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CERTIFICATE OF LIABILITY INSURANCE (363)Client#: 1049387 JONESEDMI ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 7/08/2015 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 USI Insurance Services, LLC, 1715 N. Westshore Blvd. Suite 700 Tampa, FL 33607 CONTACT NAME: PHONE FAX (A/C, i e, Ext): 813 321 -7500 (A/C, No): ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Phoenix Insurance Company 25623 INSURED Jones Edmunds & Associates, Inc. 730 N.E. Waldo Road Gainesville, FL 32641 INSURER B : Travelers Indemnity Company 25658 INSURER C : Travelers Casualty and Surety C 31194 INSURER D : XL Specialty Insurance Company 37885 INSURER E : Travelers Property Cas. Co. of 25674 INSURER F : MED EXP (Any one person) VERAGES 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 INSR X SUBR WVD X POLICY NUMBER 6801951 L902 POLICY EFF (MM /DD/YYYYLJMM 06/30/2015 POLICY EXP /DD/YYYY) 06/30/2016 LIMITS A __ GENERAL LIABILITY EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISESO(Ea occu RENTED $1,000,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1 GENERAL AGGREGATE ,000,000 $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 ] POLICY X PECT RO- J LOC $ E AUTOMOBILE LIABILITY X X BA1958L731 06/30/2015 06/30/2016 COMBIN S (Ea accidED ent) INGLE LIMIT $1,000,000 1 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) ( ) $ PROPERTY DAMAGE (Per accident) $ $ B C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X X X CUP6513Y228 UB3911T035 06/30/2015 06/30/2015 06/30/2016 06/30/2016 EACH OCCURRENCE $5,000,000 $5,000,000 AGGREGATE DED X RETENTION $10,000 $ $1000000 000 } + WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X we sTATU- TORY LIMITS OTH- ER ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) Y / N N / A E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $1,000,000 $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT D Professional Liability DPR9724668 06/30/2015 06/30/2016 $5,000,000 per claim $5,000,000 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: 2015 Engineer of Record City of Clearwater is listed as additional insured with respect to the General and Auto Liability policies. CERTIFICATE HOLDER CANCELLATION City of Clearwater Engineering Dept., RFQ #34 -15 PO Box 4748 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 0«' ')t 66-01.... ACORD 25 (2010/05) 1 of 1 #S15764608/M15712949 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MRLEW