HILLCREST- BROOKHILL NEIGHBORHOOD TRAFFIC CALMING AND STORMWATER IMPROVEMENTS - 10-0002-EN & 10-0050-EN - CERTIFICATE OF LIABILITY INSURANCE (2)DAVINEL-01 JFAVA
DAI E iMWDr.VY Y) (Y�
CERTIFICATE OF LIABILITY INSURANC#E '121912015
... . . . . . . .... . . . . ........................ . - — ----------- -1-11-111— - I ............... .............. . . . - -1-11,1111, . ................. ... . . . . . . ---
THIS CERTIFICAT E lS ISSUED AS A MAITER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON T r H, E CERTIFICATE HOLDER, TI-11S
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR Al 1 ER THE COVERAGE AF, FORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONS1 ITUTE A CONTRACT BETWEEN 'rHE ISSUING INISURER!(S), AUTHORlZED
REPRESENTATIVE OR PRO DUCE R, AND THE CERTIFICATE HOLDER.
,
... 1-111111 .-- .................... . . . ......... ... .... . --- . . ..... . . . ......................... . . . . . . .. . ....... . -------------- - - -
IMPOR"TANT: If the cerfificate hollclar is an ADDITIONAL. INSUIRED, flW� pdicy(ies) must be endm-sed. If SUBROGATION IS WAlV'ED, subject to
the terms and condftions of the policy, certain policies may IeqUire an endorsement A staternewit on thRs cortificate does nW confer rights to the
(. ertfficate holder in fieu 011'such eindom ern ent(s),
.... ...... ........ . . ...... ........ . . .. . .............
PRODUCER CON B AC T
nm
NANU _
ASSOC�AT-ES AGENCY, INC, "HOINr FAX
114 70 IN 53rid St JA/GN�'u, EKt)� (8,13) 988-1234 IA)Cr Nnj" (813), 988-10989
Temple 'Ter rzu`.e, FL 33617 ' VAAII
aci( it6i)associatesgU,,Is,co� wiI
SHOIL)LI) ANY OF THE ABOVE IDESCRISED POUCIES BE CANCELILED BEFOW:,
City of Clearw,,iter 1HF EXPIRArION DATE THEREOF, NOIJICIE WILL BE DEILIVERIED IN
Engineering Office ACCORDANCE WITH THE POLICY PROVISIONS
100 SOLILli Myrde Avenue . ....... . . — - ..... . .. ..... - - ------------
CIeairwateT, FL 33756 AU FHOMZED W.PRE'SEN iA Mfi%
1988-2014 ACORD CORPORA1 K)N. AIII rights reservexi,
ACOIRD 25 (2014101) 'I lie ACORD name and logo am ircTiMered niarks of A4",10RD
W$URE-RiS� M F 01RDING COVILRAQ-",�,`,
NMC #
Naflonall Tri.,mt ins Coc
0141
INSWRFID
n,,sijvrRFce :FCClI INSURAINCIECO,
10178
DavId Nelson Cons rucflon Co,
aqsuum ,, ,Westcllhestet SurplItis I.Aries Ins. (',io
3483 AIterrwtv 19
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Palm Hzidxr r, 1 L.34683
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�NSUREFZ �"
C,OVERAGES CERTIFICATE NIIJIVIBEW
............. . ... . . .
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REVISION NUMBER�
..................... . . ....... —
...
HdIC','� K" � 0 +"I ' PT I F y EEL I [-IF PO) K� 1I S, (9 1 NSIJ RANCE I IS TL I:) BI-1 LOW I
................. . . . . . . - .. . . ...... . ---- ------------------------ - .... .................... ..
QWL 1 Af I- N I J L', D 10 T I 1 IF I N S U 11 ?, IL I ) MOW F, I-) Al aovr r I L FIOl CY FIE R IOD
INDiCAI FD NWVIATFI?:VfAN(LXNC, ANY I,?E0.I,"1IZFW NT 11--HP0 (. R CONIALHON (& MIT)' CONIRACJORCHM R D0C;fJM1 NF"v'Fil"HRI `31PLCL-K) am' RICH IHIS
("'TWHI]CAIL MAY [q IS15I,fffi) OR MAY P11RUMN FIHI INSURANC1 AF11C)RM:i)
BY lifF P011!(ALS DI.SCRIBIFI)
HE TFI-00S�
E-X(XI)SIONS AND (.,(.)NDI HONS (N S'(NC4 I I"110I ICJIL- S 11041 F-S E;i K.)V'VN MAY 1 AVI,
134-I-N RJ BY Pfk[D (AYMAIS
iNSR A[Ah. Wf-OC
L FR MIN' OF IINURANCE INSD POLICY N1WIM "
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I1,10LU'lly 1-F F IPO UCY EXID
qdmayyyy� imw i WITS
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A X c4,WMERCIAIL GLNERAL IJABIL[I"Y
t I 0CGUI-'VI NCL $
1,000,000
C� AlFAS IVIAM X IW( M GL 0010298 6
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)0114�'Jr 16 PFN Q'D
05/0112015 0510�112016 I,10
100,000
X Contradtial Liab.
VI SI I0-1,I
0-1, 0"UHM"nca)
IMF [,I X,P/,W1/1m p,?11,'-,,,)
5,000
X No Deductible
ITR ,ONAI u- PI? VINKlk,'Y
1,000,00o
F0 All'.,I-,FIN W'H, I IMi l ;AM 1 11 M P
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2,000,000
P(A Gry X JF T
2,000,000
AUTOMOMI-F LIA Blk 11 Y
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1,000,000
A X A N Y,(M I CA 0015954 6
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10,00
X UMBRELLA HASr c "
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10,000,000
A EXCESS HAV UMB00101683 0
05"10112015 0510112016 S
I 0,0000 0,00 0
O 1 I-N NI 101,000
EXC100069600
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WORKMS COmFIENSATION
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AND EMPLOYERS' 1, iABRATY y I ri,
LR
B Py 1 I OH4 F '1� Xt IIJ V� 001 -WC 1 6A- t /5778
0110112016 01/0'1/ 2�O 17 f, I fl(,(,HA�,CIIA NI $
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B lidandMariincMmp (,M 01005408 6
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0510112015 0510,112016 of Others/Bailees
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250,000
C poflutlion r"N"Aicy G2427343A 004
05M112015 0510112016 Occ $2,01010,000 Agg:
2,000,000
DESCMPT�W� CW OPERA PlIONS I �,, OCAFICM (VEHICLES (Ar20M) 101, Add Aimhai Renmrks Sthedu1c,
may bc marheqI a "mro is requvreci)
Re': 14111crestlBroolkhIll TraffidSlormwater Projoct'110-0002-EIN 8, 10-0050-EN
....... . . . ..
OERTiFlCATE HOLDER
CANCELI A 110 N
....... . ......
SHOIL)LI) ANY OF THE ABOVE IDESCRISED POUCIES BE CANCELILED BEFOW:,
City of Clearw,,iter 1HF EXPIRArION DATE THEREOF, NOIJICIE WILL BE DEILIVERIED IN
Engineering Office ACCORDANCE WITH THE POLICY PROVISIONS
100 SOLILli Myrde Avenue . ....... . . — - ..... . .. ..... - - ------------
CIeairwateT, FL 33756 AU FHOMZED W.PRE'SEN iA Mfi%
1988-2014 ACORD CORPORA1 K)N. AIII rights reservexi,
ACOIRD 25 (2014101) 'I lie ACORD name and logo am ircTiMered niarks of A4",10RD