CERTIFICATE OF LIABILITY INSURANCE (386)ACC>R1:X CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDO/YYYY)
— k..� I/l/2017 12/16/2015
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 policy(ieo 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 endorsernant(s).
PRODUCER I.Ockton Cor11�)an9es
444 W. 47th Street, Suite 900
Kansas Cit MO 64112-1906
(8 16) 960100
INSURED "rERRACON CONSULTANTS, INC.
1312893 504 EAST TYLER STREET
TAMPA FL 33602
A:
I—t-, Pr pony Ca'.31E) 0, u4 Am eriel
C : The'l rivelers
COVERAGES TFRC001 CERTIFICATE NUMBER . 1.3563115
REVISION NUMBER: X __'_"._._ .-A
THIS IS TO C _XKXNXX_
,ERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY Pl,,vi6f5�
INDIGAI'ED, NOTWITHS rANDING 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.
INS TYPE OF INSURANCE ADDL SUSR POLICY EFF POLICY EXP
LTR R POLICY NUMBER JMN1PDffYYYJ 1MMIPDffYYY LIMITS
X COMMERCIAL GENERAL LIABILITY
Y N 'I C2J-GLSA- 11181-293 1 L�2016 I/1/2W7
EACH OCCURRENCE imp ()qq--
CLAIMS-MADE OCCUR
N'WA—G I E TO RENTED
PREMISES _LEa occurrerwe� $ 0100,000
MED EXP LAny one person) $ 25,000
PERSONAL & ADV INJURY 1 000 000
GEN'L AGGREGATL I MI-1 APPIL IES PE R
GENERAL- A(-,(-,RECATE $ ti1000
POLICYM PR")- D LOC
�
JECT
�i2THrR
PRI
PRODUCTS - COMPIOP AGG s 000000
. ..... . e .....
AUTOMOBILE LIABILITY Y N TC11-CAP-11,1113858 PI/2016 1 0 7
INGLE LIM111
s 2,000,000
X ANYAUTO TJBAP 13 II 1t I /V) 7
BODILY INJURY (Per person) $ xxxxxxx
x ALL OWNED SCHEDULED
AUTOS AUTOS
0'
BODILY INJURY (Per acrident� $ XXXXXXX
NON-OWNED
HIRED AUTOS AUTOS
P'.� . . .X
o",
PROP", $xxxxxxx
JEer,)
$ xxxxxxx
UMBRELLA L. A )CCUR
EACH OCCURREINCE $xxxxxxx
�B
EXCESS LIAB NOT AI'N,ICAI'131+,
'�l CUAIMS-MAM
AGGREGATE xxxxxxx
DED RL "I L,,NTK)N $
$
C, O
WR KERS COMPENSATION
AND EMPLOYERS'LIABILITY YIN N _IC2KUBI3IJ3742I6(AOS) 111/2.016 Ill /2017
'1'1'(':?K
FTR_
X OTH
E
T T�
C ANY TRK1JI3I3IJ3846I6(AZ,MA,WI� l/l/2016 1/1/2017
IN A/20 1 7
nFFJCFRM�WrO�V I XCLI IDED? FNJ' LJB 13 1 J3 74216 (CA) 1/t/2016 1
�L1±21LE—EE'T _.___J.1_1A0_9'_000
(Mandatory ift NHI
If gufol'ML* umde
ID
IF I l)1f,3EAFJ_,FAFMPC0YFE' 5—t'l-000 �000
RPNONOFUPERATIONSbLO�
F 1. DISEASE - POUC,Y L MIT I �00()'000
A Al, N 26030216 1/1/2016 I/l/2017
E
'ACH (1 -AIM 1,000,000
!L
ANN UAL AGGREGATI,
- -------- - f_... ...... .......... _.]SI,000,000
DESCRIP71ON OF OPERATIONS/ LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached
if more space is teq!uired)
RF CITY OFCLEARWATFR ENGINEER OF RECORD. CITY OF CLEARWATFR IS AN ADDITIONAL INSURED AS RFS11FCTS TO GENFRAL
AND AUTO LIABILITY, AS 116e" Ulkl.`D BY WRIff FIN CONTRACT
CERTIFICATE HOLDER CANrFI I ATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
13563115 AUTHORIZED REPRESENTATIVE
'R
CfTY OF CLEARWAT%
ENGINEERING, RFQ 34-15
P.O. BOX 4748
CLEARWATER FL 33758-4748
ACORD 25 (2014101) (9) 1998-2014 ACORD CORPORATION. All right...
ights reserved
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