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CERTIFICATE OF LIABILITY INSURANCE - RFQ 34-15 (14) GHDINC0-01POOJARYVS DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 6/29/2016 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). CONTACT Willis Towers Watson Certificate Center PRODUCER NAME: Willis of Massachusetts, Inc. FAX PHONE (877) 945-7378(888) 467-2378 (A/C, No): (A/C, No, Ext): c/o 26 Century Blvd E-MAIL certificates@willis.com P.O. Box 305191 ADDRESS: Nashville, TN 37230-5191 INSURER(S) AFFORDING COVERAGENAIC # AIG Specialty Insurance Company26883 INSURER A : Zurich American Insurance Company16535 INSURED INSURER B : Lexington Insurance Company19437 INSURER C : GHD Services Inc. Insurance Company of the State of Pennsylvania 19429 2055 Niagara Falls Blvd., Suite 3 INSURER D : Niagara Falls, NY 14304 INSURER E : INSURER F : COVERAGESCERTIFICATE 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. ADDLSUBR POLICY EFFPOLICY EXP INSR TYPE OF INSURANCELIMITS POLICY NUMBER (MM/DD/YYYY)(MM/DD/YYYY) LTR INSDWVD AX 1,000,000 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE$ DAMAGE TO RENTED X X PROP 1424721607/01/201512/01/2016 1,000,000 CLAIMS-MADEOCCUR$ PREMISES (Ea occurrence) 25,000 MED EXP (Any one person)$ 1,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ X PRO- 2,000,000 POLICYLOCPRODUCTS - COMP/OP AGG$ JECT $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ (Ea accident) X BODILY INJURY (Per person)$ ANY AUTO ALL OWNEDSCHEDULED BODILY INJURY (Per accident)$ AUTOSAUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS (Per accident) AUTOS $ UMBRELLA LIAB EACH OCCURRENCE$ OCCUR EXCESS LIAB CLAIMS-MADEAGGREGATE$ $ DEDRETENTION$ PEROTH- WORKERS COMPENSATION X STATUTEER AND EMPLOYERS' LIABILITY Y / N B WC 0380936-0107/01/201607/01/2017 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. EACH ACCIDENT$ N N / A OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under 1,000,000 E.L. DISEASE - POLICY LIMIT$ DESCRIPTION OF OPERATIONS below C Professional Liab.03171098907/01/201512/01/2016 Claim:$1,000,000/Agg2,000,000 D Commercial Property753 380312/01/201512/01/2016 See Attached DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) GHD Project Number: 098711 - Engineer of Record Services RFQ #34-15 City of Clearwater, its Council, the Community Redevelopment Agency of the City of Clearwater, a Florida governmental agency created pursuant to Part III, Chapter 163, Florida Statute, its duly appointed officers, or other public bodies, officers, employees, volunteers, representatives and agents, are included as Additional Insureds as respects to General Liability and Auto Liability where required under contract or agreement. General Liability and Auto Liability policies shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by Additional Insureds where required under contract or agreement. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Clearwater AUTHORIZED REPRESENTATIVE Engineering, RFQ #34-15 P.O. Box 4748 Clearwater, FL 33758-4748 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01)The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGE SCHEDULE COVERAGELIMITS Limit of Loss: $20,000,000 Any One Loss Building: $2,801,000 Contents: $13,391,599 Special Risk Valuation: Replacement Cost COVERED PROPERTY SUB LIMITS: $ 500,000 Extra Expense $ 2,057,639 Leasehold Improvements $ 1,000,000 Accounts Receivable $ 1,919,600 Valuable Papers Included Electronic Data Processing $ 500,000 Transit $ 3,978,700 Contractor's Equipment - Owned, rented, leased POLICY TYPE: Commercial Property - US or borrowed by the Insured CARRIER: National Union Fire Insurance Company of $ 6,251,800 Miscellaneous Equipment Floater ($50,000 any Pittsburgh one item) POLICY TERM: 12/1/2015 – 12/1/2016 $ 7,000,000 Windstorm - Named & Unnamed POLICY NUMBER: 753 3519 $ 2,500,000 Builders Risk (COC) $20,000,000 Annual Earthquake Aggregate $ 2,000,000 Annual California Earthquake Aggregate DEDUCTIBLES: $2,500 All losses except, $50,000 Sewer Back-up $50,000 Flood $10,000 Theft/Break & Enter 3% of TIV Earthquake applicable to U.S. Windstorm States Min$ 100,000 (Except California) 5% of TIV Earthquake applicable to California Min$ 250,000 5% of TIV Windstorm applicable to U.S. Windstorm States Min $ 100,000 48 Hour Business Interruption