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CERTIFICATE OF LIABILITY INSURANCE (408)Client #: 1049386 SDIENV ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD /YYYY) 6/30/2016 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 USI Insurance Services, LLC, 1715 N. Westshore Blvd. Suite 700 Tampa, FL 33607 CONTACT NAME: PHONE FAX Ems)` 813 321 -7500 (A/C, No): 813 321 -7525 E- MAILo, ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Admiral Insurance Company 24856 INSURED S D I Environmental Services, Inc. 10014 N. Dale Mabry Hwy., Suite 202 Tampa, FL 33618 INSURER B : Travelers Indemnity Company 25658 INSURER C : Travelers Casualty and Surety C 31194 INSURER D : Travelers Indemnity Company of 25682 INSURER E : OCCUR INSURER F : $50,000 $5,000 ERTIFICATE 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 CONTRACTOR 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 INSR SUER WVD POLICY NU FF .jr YY) i • i 015 )(� L 20M POLICY EXP (MM /DD/YYYYL 09/02/2016 LIMITS EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY FEIECC173840 L €0 5 JUL 0 OFFICIAL RECORDS LEGISLATIVE E SR CLAIMS -MADE X OCCUR PREMISESO(Eaoccurrrence) $50,000 $5,000 X BI /PD Ded:5,000 MED EXP (Any one person) PERSONAL &ADVINJURY $1,000,000 GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES JET PER: LOC mit CS DEFT GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 II $ D AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X _AUTOS SCHEDULED AUTOS NON -OWNED BA2562L144 07/29/2015 07/29/201 O Eaccden SINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) ( ) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUP6416Y164 06/30/2016 06/30/2017 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 $ DED X RETENT ON $10000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY EXCLUDED? PROPRIETOR/PARTNER/EXECUTIVE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N / A UB7082Y944 09/01/2015 09/01/2016 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 A Pollution -En FEIECC1738402 09/02/2015 09/02/2016 $1,000,000 per claim $2,000,000 aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Professional Liability coverage is written on a claims -made basis. TIFICATE HOLDER CANCELLATION City of Clearwater Attn: City Clerk PO 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) 1 of 1 #S18167995/M18164989 © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JMBEW USI INSURANCE SERVICES CERTIFICATE RETURN MAIL PROCESSING P.O. BOX 5007 NOVATO, CA 94948 -5007 CITY OF CLEARWATER ATTN: CITY CLERK PO BOX 4748 CLEARWATER FL 33758 -4748