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CERTIFICATE OF LIABILITY INSURANCE (423)'°` °® CERTIFICATE OF LIABILITY INSURANCE DAT09^//201) 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 Aon Risk Services Southwest, Inc. Houston TX Office 5555 San Felipe Suite 1500 Houston TX 77056 USA CONTACT NAME: . N: (800) 363 -0105 (NC. No. Ext): 8662837122 (ac FAX o.) EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED . "" -- Cardno, Inc. 10004 Park Meadows Drive Suite 300 Lone Tree CO 80124 USA '- -- INSURER A: Zurich American Ins Co 16535 INSURER B: American Guarantee & Liability Ins Co 26247 INSURER C: Ironshore Specialty Insurance Company 25445 INSURER D: Lexington Insurance Company 19437 INSURER E: INSURER F: DAMAGE TO RENTED PREMISES (Ea occurrence) CERTIFICATE NUMBER: 570063842799 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDC INSD SUBR WVD POLICY NUMBER POLICYEFF (MM/DDNYri POLICY EXP (MM /DD/YYYY}, LIMITS A X COMMERCIAL GENERAL LIABILITY GL001839610-1 General Liability 09I30/2016 09/30/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 X Per Project Agg $2M MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO GENERAL AGGREGATE $10,000,000 X - POLICY I 1JECT n LOC OTHER: PRODUCTS- COMP /OPAGG $2,000,000 A AUTOMOBILE LIABILITY BAP 018396201 Auto 09/30/2016 09/30/2017 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X X ANY AUTO BODILY INJURY ( Per person) OWNED AUTOS ONLY HIRED AUTOS ONLY — X _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) B X UMBRELLA LIAB EXCESS LIAB X — OCCUR CLAIMS -MADE A00018392701 umbrella 09/30/2016 09/30/2017 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 DED I RETENTION A EMPLOYERCOMPE LIAB SA ION AND YIN N / A wC018396001 WC 09/30/2016 09/30/2017 X 1 PERTUTE 0TH ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICEPJMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under N E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 D Archit &Eng Prof QC1605384 Professional SIR applies per policy terms 09/30/2016 & condi:ions 09/30/2017 Each Claim Aggregate SIR $10,000,000 $10,000,000 $500,0001 , DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of clearwater is listed as additional insured with respect to the General, Auto and Excess Liability policies. waiver of subrogation in favor of the additional insured applies to the General, Auto and Excess Liability policies. This insurance is primary and non - contributory over any other insurance maintained by certificate holder. CERTIFICATE HOLDER CANCELLATION City of Clearwater Attn: city Clerk PO Box 4748 Clearwater FL 33758 -4748 USA ACORD 25 (2016/03) 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 cYXOIB c���sGt.�z4d e.JG✓Y�Lf�G�eJna Holder Identifier : 158115 570063842799 Certificate No ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD d4W OR AGENCY CUSTOMER ID: 570000051836 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Southwest, Inc. NAMED INSURED Cardno, Inc. POLICY NUMBER see Certificate Number: 570063842799 CARRIER See Certificate Number: 570063842799 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD /YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) LIMITS OTHER C Env Site Liab 002161702 Pollution 09/30/2016 09/30/2017 occurrence $10,000,000 Aggregate $10,000,000 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. AGENCY CUSTOMER ID: 570000051836 LOC #: ADDITIONAL REMARKS SCHED Pa _ of AGENCY Aon Risk Services Southwest, Inc. NAMED INSURED Cardno, Inc. POLICY NUMBER See Certificate Number: 570063842799 CARRIER See Certificate Number: 570063842799 NAIC CODE EFFECTIVE DATE: ARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance CARDNO NAMED INSUREDS Cardno ChemRisk, LLC. Cardno EM- Assit, Inc. Cardno Emerging Markets USA, Ltd. Cardno ENTRIX Cardno ERI Cardno GS, Inc. Cardno Haynes Whaley, Inc. Cardno JFNew Cardno MMA Cardno NC, Inc. Cardno TBE (AZ) Cardno TBE (FL) Cardno TBE; TBE Group, Inc. Cardno TEC, Inc. Cardno USA, Inc. Cardno WRG, Inc. Cardno WRG, Inc. dba WRG Designs Inc. Cardno, Inc (OR) Cardno, Inc. (TX) Cardno, Inc. (FL) Cardno (MI), Inc. Cardno PPI Engineering & Construction, Services LLC., PPI Technology Services,LLC., PPI Quality & Asset Management, LLC., and its Affiliated Companies Entrix Inc. dba Cardno Entrix Environmental Resolutions, Inc. ES NY Engineering, P.A. PC. J.F. New & Associates, Inc. JFNew Marshall Miller & Associates, Inc. TBE Group, Inc. (Adden) TBE Group, Inc. dba: Cardno TBE TBE Group, Inc., Cardno TBE TBE Professional Services, PLLC WRG North Carolina PLLC TBE Group (Canada) ULC is included as a Named Insured as identified in the insurance Policy referenced on this certificate ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD