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CERTIFICATE OF LIABILITY INSURANCE (345)GHDINCO -01 SHETTYSM2 /H IL- .CJKLJ° `,/ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/6/2015 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(les) 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 NAME: Willis Certificate Center Willis of Massachusetts, Inc. do 26 Century Blvd PHONE FAX (ac, No, Exq: (877) 945 -7378 (NC, No): (888) 467 -2378 P.O. Box 305191 Nashville, TN 37230 -5191 E-MAIL SS: certificates@willis.com 07/01/2015 INSURER(S) AFFORDING COVERAGE NAIC # $ 1,000,000 INSURERA:AIG Specialty Insurance Company 26883 INSURED INSURER B : Zurich American Insurance Company 16535 GHD Services Inc. INSURER C : Lexington Insurance Company 19437 2055 Niagara Falls Blvd., Suite 3 INSURER D : National Union Fire Insurance Company of Pittsburgh 19445 Niagara Falls, NY 14304 INSURER E : 'L AGGREGATE POLICY OTHER: X INSURER F : GES CERTIFICATE 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 INSD SUBR WVD POLICY NUMBER POLICY EFF (MM /DDIYYYY) POLICY EXP (MM/DDM'W) LIMITS A X COMMERCIAL GENERAL LIABILITY X PROP 14247216 07/01/2015 07/01/2016 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE _ X OCCUR DAMAGE To RENTED PREMISES (Ea occurrence) $ 1,000,000 GE MED EXP (Any one person) $ 25,000 PERSONAL & ADV INJURY $ 1,000,000 'L AGGREGATE POLICY OTHER: X LIMIT APPLIES JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS X BAP 3757423 -00 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) ( ) $ PROPERTY DAMAGE (Per accident) $ Hired Phy Dam. $ 100,000 UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory In NH) If yes, IONunder D DESCRIPTION OF OPERATIONS below Y/ N N / A WC 0380936 07/01/2015 07/01/2016 X PER STATUTE 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 C D Professional Liab. Commercial Property 031710989 753 3519 07/01/2015 12/01/2014 12/01/2016 12/01/2015 Claim:$1,000,000 /Agg 2,000,000 See Attached DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) GHD Project Number: 098711 - Engineer of Record Services RFQ #34 -15 City of Clearwater, its Council, the Community Redevelopment Agency of the City of Clearwater, a Florida governmental agency created pursuant to Part III, Chapter 163, Florida Statute, its duly appointed officers, or other public bodies, officers, employees, volunteers, representatives and agents, are included as Additional Insureds as respects to General Liability and Auto Liability where required under contract or agreement. General Liability and Auto Liability policies shall be Primary and Non - contributory with any other insurance in force for or which may be purchased by Additional Insureds where required under contract or agreement. CERTIFICATE HOLDER CANCELLATION City of Clearwater Engineering, RFQ #34 -15 P.O. Box 4748 Clearwater, FL 33758 -4748 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 ?I'll Pt, ACORD 25 (2014/01) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGE SCHEDULE COVERAGE LIMITS Limit of Loss: $20,000,000 Any One Loss Building: $2,801,000 Contents: $13,391,599 Special Risk Valuation: Replacement Cost COVERED PROPERTY SUB LIMITS: $ 500,000 Extra Expense $ 2,057,639 Leasehold Improvements $ 1,000,000 Accounts Receivable $ 1,919,600 Valuable Papers Included Electronic Data Processing $ 500,000 Transit POLICY TYPE: Property $ 2,998,900 Contractor's Equipment - Owned, rented, leased CARRIER: National Union Fire Insurance Company of or borrowed by the Insured Pittsburgh $ 1,274,300 Miscellaneous Equipment Floater ($50,000 any one item) POLICY TERM: 12/1/2014 — 12/1/2015 $ 7,000,000 Windstorm - Named & Unnamed POLICY NUMBER: 753 3519 $ 2,500,000 Builders Risk (COC) $20,000,000 Annual Earthquake Aggregate $ 2,000,000 Annual California Earthquake Aggregate DEDUCTIBLES: $2,500 All losses except, $50,000 Sewer Back -up $50,000 Flood $10,000 Theft/Break & Enter 3% of TIV Earthquake applicable to U.S. Windstorm States Min$ 100,000 (Except California) 5% of TIV Earthquake applicable to California Min$ 250,000 5% of TIV Windstorm applicable to U.S. Windstorm States Min $ 100,000 48 Hour Business Interruption