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CERTIFICATE OF LIABILITY INSURANCE (375),4�_ M hP CERTIFICATE OF LIABILITY INSURANCE F CAT E (1D D7Y)1r'Y) 09A/2011- 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 ... CONTACT Aon Risk Services southwest, Inc. NAME: . ....... _ . ..... .. . . .. ...... . ......... Houston fX offict� PHONE q,� IA� (1300) 363-0)105 WC, No ExP, - — CX� V555 san rel ip�, F 111111 . ..................... .. .. . . . .. . ..... .. . suite 1500 ADDRESS: Houston T'x 77056 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED .. .... ... ............. INSURER A: American Guarantee & Liability Ins Co 26247 Cardno, Inc. INSURER B Zurich American ins co ........ 16535 5415 SW Vestgate Drive INSURER C: American Zurich �rns Co — _ ......... 40142 suite 100 Portland OR 97221 USA .. . ..... INSURER D: ironshore Specialty insurance company 25445 ...... . . . ....... ..... . ........ INSURER E: Lexington insurance Company . . ........ — 19437 INSURER F: cu qY srwry Lry era c. r- r% I P r I k, R I r- N u ivi t5 r- m: of u u md,5z o e I I HI=VI5IQN NLJM13PR: TIIIS I S 0 E,E.RTIFY FHAT THE POl , CIES OF INSURANC,E US �ED BELIYVs Hk,/E BEEN ISSUED TO 4" h i" INSUF�IED `4AIVED ABOVE FOR n o-E P(I-ICY PE4R,11110 rJDICA7FD N01'W riis'l-ANDINIG ANY REQUIREMENT TERM OR CONDITION C)F ANY C,0NTRACr OR, OTHER DOCUMEN - wind RESPEC_� 70 'NI-10 I THIS CERTFICAFE 'AAY BE ISSLPED CfR MAY PER FAIP,4, T�iE NSURANCE AFFORDED BY THE P01 lCIES DESCIflSED HEREIN S a)BJECI 1'0 AI.L THE I ERMS, EXCI USR")t4S AND CONDI_TIONS OF SUCH POLICIES, Limi C SHO'AIN MA"Y'HAVE BEEN REDUCED BY PAIL) CLAIMS. Limits shown are as requested TYPE OF INSURANCE AIJUL 8UHKI POLICY EXP I LTR INSD WVD POLICY NUMBER (MMfDQffYYYI lMM1DD1YYYYi LIMITS X COMMERCIAL GENERAL LIASIL.ITY GLO EACH OCCURRENCE S2, GOO, 066' CLAIVS-MAIDE x OCCUR General Liability DAMAGE70REN' . $1,000,000 _ERFL01,SES (EA CCCU7erce) MED EXP �;Any one person) $,5,000 . . .......... PERSONAL & ADV INJURY sa"000,000 ... .... oo GEN'l_ AGGREGATE LIMIT APPLIES PER 00, f �57_NERAL AGGREGArE $10,000,000 PRO- ... . ............. . Po"CY [ x JECT LOC PRODUCTS , COMP7OP AQQ $2 000,000 CD .......... LO OTHERS 0 B AUTOMOBILE LIABILITY BAP-1t,0,839612 Op", L• )9/30/2016 c )MBNED SINGLE LIMIT Lo 'Eaazd L mis Auto . . .. . . . . . ............ . X ANY AU70 BODILY NJURY ( Pe pe� oi) 0 ALL OWNED _,ICHUM4 „ „FD ............ z Al,,70S A U FIX BODILY INJURY ;Per acanelf”, . . ..... . . ............. .. NON 010114LD PROPERTY DAMAGE. X X HIRED AUTOS X AUIOS d rit) ............... . . ..... ... ...... A X UMBRELLA UAB OL'CUR 7110CU183,92700 ➢ 09/30/2015 09/30/203,6 EACH OCCURRENCE S10, 700,000 I . . ................... .... . .. ....... — [4EX EXCESS LIAS C�' M�',DF A08REGA7E S10,000,000 . ....... .. . .. ...... - RETENTION C WORKERS COMPENSATION AND WC-0-18-776-050 09/30/2015 O�9/30/2016', X PER OTH EMPLOYERS 'LIABILITY Y?N AOS ANA UTE EB . ... ................. TWFiR EXECU-IVE WCO 1 8 415 3 DO 09/30/20 E - EACH, $1,000,000 Allyi��If.�H[IjUH PAR _MULH NIA 15�09/30/2016 �Va"da�ur� in NH� WC CERT5 ONLY (WI) E L DISEASE-EA EMPLQYz-E S1,000,000 IP yes d"", nb�! ur:dq' . . ............ OF OPLP�,'[ 'N,1� DISEASF,-POIICYLIM17 $1,D00,000 E Archit&Eng Prof UR 09/30,12016 Each claim S10,000,000 Aggregate S10,0 00,000 SIR J_)P1iHs aer policy terns & conditions SIR $500,000 DESCRIPTION OF OPERATIONS d LOCATIONS I VEHICLES "7 FRE —,o, A7ddit..-nal Remarks Schedule, may be attached If more space is required) Products/compe I eted operations and contractual Liability is -included under General Lianbility policy. RE: RFQ #34-15. Certificate -iolder is included as Additional insured in accordance with the policy provi sions of the General Liability policy. General L!ab[IH_y eviderced herein is Primary and Non-contributor 0 e but tK to other insurance available to an Additional insur d, on] in accordance with the policy's provisions. should any of e above described General Liability, Automobile Liability and 3" �vr� e rs' compensation pulicies be cancelled 1,,,)efiure the expiration date thereof, the policy provisions will govern how notice of cr.m �cellation may Se delivered to certificate holJers in accordance with the policy provisions of each policy, sio 21, " Kill— CERTIFICATE HOLDER CANCELLATION 0 SHOULD ANY OF 7 . HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE - EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE NTH THE POLICY PROVISIONS, city of Clearwater AUTHORIZED REPRESENTATIVE Eng7reering, RFQ 434 1.5 Po Box 4748 Clearwater FL 33758-4748 USA 07198& -2014 ACORD CORPORATION, All fl 9 hts reserved. ACORD 25 (2014J0I) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF PROPERTY INSURANCE 0 9,,,' 1-5 , 1 -2- 015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDIER, THIS —s CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIO I E S BELOW. THIS CERTlFICATF- OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(s), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, . . . ........ It this certificate is being prepared for a party who has an insurable Interest in the prop", do not use this form. Use ACORD' 27orACOR028. PRODUCER CONTACT AOn Risk services southwest, inc, NAME '83 ------ Nn Houston TX OffiCe lk"C. NC, E.,i ',866) 2 -7122 (800) 363-CJO; 55SS San Felipe E-VAIL Suite ISOO Houston rx 77056 USA --- . .. . ....... --- INSURER�S� AFFORDING COVERAGE iNsUkED ............ NAIL N NSUReR A: Zurich American ins co 165.3:5 Cardno, Inc. N,1JRER S; 380 Park Place Blvd., Suite 300 N8JRER C; Clearwater FL 33759 USA INSUIG -R D: INSURER INSUieeR R. COVERAGES CgRT[EI - 570059325000 REVII ION NUMBER: LOCATION OF PREMISES. DESCWIPTION OF PROPERTY (Attach ACORD 101, Addiftnml Remarks SchedLrO. If -prespaca is mqwredy RE: RFQ #34-15. 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 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS DATE IMM(DDr)(YYY) DATE IMMIDWYYYY A X 1PROPERTY D 9 677FT —5 37 72016 BU 1 1. DI .. NG CAUSES OF LOSS DEDUCTIBLES 15+.9 Property PERSONAL PROPERTY BA&C BUILDING cl. Extra Expense BROAD CONTENTS EXTRA EXPENSE X SPFCW. RENTAL VALJE WOW BLANKET BUILDING EARTHQUAKE lo'� N D BLANKET' PERS PROP Ft 000 M ANKET SLOG PP X Luss Lind • 15 �110C U K INLAND MARINE TYPE or POLICY 777, . ... . . . ........... .. ... .. . .... . . . .. .. CAUSES OF LOSS NAMED PERIL POLICY NUMBER CRIME TYPE OF POLICY . . ....... ............. BOILER & MACHINERY EQUIPMENT BREAKDOWN L E W IL E M z U.1 L) LL U.1 L) Oc 1995.2009 ACORD CORPORATION, All rights reserved. ACORD 24 (2009109) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE City of clearwater PO L C Y PROVES IONS. Engineering, RFQ #34-15 .... ...... AUTHORiZED REPRFS 'MBA Tl'•JE yew�L'noe 21 alb- PO Box 4748 Clearwater FL, 33758•4748 USA nd Oc 1995.2009 ACORD CORPORATION, All rights reserved. ACORD 24 (2009109) The ACORD name and logo are registered marks of ACORD ADDITIONAL AGENCY Aon Risk Services southwest, Inc, POLICY NUMBER See Certificate Number. 570059328906 rARRIER 7 f.'(2I-t.fHCMe' Nufnber� 5'10f. , 3289(1u: ADDITIONAL REMARKS AGENCY CUSTOMER ID: 570000051836 LOC #: REMARKS SCHEDULE NAMED INSURED . ....... Icardno, inc. NAIC, C,)r.)F Page — of _ Tne AGORV name and logo are registered marks of ACORD