CGE?�09323 of the XL Insurance America, (nc.
issued ta �+�RI�PRa C�MPANIES, 4NC.
TH'1S Ef�t�flRSEMEt�T CNAN'GES THE POLiCY: PLEASE REAb iT CAF2EFULLY.
ADfllTIQNAI. INSURE� — C}WNERS, LESSEES i}R Ct?NfiRACTORS —
CC?MPLETED +OPERA7'I�NS
This �ncio�sement mc�difies insur�nce pravided under tfie following:
�CC}MMEF�GIAL GENERAk� LIA�ILIi''Y Ct�VERAGE �'AR7
Aiamett of Person ac fJrganizatian:
Any p�rsan or organizatipn with whom you have agreed, through written cant�act, �greement or permit,
ex�ecutt�d pritar to lass.
Lvcat�on And l�escription c�f Campl�ted Operations:
V�rious as fequired per written contract
Additi�naE Prerr�ium: $ #ncluded
�If no entry a�pe�rs above, infarmatian required to cc�mplete this endorsement wiH be shawn in the
Declaratipns as �pplicabie to thi� enriorsement.}
Sectic�n IM — Wha Is An insured is amended io inciude as an insured th� person or arganrzation shown in
the Sche�tiule, but anly with respect #c� liabiliiy arising out of "your wc�rk" at the Ic�catian designat�d and
described in the schedule af #�is endorsement performed farthat insured and irtctuded in the "products-
cc�mplete�# r��erati�ns h�zard".
Alt c�ti�er terms ar�d co�+dition� �err�ain unchanged.
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Autho�ized Repre�ent�ative ^�
�R�1�� �J 20'I 1 X.L. Am�rica, Inc. All Rights Reserved.
May n�t be copied without permission.
ENDORSEMENT
This endorsement, effective 12:01 a.m., July 1, 2014, forms a part of
Policy No. CGE7409323
by XL Insurance America, Inc.
issued to CORRPRO COMPANIES, INC.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY INSURANCE CLAUSE ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS COVERAGE PART
It is agreed that to the extent that insurance is afforded to any Additional Insured under this policy, this
insurance shall apply as primary and not contributing with any insurance carried by such Additional
Insured, as required by written contract.
All other terms and conditions of this policy remain unchanged.
XIL 424 0605
O, 2005, XL America, Inc.
ENDORSEMENT
This endorsement, effective 12:01 a.m., July 1, 2014, forms a part of
Policy No. CGE7409323 issued to CORRPRO COMPANIES, INC.
by XL Insurance America, Inc.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT
In the event coverage is cancelled for any statutorily permitted reason, other than nonpayment of premium,
advanced written notice will be mailed or delivered to person(s) or entity(ies) according to the notification
schedule shown below:
Number of Days
Name of Person(s) or Entity(ies) Mailing Address: Advanced
Notice of
Cancellation:
Per schedule on File with the Com an 90
All other terms and conditions of the Policy remain unchanged.
IXI 405 0910
O 2010 X.L. America, Inc. All Rights Reserved.
May not be copied without permission.
�
POLICY NUMBER: AS2-641-004218-024
CONN�RCIAL AUTU
CA 20 481013
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR
COVERED AUTQS LIABILITY COVERAGE
This endorsement modi�es insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form �apply unless
modfied by the endorsement.
This endorsement identifies person{s) or organization(s) who are "insureds" for Covered Autas Liability Coverage
under the 1Nho Is An Insured provision of the Coverage Form. 7his endorsement does not alter coverage
provided in the Coverage Form.
SCHEDUL.E
Name Of Person(s) Or
Any person or organization whom you have agreed in writting to add as
an additional insured, but only to cover the minimum limits of
insurance required by the written a�reement, and in no event to exceed
either the scope of coverage or the limits of insurance provided in
this policy. For designated insured added this policy, and where a
written agreement requires the insured to provide liability insurance
on a primary, excess, contingent, or any other basis, this policy will
apply soley on the basis of such written agreement.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Each person or organization shown in the Schedule is
an "insured" for Covered Autos Liability Coverage, but
only to the extent that person or organization qualfies
as an "insured" under the Who Is An Insured provision
contained in Paragraph A.'I. of Section I! - Covered
Autos Liability Coverage in the Business Auto and
Motor Carrier Coverage Forms and Paragraph D.2. of
Section I- Covered Autos Coverages of the Auto
Dealers Coverage Form.
CA 20 4810 '13 � Insurance Services Office, Inc., 2011 Page 1 of 1
Policy Number: AS2-641-004218-024
15sued By: Liberty Mutual Fire Insurance Co.
THIS ENDOR5EMENT CHANGES 7HE POLICY. PLEASE RE,4D IT CAREFULLY.
N0710E O� CANCELLATION TO iHIRD PARTIES
This endorsement mod'�ies insurance provided under tl�e following:
SUSINESS AUTO COVERAGE PART
MOTOR CARRIER COVERAGE PART
GARAGE COVERAGE PART
TRUCKERS COVERAGE PART
EXCESS AUTOM081LE LIABILITY INDEMNITY COVERAGE PART
SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART
COMMERCIAL GEfVERAL LIABILITY COVERAGE PART
EXCESS COMMERCIAL GENERAL UABILITY COVERAGE PART
PRODUCTSICOMPLETEn OPERATIONS LIABILITY COVERAGE PART
LIQUOR I.IABILITY COVERAGE PART
Schedule
Name of Other Person(s)/ Emall Address or mailing [Vumber
Organ[zatton(s): address: Days
Notice:
Per schedule on file wi.th 60
the company
A. If we cancel this policy for any reason other than nonpayment of premium, we will notrfy the persons or
organizations shown in the Schedule above. We will send notice to the email or maiting address listed
above at least 10 days, or the number of days listed above, if any, before the cancellation becomes
effective. In no event does ihe notice to the third party exceed the notice to the first named insured.
B. This advance no�cation of a pending cancellation of coverage is intended as a courtesy only. Our failure
to provide such advance notfication will not extend the policy cancellation date nor nsgate cancellation of
the policy.
All other terms and conditions of this policy remain unchanged.
LIM 99 01 0511 m 201 i, l.iberty Mutual Group of Companies. All rights reserved. Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc.
with its permission.
THIS ENDORSEMENT CHANGES THE FOLICY. PLEASE READ IT CAREFULLY.
NOTiCE OF CANCELLATION TO THIRD PARTIES
A. If we cancel this poiicy for any reason other than nonpayment of premium, we will notify the persons or
organizations shown in the Schedule below. We wifl send notice to the email or mailing address listed below
at least 10 days, or the number of days listed beiow, if any, before cancellation becomes efFective. In no event
does the nofice to the third party exceed the notice to the first named insured.
B. This advance notifcation of a pending canceflation of coverage is intended as a courEesy onfy. Dur failure to
provide such advance notificatian will not extend the policy cancellation date nor negate cancelfation of the
policy.
Name of Other Person(s} 1
Organization(s):
Per schedule on file with company
SCHEDULE
Emaif AdBress or mailing address: Number Days Notice:
All other terms and conditions of this policy remain unchanged.
Issued by Liberty Insurance Corporation
.�
For attachment to Policy No. WA7-64D-009004-444 Effective Date 07/01/2014 Premium $
Issued to
WM 8018 Q611 O 2d11 Libe�ty Mutual Group of Companies
Ed. 06/01/2011 AI) Rights Reserved
Page 1 of 1
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T�'s� er�dt��serrber�t�, effe�tive �2:E}1 a.m�,July �, 20�a frarms � pa� t�f
4�aliGy f�Ic�.CE0742002402 issuE*d t4 Cc�rrpt'fl �c�t�#��t�ies, ��rC.
b� Iridi�n Narbor lnsur�nc� �ornpa�sy.
T`H� i EhiDC)� a�MENT �NANG�S THE i�GLICY. P��f�S� I��tiC7 Ii CAREFl1LLY,
MANUSGF�{�*T ENCit3FtS�MEMT - CAN�ELLATIC?N NOiiFlCATtQI+! Ti'� C)THEi�S� ENDt?RSEMENT
Tt�is endarsement motiifi�s insuran�e p�`ov"rd�d ur�der the faliowing:
f�A1�E F�1us: �rafessic�r��i 6�cti�ritiesl�r�rnplete Exe�uti+�n + Pollutian
PRt?FES�(f)NAL 8� �t}L.L:�iit)ht LIABl�.[TY F+�R �C?NSTRUGi'1t7N Ct�NTFtAGTCiRS APID �C�N�'CFtUGTIC1t�
�UPPCiR°i �E�YlCES P�t�V1�ERS
in rorasid�r�ti�n caf the pr�mi+�m charged, tl�e Mamed Insured ar�d the Company agree to the f�xlowing �'oiicy
c�ange{sj:
In the everrt covera��; is c�ncetEed for ar�y �tatutor�iy permi�fed re�son, other than ncanpaymerrt cs# �remiun�, advanc�d
�,tritten n�atic� +rrii! be m�iPe�# t�r d�li�r�d t�s p�rson�s} ar �ntrty(ie�� acccrrding t� th� n�tr���ti�rn schedute �F�own below:
�.___.._�.�__� _�.w....__w_.�_ .._._..._d...__W_w__�..�.�____,
_ �.� �..�wti.........�_ �lumb�r crf t��ys ;
�dvanc�d ;
Nam� of Persc�n�s} or Enti#y(ies) , Maii�r�g Addr�ss: Natice of ;
�vith ihe
,All �afh�r �erms, ct�nditit�ns �nd �xclusions af this paiicy r�main un�hanged.
. t�
��.D 4i70 t�113 {�7 2�713 X.L. Amer'rt�a, Inc, Pag� 1 oi 1
A!! Ri�hts F2eserved. M�y nc�t b� copied withaut permiss6on,
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