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CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) Page 1 of 203/31/2017 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 NAME: Willis of New York, Inc. PHONEFAX 877-945-7378888-467-2378 c/o 26 Century Blvd.(A/C, NO, EXT):(A/C, NO): E-MAIL P. O. Box 305191 certificates@willis.com ADDRESS: Nashville, TN 37230-5191 INSURER(S)AFFORDING COVERAGENAIC # National Fire Insurance Company of Hartfo 20478-001 INSURER A: INSURED Valley Forge Insurance Company 20508-001 INSURER B: Atkins North America, Inc. QBE Insurance Corporation 39217-001 2001 NW 107th Avenue INSURER C: Miami, FL 33172-2507 American Casualty Company of Reading, Pen 20427-001 INSURER D: Underwriter's at Lloyds 15792-001 INSURER E: INSURER F: COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: 25359749 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. INSRADDLSUBRPOLICY EFFPOLICY EXP TYPE OF INSURANCEPOLICY NUMBERLIMITS LTRINSDWVD(MM/DD/YYYY)(MM/DD/YYYY) AX60459928314/1/20174/1/2018 1,000,000 YY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE$ DAMAGE TO RENTED X 1,000,000 CLAIMS-MADEOCCURPREMISES (Ea occurence)$ X 15,000 Contractual Liability MED EXP (Any one person)$ 1,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PROŒ XX 2,000,000 POLICYLOCPRODUCTS Œ COMP/OP AGG$ JECT OTHER:$ COMBINED SINGLE LIMIT B060459928284/1/20174/1/2018 AUTOMOBILE LIABILITY 2,000,000 (Ea accident)$ X ANY AUTOBODILY INJURY(Per person)$ OWNEDSCHEDULED X BODILY INJURY(Per accident)$ AUTOS ONLYAUTOS NONŒOWNEDPROPERTY DAMAGE XX HIRED $ (Per accident) AUTOS ONLY AUTOS ONLY $ XX CCCU39771844/1/20174/1/2018 1,000,000 Y UMBRELLA LIAB OCCUREACH OCCURRENCE$ 1,000,000 EXCESS LIAB CLAIMS-MADEAGGREGATE$ DEDRETENTION$$ PEROTHŒ D WORKERS COMPENSATION WC 60461966444/1/20174/1/2018X STATUTEER AND EMPLOYERS' LIABILITY Y / N 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. EACH ACCIDENT$ N N / A OFFICER/MEMBER EXCLUDED? 1,000,000 E.L. DISEASE Œ EA EMPLOYEE$ (Mandatory in NH) If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS belowE.L. DISEASE Œ POLICY LIMIT$ EB080111209P174/1/20174/1/2018 Professional$1,000,000Each Claim & Liability-Claims Made$1,000,000Annual Aggregate 11/11/1961Retrodate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: City of Clearwater. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Clearwater Engineer of Record AUTHORIZED REPRESENTATIVE 100 S. Myrtle Avenue Engineering - Suite 220 Clearwater, FL 33756 Coll:5055470 Tpl:2135773 Cert:25359749 ‰ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD 33004588 AGENCY CUSTOMER ID: LOC#: ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCYNAMED INSURED Atkins North America, Inc. Willis of New York, Inc.2001 NW 107th Avenue Miami, FL 33172-2507 POLICY NUMBER See First Page CARRIERNAIC CODE See First PageSee First Page EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, 25CERTIFICATE OF LIABILITY INSURANCE FORM NUMBER:FORM TITLE: National Fire Insurance Company of Hartford AM Best Rating: A XIV Valley Forge Insurance Company AM Best Rating: A XIV QBE Insurance Corporation Best Rating: A XIV American Casualty Company of Reading Pennsylvania AM Best Rating: A XV Underwriter's at Lloyd's AM Best Rating: A XV Professional Liability policy is written on claims-made basis. Coverage for Contractual Liability is provided under the Auto Liability policy. City of Clearwater is included as an Additional Insured as respects to General Liability, Auto Liability and Umbrella Liability. General Liability and Auto Liability policy shall be Primary and Non-Contributory with any other insurance in force for or which may be purchased by Additional Insured. Waiver of Subrogation applies in favor of City of Clearwater with respects to General Liability, Auto Liability and Worker's Compensation, as permitted by law. Coll:5055470 Tpl:2135773 Cert:25359749 ACORD 101 (2008/01)‰ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 6045992831 CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED € OWNERS, LESSEES OR CONTRACTORS € SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of AdditionalInsured Person(s) Or Organization(s}: Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION WITH WHOM VARIOUS AS REQUIRED PER WRITTEN YOU HAVE AGREED, THROUGH WRITTEN CONTRACT. CONTRACT, AGREEMENT OR PERMIT, EXECUTED PRIOR TO THE LOSS, TO PROVIDE ADDITIONAL INSURED COVERAGE. Information required to complete this Schedule, not shown above, will be shown in the Declarations. if A. Section II € Who Is An Insured is amended to This insurance does not apply to "bodily injury" or include as an additional insured the person(s) or "property damage" occurring after: organization(s) shown in the Schedule, but only 1. All work, including materials, parts or with respect to liability for "bodily injury", "property equipment furnished in connection with such damage" or "personal and advertising injury" work, on the project (other than service, caused, in whole or in part, by: maintenance or repairs) to be performed by or 1. Your acts or omissions; or on behalf of the additional insured(s) at the location of the covered operations has been 2. The acts or omissions of those acting on your completed; or behalf; 2. That portion of "your work" out of which the in the performance of your ongoing operations for injury or damage arises has been put to its the additional insured(s) at the location(s) intended use by any person or organization designated above. other than another contractor or subcontractor B. With respect to the insurance afforded to these engaged in performing operations for a additional insureds, the following additional principal as a part of the same project. exclusions apply: CG 20 10 07 04 Page 1 of 1 Copyright, ISO Properties, Inc., 2004 COMMERCIAL GENERAL POLICY NUMBER: 6045992831 LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED € OWNERS, LESSEES OR CONTRACTORS € COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of AdditionalInsured Person(s) Or Organization(s}: Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION WITH WHOM VARIOUS AS REQUIRED PER WRITTEN YOU HAVE AGREED, THROUGH WRITTEN CONTRACT. CONTRACT, AGREEMENT OR PERMIT, EXECUTED PRIOR TO THE LOSS, TO PROVIDE ADDITIONAL INSURED COVERAGE. Information required to complete this Schedule, not shown above, will be shown in the Declarations. if Section II € Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the -completed schedule of this endorsement performed for that additional insured and included in the "products operations hazard". Copyright, Insurance Services Office, Inc., 2004 CG 20 37 07 04 Page 1 of 1 COMMERCIAL AUTO POLICY NUMBER: 6045992828 CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Atkins US Holdings, Inc., Atkins North America, Inc., Faithful & Gould Named Insured: Endorsement Effective Date: April 1, 2017 SCHEDULE Name Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE AGREED, THROUGH WRITTEN CONTRACT, AGREEMENT OR PERMIT, EXECUTED PRIOR TO THE LOSS, TO PROVIDE PRIMARY ADDITIONAL INSURED COVERAGE. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is Autos Liability Coverage in the Business Auto and D.2. an "insured" for Covered Autos Liability Coverage, but Motor Carrier Coverage Forms andParagraph of I only to the extent that person or organization qualifies Section  Covered Autos Coverages of the Auto as an "insured" under the Who Is An Insured provision Dealers Coverage Form. A.1. II contained in Paragraphof Section  Covered CA 20 48 10 13 Page 1 of 1 Copyright, Insurance Services Office, Inc., 2011 Waiver of Transfer of Rights of Recovery Against Others to the Insurer Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization with whom you have agreed in writing to waive any right of recovery prior to a loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. It is understood and agreed that the condition entitled Transfer Of Rights Of Recovery Against Others To The is amended by the addition of the following: Insurer Solely with respect to the person or organization shown in the Schedule above, the Insurer waives any right of recovery the Insurer may have against such person or organization because of payments the Insurer makes for injury or damage arising out of the ongoing operations or done under a contract with that Named Insureds your work -completed operations hazard person or organization and included in the . products All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. -15) Policy No: 6045992831 CNA75008XX (1 Page 1 of 1 Endorsement No: Effective Date: April 1, 2017 Insured Name: Atkins US Holdings, Inc., Atkins North America, Inc., Faithful & Gould Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. COMMERCIAL AUTO POLICY NUMBER: 6045992828 CA 04 44 03 10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Atkins US Holdings, Inc. Atkins North America, Inc., Faithful & Gould Endorsement Effective Date: April 1, 2017 SCHEDULE Name(s) Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE AGREED, THROUGH WRITTEN CONTRACT, AGREEMENT OR PERMIT, EXECUTED PRIOR TO THE LOSS, TO PROVIDE ADDITIONAL INSURED COVERAGE. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Transfer Of Rights Of Recovery Against The Others To Us Condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 03 10 Page 1 of 1 Copyright, Insurance Services Office, Inc., 2009 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 -84) (Ed. 4 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: April 1, 2017 Policy No. WC6046196644 Endorsement No. Insured: Atkins US Holdings, Inc. Atkins North America, Inc., Faithful & Gould Insurance Company: American Casualty Company of Reading, PA WC 00 03 13 (Ed. 4-84) Copyright 1983 National Council on Compensation Insurance. Changes - Notice of Cancellation or Material Restriction Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART EMPLOYEE BENEFITS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART STOP GAP LIABILITY COVERAGE PART TECHNOLOGY ERRORS AND OMISSIONS LIABILITY COVERAGE PART SPECIAL PROTECTIVE AND HIGHWAY LIABILITY POLICY – NEW YORK DEPARTMENT OF TRANSPORTATION SCHEDULE Number of days notice (other than for nonpayment of 90 premium): Number of days notice for nonpayment of premium: 10 Name of person or organization to whom notice will be sent: Address: If no entry appears above, the number of days notice for nonpayment of premium will be 10 days. policy It is understood and agreed that in the event of cancellation or any material restrictions in coverage during the period , the Insurer also agrees to mail prior written notice of cancellation or material restriction to the person or organization listed in the above Schedule. Such notice will be sent prior to such cancellation in the manner prescribed in the above Schedule. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. -15) Policy No: 6045992831 CNA74702XX (1 Page 1 of 1 Endorsement No: Effective Date: April 1, 2017 Insured Name: Atkins US Holdings, Inc., Atkins North America, Inc., Faithful & Gould Copyright CNA All Rights Reserved. CNA72315XX (Ed. 02/13) NOTICE OF CANCELLATION OR MATERIAL CHANGE – DESIGNATED PERSON OR ORGANIZATION BUSINESS AUTO COVERAGE FORM It is understood and agreed that this endorsement amends the as follows: In the event of cancellation or material change that reduces or restricts the insurance provided by this Coverage Form, we agree to send prior notice of cancellation or material change to the person or organization scheduled below at the address scheduled below. This endorsement does not amend our obligation to notify the Named Insured of cancellation as described in the Common Policy Conditions or in another endorsement attached to this policy. SCHEDULE 1.Number of days advance notice: -payment of premium. 10 Days if we cancel for non 90 Days if the policy is cancelled for any other reason, or if coverage is restricted or reduced by endorsement. 2.Person or Organization's Name and Address Name: Attention: Street Address: City, State, ZIP: : e-mail address All other terms and conditions of the Policy remain unchanged. CNA72315XX (02/13) Policy No: 6045992828 Page 1 of 1 Endorsement No: Effective Date: April 1, 2017 Insured Name: Atkins US Holdings, Inc., Atkins North America, Inc., Faithful & Gould Copyright CNA All Rights Reserved. NOTICE OF CANCELLATION OR MATERIAL CHANGE ENDORSEMENT WORKERS COMPENSATION AND EMPLOYERS This endorsement modifies insurance provided under the LIABILITY INSURANCE POLICY: In the event of cancellation or material change that reduces or restricts coverage during the policy period, weagree to send prior written notice in the manner prescribed, to the person or organization listed in the Schedule. SCHEDULE 1. Number of days advance notice : For nonpayment of premium: 10 For any other reason: 90 2. Name and Address of Person or Organization: All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers,takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrentlywithsaidpolicy. -2016)PolicyNo: WC6046196644 FormNo:CNA87380XX(11 Endorsement Effective Date: Policy Effective Date: Endorsement No: April 1, 2017 UnderwritingCompany: American Casualty Company of Reading, PA ˆ Copyright CNA All Rights Reserved.