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CERTIFICATE OF LIABILITY INSURANCE (2)
ACORO* CERTIFICATE OF LIABILITY INSURANCE kift--.-•--- 7/1/2016 DATE(MM /DD/YYYY) 6/24/2015 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 Lockton Companies Three City Place Drive, Suite 900 St. Louis MO 63141 -7081 (314) 432 -0500 CONTACT (A/C No, Ext): I FAX No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Greenwich Insurance Company 22322 INSURED Corrpro Companies, Inc. 1319367 2069A Lake Industrial Court Conyers GA 30013 INSURER B : ACE American Insurance Company 22667 INSURER C : Indemnity Insurance Co of North America 43575 INSURER D : Indian Harbor Insurance Company 36940 INSURER E : INSURER F : PRESES Ea occurrence) MI ( COVERAGE • 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/DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A A X COMMERCIAL GENERAL LIABILITY Y Y N N CGD3000849 XCU / BROAD FORM PD ISAH0885886A RECEIVED AUG 5 t OFFICIAL R.F' 'QS, 7/1/2015 2015 ids 7/1/2016 7/1/2016 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE X OCCUR PRESES Ea occurrence) MI ( $ 1,000,000 MED EXP (Any one person) $ 1 0,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X JE X LOC OTHER GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP /OPAGG $ 4,000,000 (Ea COMBINED SINGLE LIMIT $ $ 2,000,000 B AUTOMOBILE X — LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS — _ SCHEDULED AUTOS NON-OWNED BODILY INJURY (Per person) $ XXXJ�XX BODILY INJURY (Per accident $ XXXXXXX PROPERTY acEcidenDAMAGE $ XXXJCXXX $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE LE 33 n P'« -:, NOT APPLICABLE t" ").:1P.S ,.r AND (�p'r EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED I I RETENTION $ $ B C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) If yes, DESCRIPTION IPTION under DESCRIPTION OF OPERATIONS below N / A N WLRC48589042 (CA /MA) WLRC48589054 (AOS) (EXCLUDING MONOPOLISTIC) 7/1/2015 7/1/2015 7/1/2016 7/1/2016 PER 0TH - X I STATUTE I I FR E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 D D D Contr Prof. Liab Contr Poll. Liab Y N CEO742002403 CPL742035802 (PROF - CLAIMS MADE) 7/1/2015 7/1/2015 7/1/2016 7/1/2016 Per Policy. $10,00000 per claim/Agg. $500,000 SIR each loss DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CORRPRO JOB NUMBER: 340201248 - RFP NO. 36 -14. CITY OF CLEARWATER ARE ADDITIONAL INSUREDS UNDER GENERAL LIABILITY AND AUTOMOBILE LIABILITY ON A PRIMARY AND NON - CONTRIBUTORY BASIS WHERE APPLICABLE BY WRITTEN CONTRACT, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE NAMED INSURED'S OPERATIONS; AND ARE ADDITIONAL INSUREDS UNDER CONTRACTOR'S POLLUTION LIABILITY WHEN REQUIRED BY WRITTEN CONTRACT OR AGREEMENT ON A PRIMARY AND NON - CONTRIBUTORY BASIS AND SOLELY FOR "COVERED OPERATIONS" PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. * *SEE ATTACHED ENDORSEMENTS ** ATE HOLDER CANCELLATION See Attachment 13299906 CITY OF CLEARWATER ATTN: CLEARWATER GAS SERVICES -ALYCE BENGE PO 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 ACORD 25 (2014/01) ©1988- ORD CO ORA N. All rights reserved The ACORD name and logo are registered marks of ACORD ENDORSEMENT This endorsement; effective 12:01 a.m., July 1, 2015 forms a part of Policy No. CGD3000349 issued to AEGION CORPORATION by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name of Person or Organization: Any person or organization with whom you have agreed, through written contract, agreement or permit, executed prior to loss. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. XIL 2010 -1001 (Ed. 0413) © 2013, XL America, Inc. Page 1 of 2 All rights reserved. May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to "bodily injury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on tile. project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. All other terms and conditions remain unchanged. XIL 2010-1001 (Ed. 0413) O 2013, XL America, Inc. Page 2 of 2 All rights reserved. May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission ENDORSEMENT This endorsement, effective 12:01 a.m., July 1, 2015, forms a part of Policy No. CGD3000849 issued to AEGION CORPORATION by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name of Person or Organization: Any person or organization with whom you have agreed, through written contract, agreement or permit, executed prior to loss. Location And Description of Completed Operations: Various as required per written contract XIL 2037 -1001 (Ed. 0413) © 2013, XL America, Inc. Page 1 of 2 All rights reserved. May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Section II —Who Is An Insured is amended to include as an insured the person or oroanization shown in the Schedule, but only with respect to liability arising out of your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products - completed operations hazard ". All other terms and conditions remain unchanged. XIL 2037-1001 (Ed. 0413) © 2013, XL America, Inc. Pace 2 of 2 All rights reserved. May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission ENDORSEMENT # This endorsement, effective 12:01 a.m., July 1. 2015, forms a part of Policy No. CGD3000849 issued to AEGION CORPORATION by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE CLAUSE ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS COVERAGE PART It is agreed that to the extent that insurance is afforded to any Additional Insured under this policy, this insurance shall apply as primary and not contributing with any insurance carried by such Additional Insured, as required by written contract. All other terms and conditions of this policy remain unchanged. XIL 424 0605 ©, 2005, XL America, Inc. ENDORSEMENT # This endorsement, effective 12:01 a.m., July 1, 2015, forms a part of Policy No. CGD3000849 issued to AEGION CORPORATION by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT In the event coverage is cancelled for any statutorily permitted reason, other than nonpayment of premium, advanced written notice will be mailed or delivered to person(s) or entity(ies) according to the notification schedule shown below: Name of Person(s) or Entity(ies) Mailing Address: Number of Days Advanced Notice of Cancellation: Per Schedule on File with the Company 90 All other terms and conditions of the Policy remain unchanged. 'XI 405 0910 © 2010 X.L. America, Inc. All Rights Reserved. May not be copied without permission. 1 NOTICE TO OTHERS ENDORSEMENT — SCHEDULE NOTICE BY INSURED'S REPRESENTATIVE Named Insured Aegion Corporation Endorsement Number 3 Policy Symbol ISA Policy Number H0885886A Policy Period 07/01/2015 TO 07/01/2016 Effective Date of Endorsement Issued By (Name of Insurance Company) ACE American Insurance Company nsert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel this Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out in this endorsement, to send written notice of cancellation, to the persons or organizations listed in the schedule that you or your representative create or maintain (the "Schedule ") by allowing your representative to send such notice to such persons or organizations. This notice will be in addition to our notice to you or the first Named Insured, and any other party whom we are required to notify by statute and in accordance with the cancellation provisions of the Policy. B. The notice referenced in this endorsement as provided by your representative is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). The failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule will impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. C. We are not responsible for verifying any information in any Schedule, nor are we responsible for any incorrect information that you or your representative may use. D. We will only be responsible for sending such notice to your representative, and your representative will in turn send the notice to the persons or organizations listed in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. . E. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. Authorized Representative ALL -32686 (01/11) Page 1 of 1 1 AUTOMATIC ADDITIONAL INSURED ENDORSEMENT Named Insured Aegion Corporation Endorsement Number 2 Policy Symbol ISA Policy Number Policy Period H0885886A 07/01/2015 TO 07/01/2016 Effective Date of Endorsement Issued By (Name of Insurance Company) ACE American Insurance Company en the policy number. i he remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM SECTION II - LIABILITY COVERAGE, WHO IS AN INSURED is amended to include as an "insured" any person or organization you are required in a written contract or agreement to name as an Additional Insured on your policy but only for "bodily injury" or "property damage" to which this insurance applies if the "accident" is caused by: 1. You, while using a covered "auto" or 2. Any other person, while using a covered "auto" with your permission. The insurance provided by this endorsement shall be subject to the following additional condition: 1. The Limit of Insurance provided for the Additional Insured shall not be greater than those required by contract and, in no event, shall the policy Limits of Insurance be increased by the contract. 2, All insuring agreements, exclusions, terms and conditions of the policy shall apply to the coverage (s) provided to the Additional Insured, and such coverage shall not be enlarged or expanded by reason of the contract. 3. Coverage provided by this endorsement shall be excess over any other valid and collectible insurance available to the Additional Insured (s) whether primary, excess, contingent or on any other basis unless the contract specifically requires that this insurance be primary or you request that it apply on a primary basis prior to loss. Authorized Representative DA -6Z04a (06/14) Page 1 of 1 ENDORSEMENT # This endorsement, effective 12:01 a.m., July 1, 2015, forms a part of Policy No. CGD3000849 issued to AEGION CORPORATION by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT In the event coverage is cancelled for any statutorily permitted reason, other than nonpayment of premium, advanced written notice will be mailed or delivered to person(s) or entity(ies) according to the notification schedule shown below: Name of Person(s) or Entity(ies) Mailing Address: Number of Days Advanced Notice of Cancellation: Per Schedule on File with the Company 90 All other terms and conditions of the Policy remain unchanged. !XI 405 0910 © 2010 X.L. America, Inc. All Rights Reserved. May not be copied without permission. ENDORSEMENT This endorsement, effective 12:01 a.m., July 1, 2015 forms a part of Policy No. CPL742035802 issued to Aegion Corporation by Indian Harbor Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT In the event coverage is cancelled for any statutorily permitted reason, other than nonpayment of premium, advanced written notice will be mailed or delivered to person(s) or entity(ies) according to the notification schedule shown below: Name of Person(s) or Entity(ies) Mailing Address: Number of Days Advanced Notice of Cancellation: Metro's Director of Risk Management 707 North 1st Street — Mail Stop 131 St. Louis, MO 63102 30 Per Schedule on File with the Company Various 60 City of Vernon 4305 Santa Fe Avenue Vernon, CA 90058 30 All other terms and conditions of the Policy remain unchanged. IX! 405 0910 © 2010 X.L. America, Inc. All Rights Reserved. May not be copied without permission.