CERTIFICATE OF LIABILITY INSURANCE (8)
PRODUCER LOCKTON COMPANIES, LLC-1 KANSAS CITY
444 W. 47th Street, Suite 900
Kansas City Mo 64112-1906
(816) 960-9000
DATE (MMlDDNY)
ACORDru CERTIFICATE OF LIABILITY INSURANCE 06/01/2008 05/31/2007
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
A T T V FF D T E PO I I B
INSURERS AFFORDING COVERAGE
COVERAGES HD NO A INSIJRER!!,;\. AUTHORIZED RFPRESENTATlVE OR E'" AND THE CERTlFICAT~ ~OLn~...
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~i: TYPE OF INSURANCE POLICY NUMBER ~<i,;!~~J~J~~!y.E PJ>t~~~J~J~Wi?N LIMITS
..' . ..' .... '. . ...' . - .' .. .">" .. . 1 000 000
GENERAL LIABILITY EACH OCCURRENCE $
-
A X COMMERCIAL GENERAL LIABILITY GL03504583 06/01/2007 06/01/2008 FIRE DAMAGE IAnv one fire) $ 1 000 000
I CLAIMS MADE [X] OCCUR MED EXP IAnv one nerson) $ 10 000
X Contractual Liab. PERSONAL & ADV INJURY $ 1 000 000
GENERAL AGGREGATE $ 2000.000
~'L AGGRE~ LIMIT APGZlIPER. PRODUCTS - COMP/OP AGG $ 2 000 000
POLICY X j~8T X LOC
~OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000
B ~ ANY AUTO BAP3504584 06/01/2007 06/01/2008 (Ea accident)
- ALL OWNED AUTOS BODILY INJURY
$ XXXXXXX
SCHEDULED AUTOS (Per person)
-
K.. HIRED AUTOS BODILY INJURY
$ XXXXXXX
K.. NON-OWNED AUTOS (Per accident)
- PROPERTY DAMAGE $ XXXXXXX
(Per accident)
=iAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX
ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX
AUTO ONLY: AGG $ XXXXXXX
EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000
B l[] OCCUR D CLAIMS MADE AUC3808400 06/01/2007 06/01/2008 AGGREGATE $ 1,000000
=1 W UMBRELLA (EXCLUDES PROF. LlAB) $ XXXXXXX
DEDUCTIBLE FORM s XXXXXXX
RETENTION $ $ XXXXXXX
C WORKE.RS CONlPENSJll:ioNAND 90-14910-OJ 06/01/2007- 06/01/2008 x~~T,~:.Y,:,,1 ....lg~H- . ..' -" ... . .- -"
C EMPLOYERS' LIABILITY 90-14910-02 06/01/2007 06/01/2008 1,000 000
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $ I 000 000
E.L. DISEASE - POLICY LIMIT $ I 000.000
A OTHER EOC9260026-00 06/01/2007 06/01/2008 PER CLAIM: $],000,000. AGG: $1,000,000.
ARCHS & ENGS PROFESSIONAL
LIABILITY DCr-r-I\ I~I""\
DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS '''-_11001 Y L.,...,
CITY OF CLEARWATER, FLORIDA IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY AND AUTOMOBILE LIABILITY.
Ii i: J o G 2007
.",)\.r
OFFICIAL RECORDS AND
LEGISLATIVE sn\1,..", ---
CERTIFICATE HOLDER I I ADDITIONAL INSURED' INSURER LETTER: CANCELLATlnN
310118 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF CLEARWATER DATE THEREOF, THE ISSUING INSURER WILL ENgP'/OR TO MAIL..3!L. DAYS WRITTEN
RISK MANAGEMENT DEPARTMENT
-ATTWCTIICL nA','BUm,'--" NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BIIT FAllllRE TO gO SO SHAll
PO BOX 4748 IMPOSE NO OBllCHION OR LIABilITY OF NIY KINg IIPON THE INSIIRER, ITS AGENTS OR
CLEARWATER FL 34618 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE L7 _I'.I~. /. ~
I ,~ -
ACORD 25-S (7/97) For questions regarding this certificate, contact the number listed in the 'Producer' section above and specify the client code 'HORIN01'. @AeDFff> CORPORATION 1988
RI
S
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING
INSURER A: ZURICH AMERICAN INS CO - O.P. KS
INSURER B: AMERICAN GUARANTEE & L1AB ZURICH
: SENTRY INSURANCE A MUTUAL COMPANY
INSURED
1013472
HDR ENGINEERING, INC.
ATTN: LOUIS J. PACHMAN
8404 INDIAN HILLS DRIVE
OMAHA, NE 68114-4049