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CERTIFICATE OF LIABILITY INSURANCE - RFQ 34-15 KINGE-2 OP ID:SG ,4`coRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM 121299/2016/2016 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: Sandy Garrick Shea Barclay(Tampa) PHONE 407-321-0991 FAX No;407-321-0993 Mike Shea AIM.EXt 501 E.Kennedy Blvd,#1000 E-MAIL Tampa,FL 33602 ADDRESS:sgarrick @sheabarclay.com Mike Shea INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Security Natl ins.#19879 19879 INSURED King Engineering Assoc., Inc. INSURER B:OneBeacon Professional Ins. Thomas O'Connor 4921 Memorial Highway#300 INSURER C Tampa, FL 33634 INSURER D INSURER E INSURER F: COVERAGES _ CERTIFICATE NUMBER: 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. D POLICY EFF POLICY EXP ILTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ _ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) —...... $ PERSONAL&ADV INJURY j$ GENERAL AGGREGATE j$ . GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED �� SCHEDULED BODILY INJURY(Per accident) $ PROPERTY DAMAGE � HIIREDSAUTOS AUTOS—�' NON-OWNED (PER ACCIDENT) $ _AUTOS $ UMBRELLA LIAB i OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE F AGGREGATE _7�T$ DED I RETENTION$ $ WORKERS COMPENSATION WC SLIM T OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ERA YIN E.L.EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE NIA OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Prof Liability SES1330952 0110112017 01101/2018 Occ $2M 14M B Excess Prof DPX-0033-17 07/2912017 01/0112018 Occ** $1 M* DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) REQ #34-15 CERTIFICATE HOLDER CANCELLATION CLEARW2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Clearwater �'9 ACCORDANCE WITH THE POLICY PROVISIONS. Engineering P.O. BOX 4748 AUTHORIZED REPRESENTATIVE Clearwater, FL 33758 Mike Shea I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD