PIER 60 REFURBISHMENT - 11-0046-MA - CERTIFICATE OF LIABILITY INSURANCE (2)CERTIFICATE OF LIABILITY INSURANCE
DATE (MWDWYYYY)
12/17/2015
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
policylies) 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 comifeir rights to the
certificate holder in lieu of such endorserne
PRODUCER
""OcI Val Hendrickson
2AW
�Cobb Strecker Dunphy & Zimmermann
PHONE FAX . . . . .......
6119-349-24,46
150 South Fifth Street
JAIC, No,
Suite 2800
E-MAIL.
ADDRES$;
Minneapolis MN 55402
INSURERLS) AFFORDING COVE RAGF NAIC #
INSURER A:Zunch Ainerican ILISLAMIlCe Co niparly 16535
INSURED BILFCONI
IN' WIRER B •America [,I 6uarantee & Liab Ins 26247
Biltmore Construction lac
I INSURER C -,Catlin Spedalty, Insurance Company 15989
1055 Ponce De Leon Blvd
Beffeair FL 33756
-.INSURER D
INSURER E
IN$URFRF:
COVERAGES
CERTIFICATE
NUMBER: 1524020479
REVISION NUMBER:
Hk�FIFiTITAT THE POLICIES
OF
INSURANCE
LISTED BELOW HX7EEiEFNTSSUED
10 THE INStW�ED NAMED ABOVE FOR THE POLICY PERIOD
INDICAIED.
NO I WI I HSTANDEW, ANY I tEQUIREME
NT, T U RM OR CONDH ION Of ANY
CONTRACT OR GTH FR DOCUMENT WTI i RESPECT TO W1 IC I I I I i[S,
CERTIFICATE
MAY BE ISSUED OR MAY
PERTAIN,
THE INSURANCE AFFORDED BY
THE POLICIES DESCRIBED HEREIN IS SUBJEC I TO ALL IHE H.RLAS,
EXCLUSIONS
AND CONDI'l LON$ OF SUCH
POLICIES.
LIMITS SHOWN MAY HAVE BEEN
REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADOL�SUBR
INSD
VVVD
POLICY NUMBER
POLICY EFF POLICY EXP
(M DfYYYY-L INM DPtyY)L LIMITS
A
X COMMERCIAL GENERAL LIABILITY
G L 001084 51101
11112016 1111201 EACH OCCURRENCE $1,000,000
CLAIMS MADE X.1 OCCUR
F.),Amm�a 00'UNMED
PREM[SES (Ea occyrrenqeJ_ $1 „000.00
C-0 tr Liatip
MED EXP (Any one Person) $15„000
X. poficylormixCU
i1L:k,1;0NAL ADV INJURY $1,000,000
AGGRF,(.3ATF LIMIT APP( F5 PFR
GENERAL AGGRIFGATF $2,000,000
_GE'N1
11RO x UDC
POL ICY I X_ I
PRODUCTS COMPICIP AGG
JE C
- $2,000,000
O"IHEA
Sk
A
AUTOMOBILE LIABILITY
H�APoo&451201
1111,,�016 11112017 MA flr�� aN A V I TMIT
(E a acrkJEm it) $1,ow000
X ANY AU I U
801011Y INJURY (Per pewn) $
ALL OWNLLI SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per Rocident) $
X HIR�D A�11`0�- NON OWNED
AUTOS
Y DAMA(�E
(PeT accident) - $
X Comp. $1,000 X Coll $1,OOD
Hwed Auto Phpi DrTKJe $ACV
B
X UMBRELLA LIAR J X OCCUR
7-81 6-5-
502
11112016 V112017 FA(:�fl ()CCC)RRFNCF $20,000,000
EXCESS LIAR Q AIMS-MADE
'4,G G, R F GA'� F $70,000,000
LW.D I x I, _)N $ 0
$
A
WORKERS COMPENSATION
S
.. .. .......
VVC008451401
11112016 11112017 1�7('�� . . ....... ........ OT4 - . ..... .......... .. .. ..
XJ 1 _1ER
AND EMPLOYERS' LIABILITY YdN
sif
-_ .- 11 . - ,
ANY PP(.)IPREIFTOR/PARTNFRIEXECUTIVE —
FL FACHACCIDIENF $ i 000 000
OFFICERIMEMBER EXCLUDED? [N]
NIA
(Mandatory in NH)
EL DISEASE - IEA EMPLOYE $1,000,000
If yrc s, de-,cribe Londer
DESCRIPTION Of OPFRA HLONS below
L L, DISEASE POLICY LEML I $1 UUt1,000
C-1 Prof-claims MadelPoll-Occurrence CPV69293101117 1012016 11112017 $2„000,000 Policy Agg $2,000,000 Ea Loss
A Leased or Rented EquiplACV CPP106206801 11112016 11112017 $1,000 Deductible $250,000 Per Item
Property Spectfic/Repl Cast $5,000 Deductible $860,000
. .......... ...... ....................... . ........... . . ....... .. . ......... .. ... — ----- ------ ........... ..... .. ..... . ..... . ..... . .... . . – --------- ---------- - ------- - ---------
DESCRIPTION OF OPERATIONS I LOCATIONS � VEHICLES JACORD 101, Additional Remarks Scheduie, may be attached if more space I.% recItiored)
Re: Project BCC 4025-City of Clearwater, Florida, Pier 60 Rehabilitation, 7 Causeway Boulevard, Clearwater Beach, F-I 33767
A
CERTIFICATE HOLDER
MUMMUFTIMM72
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Clearwater, Florida C/O Engineering Group ACCORDANCE NTH THE POLICY PROVISIONS,
100 South Myrtle Avenue
Clearwater FL 33756-0000 AUTRPRIZED REPRESENTATIVE
00,1
ID 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered Imlarks of ACORD