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ISLAND ESTATES BRIDGE REPLACEMENTS - 13-0004-EN - CERTIFICATE OF LIABILITY INSURANCE - 13-0004-EN (3) DATE( A� MM/DD/YYYY) 12/2/2016 DATE(" CERTIFICATE OF LIABILITY INSURANCE 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 NAME: Gina Scolaro She Insurance Group, Inc. FAX 2653 McCormick Drive M20%, 727-531-6800 A/c No): 727-531-6855 Clearwater FL 33759 ADDRESS:gscolaro @sihle.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:National Union Fire Ins Co 19445 INSURED ALLAMER-07 INSURER B:American Guarantee& Liability 26247 All American Concrete Inc. INSURER C:Greenwich Insurance Company 8770 Somerset Drive Largo FL 33773 INSURER D:Liberty International Und. INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1167227647 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 TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD/YYY MM/DD/YYY A X COMMERCIAL GENERAL LIABILITY Y Y GL5268293 6/1/2016 6/1/2017 EACH OCCURRENCE $1,000,000 IX OCCUR PREMISES TORENTED CLAIMS-MADE PREMISES Ea occurrence) $300,000 X Contractual Liab MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 POLICY jECT El LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY CA4489776 6/1/2016 6/1/2017 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) B X UMBRELLA LAB X OCCUR SXS0171596-02 6/1/2016 6/1/2017 EACH OCCURRENCE $4,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 DED X RETENTION$0 $ A WORKERS COMPENSATION Y WCO22298198 6/1/2016 6/1/2017 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? F1 N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Lease/Rent Equipment UM00029084MA15A 4/18/2016 4/18/2017 Limit 600,000 A USL&H WCO22298198 6/1/2016 6/1/2017 USL&H Included D Hull/P&I LIUH-00154-06 12/1/2016 12/1/2017 Hull/P&I 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Project: Island Estates Bridge Replacements, 413-0004-EN, Clearwater FL City of Clearwater, Owner and any respective officers & employees are included as additional insured including completed operations with respects to general liability as required per written contract. General Liability coverage is primary & non-contributory. Waiver of Subrogation applies to General Liability and Workers Compensation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 100 S. Myrtle Ave#200 ACCORDANCE WITH THE POLICY PROVISIONS. Clearwater FL 33756 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD