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CERTIFICATE OF LIABILITY INSURANCE (377)-4c-C.R.1:1° °® CERTIFICATE OF LIABILITY INSURANCE DAT09/ 5 °�,) 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 Aon Risk Services Southwest, Inc. Houston TX Office 5555 San Felipe Suite 1500 Houston TX 77056 USA CONTACT NAME: (A/CNNo. Ext): 8662837122 FAX (800) 363-0105 (ac. No.): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Cardno, Inc. 5415 Sw Westgate Drive Suite 100 Portland OR 97221 USA INSURER A: Ameri can Guarantee & Liability Ins Co 26247 INSURER B: Zurich American Ins CO 16535 INSURER C: American Zurich Ins co 40142 INSURER D: Ironshore Specialty Insurance company 25445 INSURER E: Lexington Insurance Company 19437 INSURER F: $1,000,000 • 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE t® INSD . POLICY NUMBER POLICYFFF MM/DD/YYYY POLICY-UP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY GL01 . 1 1 General Liability 1 • 1 1 1 • 1 1 EACH OCCURRENCE $2,000,000 CLAIMS -MADE I X I OCCUR .A • ET.REN PREMISES (Ea $1,000,000 occurrence) MED EXP (Any one person) $5,000 PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO GENERAL AGGREGATE $10,000,000 - POLICY I X I JECT ILOC OTHER: PRODUCTS- COMP /OPAGG $2,000,000 B AUTOMOBILE LIABILITY BAP - 0183962 -00 Auto (AOS) 09/30/2015 09/30/2016 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X 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 A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE AUC018392700 Umbrella 09/30/2015 09/30/2016 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 DED RETENTION C B WORKERS COMPENSATION AND LIABILITY YIN N/A wc018396000 WC _ ADS WC018415300 WC CERTS ONLY_ (WI) 09/30/2015 09/30/2015 09/30/2016 09/30/2016 X PER I I STATUTE ER ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under N E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 E Archit &Eng Prof QC1505384 Professional SIR applies per policy ter 09/30/2015 s & condi 09/30/2016 ions Each claim Aggregate SIR $10,000,000 $10,000,000 $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of clearwater is listed as additional insured with respect to the General, Auto and Excess Liability policies. Waiver of subrogation in favor of the additional insured applies to the General, Auto and Excess Liability policies. This insurance is primary and non - contributory over any other insurance maintained by certificate holder. C CERTIFICATE HOLDER SEP 21 2015 Cr' C AL RECORDS DEPT Attn: o Clearwater : Ci tyCl erk L� °� `( ti1VL J a�fi J PO Box 4748 Clearwater FL 33758 -4748 USA CANCELLATION 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 ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Holder Identifier : 158115 570059328908 Certificate No AC'O/20® AGENCY CUSTOMER ID: 570000051836 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Southwest, Inc. NAMED INSURED Cardno, Inc. POLICY NUMBER See Certificate Number: 570059328908 CARRIER See certificate Number: 570059328908 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. DQSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE ( MM/DD/YYYY) LIMITS OTHER D Poll Legal Liab 002161701 Pollution 09/30/2015 09/30/2016 occurrence $10,000,000 Aggregate $10,000,000 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. AGENCY CUSTOMER ID: 570000051836 LOC #: ADDITIONAL REMARKS SCH Paae AGENCY Aon Risk Services Southwest, Inc. NAMED INSURED Cardno, Inc. POLICY NUMBER See Certificate Number: 570059328908 CARRIER See Certificate Number: 570059328908 NAIC CODE EFFECTIVE DATE: ARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance CARDNO NAMED INSUREDS ATC Group Services, Inc. Cardno EM- Assit, Inc. Cardno Emerging Markets USA, Ltd. Cardno ENTRIX Cardno ERI Cardno GS, Inc. Cardno Haynes Whaley, Inc. Cardno JFNew Cardno MMA Cardno NC, Inc. Cardno TBE (AZ) Cardno TBE (FL) Cardno TBE; TBE Group, Inc. Cardno TEC, Inc. Cardno USA, Inc. Cardno WRG, Inc. Cardno WRG, Inc. dba WRG Designs Inc. Cardno, Inc (OR) Cardno, Inc. (TX) Cardno, Inc. (FL) Cardno PPI Engineering & Construction, Services LLC., PPI Technology Services,LLC., PPI Quality & Asset Management, LLC., and its Affiliated Companies Entrix Inc. dba Cardno Entrix Environmental Resolutions, Inc. J.F. New & Associates, Inc. JFNew Marshall Miller & Associates, Inc. TBE Group, Inc. (Adden) TBE Group, Inc. dba: Cardno TBE TBE Group, Inc., Cardno TBE TBE Professional Services, PLLC WRG North Carolina PLLC XP Software Inc. TBE Group (Canada) ULC is included as a Named Insured as identified in the insurance Policy referenced on this certificate ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD