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CERTIFICATE OF LIABILITY INSURANCE (803) DATE(M M/DD/YYYY) AC 1U�'" CERTIFICATE OF LIABILITY INSURANCE 09/21/2016 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 have ADDITIONAL INSURED provisions or 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 CONTACT Julie Laarman Van Risk Solutions NAME: ONAX 2237 Wealthy Street SE PH No Ext: (616)942-5070 (A/C,No): E-MAIL uliel van com Suite 200 ADDRESS: @ p or Grand Rapids,MI 49506 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Zurich American Insurance Company INSURED Worliscapes,Inc. INSURER B: Travelers 1395 Coral Way INSURER C Miami,FL 33145 INSURER D: INSURER E: INSURER F: 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 ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY GLO0213559-00 06/01/2016 01/01/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE CLAIMS-MADE LIZ OCCUR PREMISES(Ea occurrence) $ 5W'000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 2,000,000 POLICY PRO- $JECT LOC PRODUCTS-COMP/OP AGG OTHER: $ A AUTOMOBILE LIABILITY BAP 0213560-00 06/01/2016 01/01/2017 COMBINED SINGLE LIMIT $ 1,000,000 / Ea accident V ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident Uninsur Motorist Combin $ 1,000,000 B UMBRELLALIAB OCCUR ZUP-61M58496-16-NF 06/01/2016 01/01/2017 EACH OCCURRENCE $ 5,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION $ $ A WORKERS COMPENSATION WC 0213558-00 06/01/2016 01/01/2017 PER oTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROP RIETOR/PARTNE R/EXECU I V E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Cityof Clearwater is listed as additional insured With repsects to General and Auto Liability per Written contract or agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Clearwater ACCORDANCE WITH THE POLICY PROVISIONS. 112 S.Osceola Aw. Clearwater,FL 33756 AUTHORIZED REPRESENTATIVE (,/I uiip ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD