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CERTIFICATE OF LIABILITY INSURANCE (625).� a rs_a: � Client#:1048448 HYDROSOL DATE (MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE aio7i2o,s 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 USI Insurance Services, LLC, 1715 N. Westshore Blvd. Suite 700 Tampa, FL 33607 _ � �� .oi� INSURED Hydro Solutions Consulting,� �� :-yYµ� �,n��;�� 3616 Harden Blvd., Number 110 Lakeland, FL 33803 813 321-7500 INSURER(S) AFFORDING COVERAGE �r,suReR a: Old Dominion Insurance Co �r,suReR e: Travelers Casualty and Surety C iuciiwca r• XL $pCC181tV IIISUI'811C@ ii'Ofllp811y INSURER E : 813 321-7525 NAIC 40231 31194 COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY EPF POLICY EXP LIMRS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A GENERAL LIABILITY BPG95341 4/06/2015 04/06/201 EACH OCCURRENCE $y �0� 00� X�I COMMERCIAL GENERAL LIABILITY PREMISES� a occur° nce $5OO OOO '� �� CLAIMS-MADE � OCCUR MED EXP (Any one person) $S�OOO � PERSONAL & ADV INJURY $�,OOO,OOO '�, GENERALAGGREGATE $Z�OOO�OOO GEN'L AGGREGATE LIMIT APPLIES PER: �', PRODUCTS - COMP/OP AGG $Z�OOO�OOO POLICY PR� LOC � JEC�- -- -- — - -- $ -- -- -- - ---- - _ _ --- --------------------- A AUTOMOBILE LIABILITY BPG95341 4�06�2�15', �4��6�2�1 Ea aocdeDtSINGLE LIMIT .�'000,000 ANY AUTO '� BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS $ X HIREDAUTOS X AONO WNED pe�a ctlentDAMAGE $ ' UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ ' DED RETENTION $ $ B WORKERSCOMPENSATION U68429Y352 11/27/2014 11/27/201 X WCSTATU- ORH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� N E.L. EACH ACCIDENT $�JOO OOO OFFICER/MEMBER EXCLUDED? � N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $5OO OOO DESCRIPTION O FOPERATIONS below E.L. DISEASE - POLICY LIMIT $rJOO�OOO C Professional DPS9716467 6/05/2014 06/05/201 $2,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Professional Liability coverage is written on a claims-made basis. Project: City of Clearwater, Florida; Gas mitigation system (adjacent to an old landfill) for the Press Box at the Joe DiMaggio Sports Complex Clt of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Parks & Recreation Department ACCORDANCE WITH THE POLICY PROVISIONS. 100 S. Myrtle Avenue Clearwater, FL 33756 AUTHORIZED REPRESENTATIVE 0��' Bt. Q�..aL.o �---- OO 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) � of 1 The ACORD name and logo are registered marks of ACORD #S14824608/M14680654 JMBEW � � � � �� ' ,1 • � � S� � -� �S(�/l� C��s'C�� ,/`'ti�� i ' r� G� U� L...;t� 5 � 2 U � `s-�� (C �� S� DC�-� c�� Q� � CQ ( 7or ,o �� v� � -� � "l� C� � � � � �� . �«; �, � `� � �j s � °�