CERTIFICATE OF LIABILITY INSURANCE (3)�/ 1 � DATE (MM/DDIYWY)
�oR'o CERTIFICATE OF LIABILITY INSURANCE s���2o�� ioi�i2oi6
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 Lockton Companies
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906
(816)960-9000
a : Zurich
INSURED MWH GLOBAL INC; MWH AMERICAS INC.; MWH
1415077 CONSTRUCTORS INC; HAWKSLEY CONSLTLTING, INC.;
�C CONSUL IN,�, G SERVICES INC.;
$L1'R _ nN Xc ACCnCiATES �
`� 370 INTERLOCKEN BLUD., #300
Insurance a N
;an Guarantee
26247
COVERAGESv ✓L✓ vv CERTIFICATE NUMBER: 14310958 REVISION NUMBER: XXXXXXX
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 LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY MMIDD/YYYY
A X COMMERCIAL GENERAL LIABILITY y N GL05415704 5/1/2016 5/1/2017 EACH OCCURRENCE $ Z OOO OOO
DAMAGETO RENTED
CLAIMS-MADE � OCCUR PREMISES Ea occurrence S 3OO OOO _
X CONTRACTUAL/CROSS MED EXP (Any one person) $ 10 000
XCU COVERED PERSONAL & ADV INJURY $ Z� OOO OOO
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4 OOO OOO
POLICY ❑X �E � ❑X LOC PRODUCTS - COMP/OP AGG $ 2. OOO OOO
$
OTHER:
$ AUTOMOBILE LIABILITY j�i j� 90-17043-08 �AOS 5/I/2016 5/1/2017 COMBINED SINGLE LIMIT $
� Ea accident 1 ��� ���
B ANYAUTO 90-1'7043-09 MA) 5/I/2016 5/I/2017 gODILYINJURY(Perperson) $
B X 90-17043-10 CA) 5/1/2016 5/1/2017 XXXXXXX
OWNED SCHEDULED BODILY INJURY (Per accident) $ XX�XXX
AUTOS ONLY AUTOS
HIRED NON-OWNED pe�raccd nDAMAGE $ XXXXXXX
AUTOS ONLY AUTOS ONLY
$ XXXXXX}�
C X UMBRELLALIAB X OCCUR N N AUC918463701 5/1/2016 5/1/2017 EACHOCCURRENCE $ S OOO OOO
X EXCESS LIAB CLAIMS-MADE AGGREGATE $ S OOO OOO
DED X RETENTION $ 1 O OOO S XXXXXXX
WORKERS COMPENSATION rj X STATUTE ERH
B AND EMPLOYERS• unsiurr � 90-17043-06 (f��S� 5/1/2016 S/1/201%
$ Y�N 90-17043-07(HI 5/1/2016 5/1/2017
B OFFICER/MEM ER EXCLUDED7 ECUTNE � N/ A EXCEPT FOIi OH ND WA WY E.L. EACH ACCIDENT $ 1 OOO OOO
(Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1 ��� Q��
If yes, describe under
DESCRIPTION OF OPER,4TIONS below E.L. DISEASE - POLICY LIMIT $ 1 OOO OOO
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: CITY OF CLEARWATER IS AN ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND THIS COVERAGE IS PRIMARY AND
NON-CONTRIBUTORY, AS REQUIRED BY WRITTEN CONTRACT.
CERTIFICATE HOLDER
CANCELLATION
14310958
CITY OF CLEARWATER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ATTN: MR. BRIAN ��JAY" RAVINS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
P.O. BOX 4%4H ACCORDANCE WITH THE POLICY PROVISIONS.
CLEARWATER FL 33756
AUTHORIZED REPRESENTATIV
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O 1988 015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD