CERTIFICATE OF LIABILITY INSURANCE (53)
PRODUCER LOCKTON COMPANIES, LLC-1 KANSAS CITY
444 W. 47th Street, Suite 900
Kansas City Mo 64112-1906
(816) 960-9000
ACORD.. CERTIFICATE OF LIABILITY INSURANCE 06/01/2008 D~;~~~7;~';)
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
VE AF P L
INSURED
1013472
HDR ENGINEERING, INC.
8404 INDIAN HILLS DRIVE
OMAHA NE 68114-4049
INSURERS AFFORDING COVERAGE
COVERAGES DEDRESFNT4TIVE OR AND THE ~ERTIFI~ATF 1-101 DFA.
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~f: I POLlC~. EFFECT1'f.E PJ>~~~1=J~fvWN
TYPE OF INSUIlANCE POLlCY NUMBER DATE MMlCDlYV: LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000
-
A X COMMERCIAL GENERAL LIABILITY GL03504583 06/0112007 06/0112008 FIRE DAMAGE IAnv one lire} $ I 000 000
I CLAIMS MADE [K] OCCUR MED EXP (Anv one cerson) $ 10000
X Contractual Liab. PERSONAL & ADV INJURY $ 1 000 000
GENERAL AGGREGATE $ 2 000 000
~'L AGGRE~ LIMIT AP~ IPER: PRODUCTS - COMP/OP AGG $ 2 000 000
POLICY X ~~8T X LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $ 2,000,000
B K- ANY AUTO BAP3504584 06/0112007 06/0112008 (Ea accident)
- ALL OWNED AUTOS ~ECE'VEI D BODILY INJURY
$ XXXXXXX
SCHEDULED AUTOS (Per person)
-
~ HIRED AUTOS I" . BODILY INJURY
1 ,~ 2007 $ XXXXXXX
~ NON-OWNED AUTOS ,:: J (Per accident)
OFFIC AL REl:c 101"\<' PROPERTY DAMAGE $ XXXXXXX
(Per accident)
GARAGE LIABILITY '. riVE SRVCS 01 '...., XXXXXXX
~ ANY AUTO PT AUTO ONLY - EA ACCIDENT $
NOT APPLICABLE .. OTHER THAN EA ACC $ XXXXXXX
AUTO ONLY: AGG $ XXXXXXX
EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000
B ~ OCCUR 0 CLAIMS MADE AUC3808400 06/01/2007 06/0112008 AGGREGATE $ 1.000,000
R [i] UMBRELLA (EXCLUDES PROF. LIAB) $ XXXXXXX
DEDUCTIBLE FORM S XXXXXXX
RETENTION $ $ XXXXXXX
C WORKERS COMPENSATION AND 90-14910-01 06/01/2007 06/0112008 X WCSTATU- 1 InH-
C EMPLOYERS' LIABILITY 90-14910-02 06/0112007 06/0112008 1,000,000
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $ 1 000 000
E.L. DISEASE - POLICY LIMIT S I 000 000
A OTHER EOC9260026-00 06/01/2007 06/01/2008 PER CLAIM: $) ,000,000. AGG: $1,000,000.
ARCHS & ENGS PROFESSIONAL
UABIUTY
DESCRIPTION OF OPERATIONSlLOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: 2006 ENGINEER OF RECORD (EOR) CITY OF CLEARWATER. THE CITY OF CLEARWATER IS NAMED AS AN ADDITIONAL INSURED
AS RESPECTS TO GENERAL, AUTOMOBILE & EXCESS LIABILITY, AS PER WRITIEN CONTRACT. WAIVER OF SUBROGATION APPLIES.
-;::;' n;; ([U ~ ~ \\fl ~ ~
I I ~~ ~-u CANCFLLATION
CERTIFICATE HOLDER 1Il IN!':[IRI'D' INSURER LETTER: IM5509UM69861
2631441 ... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF CLEARWATER ii J ~1 1 : ,.-,,' ..::.- DATE THEREOF, THE ISSUING INSURER WILL i~19E^"OR TO MAIL ~ DAYS WRITTEN
ATTN: GLEN BAHNICK, JR v~. i'i '.
100 S MYRTLE AVE #220 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT,BUT FAILURE TO gO SO SH^LL
CLEARWATER, FL 33758 IMPOSi NO OIlLIC^TlON OR LIABILITY OF ^NY KINg UPON THE I~ISURER. ITS PCENTS OR
CITY OF CLEARWATER REPRiSIiNTATI"ES
ENGINEERING DEPARTMENT AUTHORIZED REPRESENTATIVE /::7 -Ll4 .L.-~.
I ,~ - -
ACORD 25-5 (7/97) For questions regarding this certincate, contact the number listed in the 'Producer' seclion above and specify the client code 'HDRtN01'. @Ae'"OF:lfl CORPORATION 1988
HDRINOl
SA
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING