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GREENLEA-OTTEN NEIGHBORHOOD TRAFFIC CALMING & OTTEN ST ROADWAY & STORMWATER IMPROVEMENT PROJECT - 10-0003-EN maq A\ ra qyLila 1 .'4\j1)V Al, ;�-1' `"'1 n CERTIFICATEOF SUBSTANTIAL COMPLETION Projects Stormwatgt1MR121jM&g1§ Contract Number: 10®0003-E Location: Sunset Point Road to �inroo�l Bene to s i hra Contract ate 412016 Notice to :Proceed Date: 6127116 Substantial Completion Date: 8/25117 Warranty Expiration Date: 512511.5 Consultant: Sarre Schwartz En neer n The work performed under this Contract has been inspected by authorized representatives of the Owner, Contractor, and Consultant, and the .Project, all but low voltap-,e J" tinis hereby declared substantially complete on the above date. DEFINITION OF SUBSTANTLA1,COMPLETION Substantial completion is the stage in construction when a project or designatedpor°tion thereof is szffrciently complete in accordance with contract documents so that the Owner can use the ork or portion thereoffor its intended use. Items that affect operational integrity andfunction of the work must be capable of continuous use. The Contractor accepts the above Certificate of Substantial Completion and agrees to complete and correct the iterns on the tentative list within the time indicated. David Nelson Construction Contractor Authorized Repres Live bate The Owner accepts t:he specified area of the Project as Substantially Complete and will assume full possession of the specified area of the Project on August 259 2017. The responsibility for utilities, security, and insurance under the Contract Documents shall be as set forth in the Contract Documents. Tana ivett, l•�n ineerin Constriction Manager.® By, Authorized Re Cityof Clearwater presentative ate PROJECT PUNCH LIST A punch list of items to be completed or corrected by October 1, 2017 is appended hereto. This list may not be exhaustive, and the failure to include an item on it does not alter the responsibility of the Contractors to complete all the work in accordance with the Contract Documents. PROJECT ONE YEAR WARRANTY Contract Section I//, 13.5 WARRANTMORRECTION PERIOD ff within one year after the date of.Substantial Completion or such longer period of time as may be prescribed by Laws or Regulations or by the terms of any applicable special guarantee required by the Contract Documents or by any specific provision of the Contract Documents, any Work is found to be defective, Contractor shallpromptly, without cost to the Owner and in accordance with the Owner's written instructions; (i) correct such defective Work or, if it has been rejected by the Owner, remove it from the site and replace it with Work that is not defective and(ii) satisfactorily correct or remove and replace any damage to other Work or the work of others resulting therefrom... Where defective Work (and damage to other Work resulting therefrom) has been corrected, removed or replaced under this paragraph the correction period hereunder with respect to such Work will be extended f or an additional period of one year after such correction or removal and replacement has been satisfactorily _ completed Substantial Completion Date:_8/25/17 Warranty Expiration Date: 8/25/18 A copy of this signed and executed document should be provided to the following parties Project Owner Project Contractor Project Consultant (if applicable) City Engineering Construction Contracts Specialist Project File Contractor: David Nelson Construction Proiect: Greenlea-Often Neighborhood Traffic Calming&Often Roadway&Stormwater Improvements(10-0003-EN) Walkthrouqh Date: 8/25/17 Engineering Department PUNCH LIST 100 S.Myrtle Avenue,#220 Punch List Completion Due Date: 10/1/17 Clearwater,FL 33756 *does not include yellow crosswalks or low voltage lighting,see attached sheet for reference photos Attendees: Greg Trim, Brian Symanski,Mike Shain,William Anderson, Bennett Elbo, Nabil Bawany, Paul Mack, Richard Ross Date Signed Inspected No. Description Off By Photo(s) 1 Weston Dr-5-8-inlet top-repair vandalism on lid 2 Often St/Weston Dr-SE corner-correct bird bath 8378 3 Often St/Weston Dr-SE corner-Sidewalk ramp bird bath, ramp slope not per plan 6% 8390,8391 4 Often St/Weston Dr-N crosswalk-repair spauling on ramp curb 8364? 5 Often St-S-14-Clean up inlet top 6 Often St-median-repair broken sidewalk 8387,8388 7 Often St-S side of median-correct bird bath 8383,8384 8 1413 Often St-correct bird bath 8374 9 1431 Often St-remove 4 sections of sidewalk due to 4"strip of grass 8371 10 1443 Often St-correct 3 bird baths 8363,8365,8366 11 1447 Often St-correct bird bath 8367 12 1463 Often St-repair broken sidewalk 8385 13 Often St/Highland Ave-repair spauling on N side of roadway curb 8379,8380 14 Often St/Highland Ave-SW corner, repair damaged gutter pan at crosswalk location 8381,8382 15 Linwood/Pamelia-valley gutter slope flat/reverse thru NB Pamelia lane 8396 16 1721 Thames St-West-correct bird bath 8405,8406 17 1837 Ridgeway Midblock Median-East-correct bird bath 8408,8409 18 Ridgeway/Greenlea-NE corner of roundabout-correct bird bath 8410 19 1811 Ridgeway-repair broken driveway apron 8412 20 Weston Dr/Often St- install 4 RPMs missing on approach center line 21 Often St-median-install 2 missing delineators 22 Linwood Dr-install missing RPMs along yellow line 23 Highland Ave/Linwood Dr-install missing thermo turn arrow 24 Sharondale/Linwood-install 4 missing RPMs at crosswalk 25 Pamelia/Linwood-Roundabout-correct yellow lines to connect with crosswalks 8400 26 Pamelia/Linwood-move RPMs to crosswalk 27 Greenlea from Murray Ave to Keene Rd-install all RPMs missing on yellow striping 28 Sharondale/Greenlea-crosswalk-install 4 missing RPMs 29 Sharondale/Greenlea-West end of double strip-install 2 missing RPMs 3o Ridgeway/Greenlea-E side of roundabout-install missing RPMs 31 Weston Pond S-3-adjust structure to be level 32 Weston Dr-S-7-seal around conflict cut out inside structure 33 Often St-roundabout-re-sand loose bricks 34 Often St-median-replace Keep Right sign, it is bent 35 Throughout-remove mulch covering plants 36 Test irrigation Page 1 of 1 - <, a z r;1sr, j 1 y t } S11� - 1�'t��i��� ,ii��ll Stt �i �r ����5����,1sjli ,�+r` SEE•� � � rt �� u Ina 2�lt :. t.,"sV� t{ �..d � {, lid 0U �� g }{r )2� l}1�t � n}t ,7 - i # 8378 k r 1 , y t nll 'r it r r r t 1 . 17, 4 41 a t � a 1,� rt, ss rrffi,�,`�'��� '�r - � r t � t t st t r, Sj£t ytyt tyl'li i Sn 4 - ,J k'' ( Y}lry ct � �itl ti}i1 { _, t List YI ss 2' t1J1 r?. 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Pursuant to § 255.05(1)(b), Florida Statutes, "Before commencing the work or before recommencing the work after a default or abandonment, the contractor shall provide to the public entity a certified copy of the recorded bond. Notwithstanding the terms of the contract or any other law governing prompt payment for construction services, the public entity may not make a payment to the contractor until the contractor has complied with this paragraph." CONTRACTOR SURETY OWNER DAVID NELSON CONSTRUCTION CO. FIDELITY AND DEPOSIT CITY OF CLEARWATER 3483 ALTERNATE 19 COMPANY OF MARYLAND ENGINEERING PALM HARBOR, FL 34683 1400 AMERICAN LANE 100 S. MYRTLE AVE. (727) 784 -7624 SCHAUMBURG, IL 60196 CLEARWATER, FL 33756 1- 800 -382 -2150 (727) 562 -4560 PROJECT NAME: Greenlea -Otten Neighborhood Traffic Calming, Roadway & Stormwater Improvements PROJECT NO.: 10- 0003 -EN PROJECT DESCRIPTION: Greenlea-Otten neighborhood traffic calming and Otten Street roadway and stormwater improvements consisting of roundabouts, landscape medians and speed tables; new roadway drainage system and stormwater facility; and, utility adjustments (water & sewer), landscaping, irrigation, signing and pavement markings and decorative paving elements. BY THIS BOND, We, David Nelson Construction Co. , as Contractor, and Fidelity and Deposit Company of Maryland , a corporation, as Surety, are bound to the City of Clearwater, Florida, herein called Owner, in the sum of $3,071,486.83 for payment of which we bind ourselves, our heirs, personal representatives, successors, and assigns, jointly and severally. THE CONDITION OF THIS BOND is that if Contractor: 1. Performs the contract dated ( l Jet—IC/co , between Contractor and Owner for construction of Greenlea -Otten Neighborhood Traffic Calming, Roadway & Stormwater Improvements, the contract documents being made a part of this bond by reference (which include the Advertisement for Bids, Proposal, Contract, Surety Bond, Instructions to Bidders, General Conditions, Plans, Technical Specifications and Appendix, and such alterations as may be made in said Plans and Specifications as therein provided for), at the times and in the manner prescribed in the contract; and 2. Promptly makes payments to all claimants, as defined in Section 255.05(1), Florida Statutes, supplying Contractor with labor, materials, or supplies. used directly or indirectly by Contractor in the prosecution of the work provided for in the contract; and 3. Pays Owner all losses, damages, expenses, costs. and attorney's fees, including appellate proceedings, that Owner sustains because of a default by Contractor under the contract; and SECTION V Page 1 of 17 Updated 2/11/2016 SECTION V— Contract Documents Bond No.: 9206769 PUBLIC CONSTRUCTION BOND (2) 4. To the limits of § 725.06(2), Florida Statutes, shall indemnify and hold harmless Owner, their officers and employees, from liabilities, damages, losses and costs, including, but not limited to, reasonable attorney's fees, to the extent caused by the negligence, recklessness, or intentional wrongful misconduct of Contractor and persons employed or utilized by Contractor in the performance of the construction contract; and 5. Performs the guarantee of all work and materials furnished under the contract for the time specified in the contract, then this bond is void; otherwise it remains in full force. 6. Any action instituted by a claimant under this bond for payment must be in accordance with the notice and time limitation provisions in Section 255.05(2), Florida Statutes. 7. Any changes in or under the contract documents and compliance or noncompliance with any formalities connected with the contract or the changes does not affect Surety's obligation under this bond, and Surety does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the work or to the specifications. IN TESTIMONY WHEREOF, witness the hands and seals of the parties hereto this day of , 20 . (If sole Ownership or Partnership, two (2) Witnesses required). (If Corporation, Secretary only will attest and affix seal). DAVID NELSON CONSTRUCTION CO. Corporate Stqfary or Wit }e �i Print,Nam ; - t - c 1 hw (affix corporate seal) SECTION V By: Title: Print Name: ktsidenfr �lt►,� (e,lJ- -r--- Fidelity and Deposit Company of Maryland (Corporate Surety) �J By: �'�c'_ -� (, 2, TO<RICIEY -IN -FACT Prin ` ame: John R. Neu, Attorney -in -Fact & FL Licensed Agent (affix corporate seal) (Power ofAttorney must be attached) Page 2 of 17 Updated 2/11/2016 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies "), by THOMAS O. MCCLELLAN, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Kevin WOJTOWICZ, John R. NEU and Daniel F. OAKS, all of St. Petersburg, Florida, EACH its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice - President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 29th day of October, A.D. 2015. Secretary Eric, D. Barnes' Stof ?arylan id County of Baltimore On tfiis 29th day of October, A.D. 2015, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, THOMAS O. ' MCCLELLAN, Vice President, and ERIC D. BARNES, Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND Vice President Thomas O. McClellan IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. Constance A. Dunn, Notary Public My Commission Expires: July 9, 2019 POA -F 031 -00221 CONSTRUCTION General Contractors Heavy Construction Engineers Site Work AFFIDAVIT An Equal Opportunity Employer" I, Jeffrey D. Nelson, am the President of David Nelson Construction Co., a Florida Corporation. I have been elected to serve as one of the Directors of the Corporation, to assume the duties and responsibilities affixed by the Bylaws and to serve until my successors are chosen and qualify as more fully set forth in the Written Action in Lieu of Joint Annual Meeting of the Board of Directors and Shareholders of David Nelson Construction Co., 2008, Article No. 2. I declare the information herein is true, correct and complete. J�ffre,� D. Nelson, President April 13, 2016 State of Florida County of Pinellas Jeffrey D. Nelson, President of David Nelson Construction Co. personally appeared before me this 13th day of April, 2016, who is personally known by me and did not take an oath. My Commission Expires: David Nelson Construction Co. r, NOTARY C PUBLIC ISTATEOF FLORCA LINDA D SHUTT COMMISSION # FF177956 EXPIRES Jan 30, 2019 BONDED THROUGH RLI INSURANCE COMPANY CG C012229 (727) 784 -7624 Pinellas (813) 228 -8616 Tampa (727) 786 -8894 Fax 3483 Alternate 19 www.nelson - construction.com Palm Harbor, FL 34683 SECTION V — Contract Documents CONTRACT (1) This CONTRACT made and entered into this JO day of , 20 1 So by and between the City of Clearwater, Florida, a municipal corporation, hereinafter designated as the "City ", and , of the City of County of and State of Florida, hereinafter designated as the "Contractor ". WITNESSETH: That the parties to this contract each in consideration of the undertakings, promises and agreements on the part of the other herein contained, do hereby undertake, promise and agree as follows: The Contractor, and his or its successors, assigns, executors or administrators, in consideration of the sums of money as herein after set forth to be paid by the City and to the Contractor, shall and will at their own cost and expense perform all labor, furnish all materials, tools and equipment for the following: PROJECT NAME: GREENLEA -OTTEN NEIGHBORHOOD TRAFFIC CALMING, ROADWAY & STORMWATER IMPROVEMENTS PROJECT NO.: 10- 0003 -EN in the amount of $ 3.071.486.83 In accordance with such proposal and technical supplemental specifications and such other special provisions and drawings, if any, which will be submitted by the City, together with any advertisement, instructions to bidders, general conditions, technical specifications, proposal and bond, which may be hereto attached, and any drawings if any, which may be herein referred to, are hereby made a part of this contract, and all of said work to be performed and completed by the contractor and its successors and assigns shall be fully completed in a good and workmanlike manner to the satisfaction of the City. If the Contractor should fail to comply with any of the terms, conditions, provisions or stipulations as contained herein within the time specified for completion of the work to be performed by the Contractor, then the City, may at its option, avail itself of any or all remedies provided on its behalf and shall have the right to proceed to complete such work as Contractor is obligated to perform in accordance with the provisions as contained herein. THE CONTRACTOR AND HIS OR ITS SUCCESSORS AND ASSIGNS DOES HEREBY AGREE TO ASSUME THE DEFENSE OF ANY LEGAL ACTION WHICH MAY BE BROUGHT AGAINST THE CITY AS A RESULT OF THE CONTRACTOR'S ACTIVITIES ARISING OUT OF THIS CONTRACT AND FURTHERMORE, IN CONSIDERATION OF THE TERMS, STIPULATIONS AND CONDITIONS AS CONTAINED HEREIN, AGREES TO HOLD THE CITY FREE AND HARMLESS FROM ANY AND ALL CLAIMS FOR DAMAGES, COSTS OF SUITS, JUDGMENTS OR DECREES RESULTING FROM ANY CLAIMS MADE UNDER THIS CONTRACT AGAINST THE CITY OR THE CONTRACTOR OR THE CONTRACTOR'S SUB CONTRACTORS, AGENTS, SERVANTS OR EMPLOYEES RESULTING FROM ACTIVITIES BY THE AFOREMENTIONED CONTRACTOR, SUB CONTRACTOR, AGENT SERVANTS OR EMPLOYEES, TO THE LIMITS OF § 725.06(2). SECTION V Page 3 of 17 Updated 2/11/2016 SECTION V — Contract Documents CONTRACT (2) In addition to the foregoing provisions, the Contractor agrees to conform to the following requirements: In connection with the performance of work under this contract, the Contractor agrees not to discriminate against any employee or applicant for employment because of race, sex, religion, color, or national origin. The aforesaid provision shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; lay off or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post hereafter in conspicuous places, available for employees or applicants for employment, notices to be provided by the contracting officer setting forth the provisions of the non discrimination clause. The Contractor further agrees to insert the foregoing provisions in all contracts hereunder, including contracts or agreements with labor unions and/or worker's representatives, except sub contractors for standard commercial supplies or raw materials. It is mutually agreed between the parties hereto that time is of the essence of this contract, and in the event that the work to be performed by the Contractor is not completed within the time stipulated herein, it is then further agreed that the City may deduct from such sums or compensation as may be due to the Contractor the sum of $1,000.00 per day for each day that the work to be performed by the Contractor remains incomplete beyond the time limit specified herein, which sum of $1.000.00 per day shall only and solely represent damages which the City has sustained by reason of the failure of the Contractor to complete the work within the time stipulated, it being further agreed that this sum is not to be construed as a penalty but is only to be construed as liquidated damages for failure of the Contractor to complete and perform all work within the time period as specified in this contract. It is further mutually agreed between the City and the Contractor that if, any time after the execution of this contract and the public construction bond which is attached hereto for the faithful performance of the terms and conditions as contained herein by the Contractor, that the City shall at any time deem the surety or sureties upon such public construction bond to be unsatisfactory or if, for any reason, the said bond ceases to be adequate in amount to cover the performance of the work the Contractor shall, at his or its own expense, within ten (10) days after receipt of written notice from the City to do so, furnish an additional bond or bonds in such term and amounts and with such surety or sureties as shall be satisfactory to the City. If such an event occurs, no further payment shall be made to the Contractor under the terms and provisions of this contract until such new or additional security bond guaranteeing the faithful performance of the work under the terms hereof shall be completed and furnished to the City in a form satisfactory to it. SECTION V Page 4 of 17 Updated 2/11/2016 SECTION V — Contract Documents CONTRACT (3) The successful bidder /contractor will be required to comply with Section 119.0701, Florida Statutes (2014), specifically to: (a) Keep and maintain public records that ordinarily and necessarily would be required by the City of Clearwater in order to perform the service; (b) Provide the public with access to public records on the same terms and conditions that the City of Clearwater would provide the records and at a cost that does not exceed the cost provided in Chapter 119 or as otherwise provided by law; (c) Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law; and (d) Meet all requirements for retaining public records and transfer, at no cost, to the City of Clearwater all public records in possession of the contractor upon termination of the contract and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the City of Clearwater in a format that is compatible with the information technology systems of the City of Clearwater. SECTION V Page 5 of 17 Updated 2/11/2016 SECTION V — Contract Documents CONTRACT (4) IN WITNESS WHEREOF, the parties to the agreement have hereunto set their hands and seals and have executed this Agreement, the day and year first above written. CITY OF CLEARWATER IN PINELLAS COUNTY, FLORIDA By: .ti ,r William B. Horne, II City Manager Countersigned: By:— (eotiQ r1CrC George N. Cretekos, Mayor Contractor must indicate whether X Corporation 45 f - i & / Partnership Company or Individual The person signing shall, in his own handwriting, sign the Principal's name, his own name, and his title; where the person is signing for a Corporation, he must, by Affidavit, show his authority to bind the Corporation — provide Affidavit. Attest: Rosemarie Call City Clerk �c. (SEAL) Approved as to form: atthew M..`I""` h Assistant City Attorney I JG�V i (le 1,S or) (Contractor) By: Pri Title: SECTION V Page 6 of 17 Updated 2/11/2016 DAVINEL -01 BWARNER '4� R °� CERTIFICATE OF LIABILITY INSURANCE DAT /12 /2D/YYYY) 4/12/2016 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 ASSOCIATES AGENCY, INC. 11470 N 53rd St Temple Terrace, FL 33617 CONTACT NAME: PHONE FAX (A /C, No, Ext): (813) 988 -1234 (A/C, No): (813) 988 -0989 E-MAIL DSS: certs @associatesins.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : National Trust Ins. Co. 20141 INSURED David Nelson Construction CO. 3483 Alternate 19 Palm Harbor, FL 34683 INSURER B : FCCI INSURANCE CO. 10178 INSURER C : Westchester Surplus Lines Ins. Co. 05/01/2016 INSURER D : $ 1,000,000 INSURER E INSURER F : X COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY GL 0010298 6 05/01/2015 05/01/2016 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 X X GE Contractual Liab. MED EXP (Any one person) $ 5,000 No Deductible PERSONAL &ADVINJURY $ 1,000,000 'L AGGREGATE POLICY OTHER: X LIMIT APPLIES rjr.f. PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS PIP 10,000 X SCHEDULED AUTOS N-OWNED AUTOS CA 001595406 05/01/2015 05/01/2016 (EOa aBINEDtSINGLE LIMIT $ 1,000,000 BODILYINJURY(Perperson) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE UMB0010683 6 05/01/2015 05/01/2016 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DED X RETENTION$ 10,000 EXC10006896100 $ 10,000,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/N - N / A 001 -WC16A -65778 01/01/2016 01/01/2017 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 B C InlandMarine /Prop Pollution Policy CM 0005408 06 G2427343A 004 05/01/2015 05/01/2015 05/01/2016 05/01/2016 of Others /Bailees 250,000 Occ $2,000,000 Agg 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project: Greenlea -Otten Neighborhood Traffic Calming, Roadway & Stormwater Improvements Project No 10- 0003 -EN City of Clearwater Engineering Department is an additional insured with regard to the general liability where required by written contract. A waiver of subrogation applies in favor of the additional insured with regard to the general liability and workers compensation where required by written contract. The General liability is primary and non contributory. A 30 day notice of cancellation applies with 10 days for non payment in regard to the general liability , auto liability, and workers compensation. CERTIFICATE HOLDER CANCELLATION City of Clearwater Engineering Department 100 S. Myrtle Ave Clearwater, FL 33756 I 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 i�6 ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD