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CERTIFICATE OF LIABILITY INSURANCE (349)ALC RDA CERTIFICATE OF PROPERTY INSURANCE DATE (MM /DD /YYYY) 07/02/2015 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. PRODUCER If this certificate is being prepared for a party who has an insurable interes in the property, do not use this form. Use ACORD 27 or ACORD 28. Aon Risk Services southwest, Inc. Houston Tx Office 5555 San Felipe Suite 1500 Houston TX 77056 USA INSURED CONTACT NAME: PHONE (866) 283 -7122 (NC. No. Ext): E-MAIL ADDRESS: IFAX (800) 363 -0105 (NC. No.): PRODUCER CUSTOMER ID 570000051836 Cardno, Inc. 380 Park Place Blvd., Suite 300 Clearwater FL 33759 USA INSURER(S) AFFORDING COVERAGE INSURER A: Lexington Insurance Company NAIC # 19437 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: - - -- r.r..."1 I\umocR: -'' ovuu 't REVISION NUMBER' LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, N more space is required) RE: RFQ #34 -15. THIS INDICATED, CERTIFICATE EXCLUSIONS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR A TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDAIY1) POLICY EXPIRATION DATE (MM /DDNYYY) COVERED PROPERTY LIMBS PROPERTY DEDUCTIBLES 038421977 15M Property 09/30/2014 09/30/2015 BUILDING �J CAUSES OF LOSS PERSONAL PROPERTY BUSINESS INCOME w/o Extra Expense BASIC BUILDING BROAD CONTENTS X EXTRA EXPENSE $1,000,000 X SPECIAL RENTAL VALUE BLANKET BUILDING BLANKET PERS PROP BLANKET BLDG & PP Loss Limit EARTHQUAKE WIND FLOOD X 85,000,000 -- INLAND MARINE OF LOSS NAMED PERILS TYPE OF POLICY — CAUSES POLICY NUMBER CRIME OF POLICY TYPE JBOILER & MACHINERY / EQUIPMENT BREAKDOWN — . i SPECIAL CONDITIONS / OTHER COVERAGES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 1 R CERT IFICATE HOLDER CANCELLATION City of Clearwater Engineering, RFQ #34 -15 PO Box 4748 Clearwater FL 33758 -4748 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE S 2149 �� ACORD 24 (2009/09) © 1995-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Holder Identifier : rn 0 to o Lrl 0 O Ir W 2 Z W 0 LL W U