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CERTIFICATE OF LIABILITY INSURANCE (407)FAIL- LA CERTIFICATE OF LIABILITY INSURANCE 7/1/2017 DATE(MM /DD/YYYY) 6/21/2016 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 LOCKTON COMPANIES 444 W. 47TH STREET, SUITE 900 KANSAS CITY MO 64112-1906 (816) 960 -9000 CONTACT PHONE FAX (A/c, No, EXt): I (A/C, No): ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Greenwich Insurance Company 22322 INSURED SHAW ENVIRONMENTAL & INFRASTRUCTURE, INC. 1320331 A SUBSIDIARY OF CHICAGO BRIDGE & IRON COMPANY 4171 ESSEN LANE BATON ROUGE LA 70809 INSURER B : XL Specialty Insurance Company 37885 INSURER C : 7/1/2017 INSURER D : $ 2,000,000 INSURER E : CLAIMS -MADE OCCUR XLa• INSURER F : $ 1,000,000 • mGv,cI' 1\ 111.7 MEP GR. 111111/1A1111 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 tWD POLICY NUMBER POLICY EFF (MM /DD ) POLICY EXP (MM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY N N CGD74 l 1 UL, '+ 2+ 1 ; JUL /. RECORDS AND F��C�f/�11�IF/L��.A.�jJ��DS ir+UND 7/1/2016 7/1/2017 $ 2,000,000 CLAIMS -MADE OCCUR XLa• DAMAGES( RENTED PREMISES {Ea occurrence) $ 1,000,000 X BROAD FORM PD MED EXP (Any one person) $ 25,000 X CONT. LIAB & XCU ERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOCI OTHER GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ A AUTOMOBILE X — X LIABILITY ANY AUTO AUTOS OWNED HIRED AUTOS — X SCHEDULED AUTOSWNED N N �O Ct�{P.A�I�Cd+►t 1 V G ii�� +.? BJ,.2016 7/1/2017 COMBINED SINGLE LIMIT {Ea accident) $ 1,000,000 $ XXXXXXX BODILY INJURY (Per person) BODILY INJURY (Per accident $ XXXXXXX (Perr accidentDAMAGE $ XXXXXXX $XXXXXXX UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED I I RETENTION $ $ B B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) DESCRIPTION OF OPERATIONS below N /A N CWD7409487 (AOS) CWR7409488 INCLUDES STOP GAP 7/1/2016 7/1/2016 7/1/2016 7/1/2017 7/1/2017 7/1/2017 PER OTH- X I STATUTE I I FR E.L. EACH ACCIDENT $ 1,000,000 1,000,000 E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Engineer of record CANCELLATION 12244520 City of Clearwater Florida 100 South Myrtle Avenue Clearwater FL 33756 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 ACORD 25 (2014/01) ©19$8 -2014 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD ACOREY CERTIFICATE OF LIABILITY INSURANCE 7/1/2017 DATE (MM/DD/YYYY) 6/21/2016 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 LOCKTON COMPANIES 444 W. 47TH STREET, SUITE 900 KANSAS CITY MO 64112 -1906 (816) 960 -9000 CONTACT NAME: PHONE (NC, No, Eat): E -MAIL ADDRESS: FAX (NC, No): INSURER(S) AFFORDING COVERAGE NAIC # INSURED SHAW ENVIRONMENTAL & INFRASTRUCTURE, INC. 1307216 A SUBSIDIARY OF CHICAGO BRIDGE & IRON COMPANY 4171 ESSEN LANE BATON ROUGE LA 70809 INSURER A : Indian Harbor Insurance Company INSURER B : 36940 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGE • RL• IJIV11 I IJIIIIOGR. AIIAAAAA 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 (MM/DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY NOT APPLICABia ([f0 iVkl r r 'r. '/ 4 OFFjc, l ttEEyy 1`•�L R p NOT APPI7� ,- v C ,� �i^ 0/6 q -"Z–' ® EACH OCCURRENCE $ XXXXXXX CLAIMS -MADE OCCUR PREMISES (Ea occurrence) $ XXXXXXX MED EXP (Any one person) $ XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- ❑ LOC ���' OTHER GENERAL AGGREGATE $ XXXXXXX PRODUCTS - COMP /OP AGG $ XXXXXXX COMBINED SINGLE LIMIT (Ea accident) $ $ XXXXXXX AUTOMOBILE LIABILITY ANY AUTO AUT OWNED HIRED AUTOS — — SCHEDULED NON-OWNED T BODILY INJURY (Per person) $ )��0 XXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE (Per accident) $XXXXXXX $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) DESCRIPTION ut■Fle(JPERATIONS below N / A NOT APPLICABLE I PER I 10TH - STATUTE FR E.L. EACH ACCIDENT $ VVV�T�7VV A11.1111/1AA E.L. DISEASE - EA EMPLOYEE $ XX:K::R.XXX E.L. DISEASE - POLICY LIMIT $ XXXXXXX A PROFESSIONAL LIABILITY N N CE07446942 7/1/2016 7/1/2017 $1,000,000 PER CLAIM & $1,000,000 IN THE ANNUAL AGGREGATE DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Shaw Environmental and Infrastructure, Inc.; Project: Engineering Services. ELLATION 12183825 City of Clearwater P.O. Box 4748 Clearwater FL 33758 -4748 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 ACORD 25 (2014/01) ©1988 -2014 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD ACOREP° CERTIFICATE OF LIABILITY INSURANCE `..••••---- 7/1/2017 DATE (MM /DD/YYYY) 6/21/2016 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 LOCKTON COMPANIES 444 W. 47TH STREET, SUITE 900 KANSAS CITY MO 64112 -1906 (816) 960 -9000 CONTACT PHONE , Ext I FAX No): E-MAIL ADDRESS: INSURERISI AFFORDING COVERAGE NAIC # INSURER A : Greenwich Insurance Company 22322 INSURED SHAW ENVIRONMENTAL & INFRASTRUCTURE, INC. 1320331 A SUBSIDIARY OF CHICAGO BRIDGE & IRON COMPANY 4171 ESSEN LANE BATON ROUGE LA 70809 INSURER B : XL Specialty Insurance Company 37885 INSURER C 7/1/2017 INSURER D : $ 2,000,000 INSURER E : INSURER F : PREMISES (Ea RENTED COVERAGE • • 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 IMM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y N CGD7409489 s �� JUL {y �7 1()1 �J L i u 7/1/2016 f 7/1/2017 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE x OCCUR PREMISES (Ea RENTED $ 1,000,000 X BROAD FORM PD MED EXP (Any one person) $ 25,000 X GEN'L - CONT. LIAB & XCU AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC OTHER PERSONAL &ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP /OPAGG $ 4,000,000 $ A AUTOMOBILE X — X LIABILITY ANY AUTO AUTOS OWNED HIRED AUTOS X SCHEDULED AUTOS NED Y N CAD74Q�.4,9�CIM RECORDS ((''rr M, LEGISLATIVE SRVCS 7/ `- C nc ❑T DEP i 7/1/2017 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident' $ XXXXXXX I. c clnt DAMAGE $ XXXXXXX $ XXXXXXX UMBRELLA LIAB EXCESS LIAB _OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED I I RETENTION $ $ B B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) DESCRIPTION ufiFieOPERATIONS below N / A N CWD7409487 (AOS) CWR7409488 INCLUDES STOP GAP 7/1/2016 7/1/2016 7/1/2016 7/1/2017 7/1/2017 7/1/2017 PER X I STATUTE 0TH - I ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Shaw Environmental and Infrastructure, Inc.; Project: Engineering Services. Additional Insured: City of Clearwater. CANCELLATION 12244519 City of Clearwater P.O. Box 4748 Clearwater FL 33758 -4748 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 ACORD 25 (2014/01) ©19$8 -2014 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD