REVERSE OSMOSIS PLANT NO 1 - IPP MONITORING PROJECT - 15-0011-UT - CERTIFICATE OF LIABILITY INSURANCE (2)11
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
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EXCLUSIONS AND CONUMONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSURED
Caladesi Construction Company
1390 Donegan Rd
Largo FL 33771
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COMmERcIAL mNSPAL LIAMMM
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COVERAGES r-FRTIFIrATI: NI 1111111AP0- qrnni ann
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDIC ATEO,. NOTWMISTANDING ANY RF-QUIREMENT, TERM OR CONDrnON OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WIICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SQaJEcT TO ALL THE TERMS,
EXCLUSIONS AND CONUMONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE WPM vivo POLICY N ' 9 1221711
COMmERcIAL mNSPAL LIAMMM
EACH OCCURRENCE
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CLA MS-MADE 0 OCCUR
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MED EXP � �
$
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AGGREGATE LIMIT APPUES PER,
GENERAL AGGREGATE
R 1:1
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POLICY LOC
PRODUCTS - COMPIOP AGG
$
$
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AUTOMOBILE
LIAERUTY
LIMIT
3
BODILY INJURY (Per potilon)
$
ANY AUTO
ALL OW14ED CHEDUL
. . . .............. .
DONLY INJ'U'RY URY (Per a=klert)
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AUTOS Au as
PROPERTY DAMAGE
-OWNLO
HIREDAUTOS AUTOS
UVIMLLA LIAO OcruR
EACH 0(- QVRRENCE
S
EXCM LIAO CLAJMS-
AGGREGATE
$
S
ENT ION
A
WORKERS COMPEWSATM
0810-31491
3/1/2015
3/1/206
PER rH
A01LI EMPLOYIEW LIAERUTY vim
ANY PROPRIETOR/PARTNERJEXECUTTVE
E. L. EACH ACCI
$ 500,000
OFFIcEIRiMEMBER EXCLUDED? F-1
NIA
(MenSeWr in NN)
E.L. DISEASE - EA EMPLOYEE
S 500,0K
ur4er
Urscl =PTION CIF OPERATIONS below
E.L. DISEASE. POUCY LIMIT
500,0D0
/DESCRIPTION OF OPERATION$ I LOCAMMS 0 VE)WLE9 O)OM W1, AddWorial RwrmMm Sd"Oe, m" be aftacMd ff— W— to
Caladesi Project 1504: Reverse Osmosis Plant No 14PP Monnoring P"ed Contract #15-Cli-UT
30 day Notice of CancelloWn Applies,
City of Clearwater
Engineehnp Dept,
r
Attn: Cons rucfion Office Specialist
P.O. Box 4748
SHOULD ANY Of THE ABOVE DESCROED POLICIES BE CANCELLED OFF E'
THE EXPIRATION DATE THEREOF,, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROMMONS.
Clearwater FL 33758 1 . ., -
mift
0 19W201 4 ACORD CORPORATION. All righft reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
21CO1609 I 151,E WC I Barbara rmery I U8/2(.'5 12!�'7!57 �M (CDTI I page I of 1.
TE a gprt.i t imate car,"la and sup@raadas ALL prev4oUaly issued