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CERTIFICATE OF LIABILITY INSURANCE (368)A� o CERTIFICATE OF LIABILITY INSURANCE 1/1/2016 DATE(MM/DD/YYYY) 7/6/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. HOLDER. THIS BY THE POLICIES AUTHORIZED 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 Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 CONTACT PHONE FAX E °' fit' (A/C. No): MAID ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : MG Specialty Insurance Company 26883 INSURED TERRACON CONSULTANTS, INC. 1312893 504 EAST TYLER STREET TAMPA FL 33602 INSURER B : Travelers Property Casualty Co of America 25674 INSURER C : The Travelers Indemnity Company 25658 INSURER D : Lexington Insurance Company 19437 INSURER E : CLAIMS - MADE INSURER F : OCCUR • ..�. ww.. uwmo n• AAAAAAA 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 NAM POLICY NUMBER (MM/DDY/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y N PROP3779274 1/1/2015 1/1/2016 EACH OCCURRENCE $ 1,000,000 CLAIMS - MADE X OCCUR DAMAGE TO PREMISES (EaEoccurrence) $ 1,000,000 $ 25,000 X CONTR'L LIABILITY MED EXP (Any one person) PERSONAL & ADV INJURY $ 1,000,000 $ 2,000,000 $ 2,000,000 $ GE 'L AGGREGATE POLICY OTHER: X LIMIT APPLIES 1,178: PER: LOC GENERAL AGGREGATE PRODUCTS - COMP /OP AGG B AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS ^ _ X SCHEDULED AUTOS AUTOSWNED Y N TC2J- CAP- 131J3858 TJBAP131J3895 1/1/2015 1/1/2015 1/1/2016 1/1/2016 (Ea accident) SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $)OTXXXXX BODILY INJURY (Per accident) $ XXXXXXX PROPERTY DAMAGE (Per accident) $ XXXXXXX $ XXXXXXX UMBRELLA LIAB EXCESS UAB _ OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED I I RETENT ON $ $ XXXXXXX C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBEREXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA N TRKUB131J384615 (AZ MA,WI) TC2OUB131J374215 A6S) TC2OUB131J374215(CA) 1/1/2015 1/1/2015 1/1/2015 1/1/2016 1/1/2016 1/1/2016 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 D PROFESSIONAL LIABILITY N N 26030216 1/1/2015 1/1/2016 $1,000,000 EACH CLAIM & $1,000,000 ANNUAL AGGREGATE DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: CITY OF CLEARWATER ENGINEER OF RECORD. CITY OF CLEARWATER IS AN ADDITIONAL INSURED AS RESPECTS TO GENERAL AND AUTO LIABILITY, AS REQUIRED BY WRITTEN CONTRACT. HOLDER CANCELLATION 13563115 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 REPRESENTA ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD