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CERTIFICATE OF LIABILITY INSURANCE (454)Client#: 39357 HWLOC ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DDIYYYY) 4/17/2017 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 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 Construction - Remegi Team Alliant / Mesirow Insurance 353 N Clark Street Chicago, IL 60654 CONTACT Jennie Fronczak HO No, Ext): 312 595 -8242 FAx (A/C, No): 312 595 -6381 E MAIL SS: Jennie.Fronczak@Alliant.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Charter Oak Fire Insurance Comp 25615 INSURED H. W. Lochner, Inc. 225 West Washington 12th Floor Chicago, IL 60606 INSURER B : Travelers Property Casualty Co. 25674 INSURER C : 05/01 /2018 INSURER D $1,000,000 $ 500,000 INSURER E : INSURER F : X COVERAGES CERTIFICATE 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM /DD /YYYY) POLICY EXP (MM/DD /YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY P6308451B87717 r, _ ,`'"`' -'"' , i R 2 P : r t i 05/01/2017 , ^' c`^ 20';', R 05/01 /2018 EACH OCCURRENCE $1,000,000 $ 500,000 CLAIMS -MADE X OCCUR DAMA� E TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1,000,000 GEN'LAGGREGATELIMITAPPLIESPER: I POLICY I X OTHER: PRO- JECT I LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OPAGG $2,000,000 $ B AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS Drive Oth Car X SCHEDULED AUTOS NON OS -OWNED l P8108451B 7 T11,17 �w vV Q5/Q1/2017 ` ` 5/01/2018 COMBINED SINGLE LIMIT (Eaaccdent( $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B x UMBRELLA LIAB EXCESS LIAB i X {I= OCCUR CLAIMS -MADE ZUP10P6385417NF 05/01/2017 05/01/2018 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 DED X RETENTION $10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N / A PJUB8976P38717 05/01/2017 05/01/2018 X STATUTE ERH E.L. EACH ACCIDENT $1,000,000 $1,000,000 E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Lochner Project No. 7830. City of Clearwater Engineer of Record RFQ 16 -12. The fol owing are included as Additional Insureds on the General Liability and Autmobile Policies per written contract: City of Clearwater. CERTIFICATE HOLDER CANCELLATION City of Clearwater City Clerk PO Box 4748 Clearwater, FL 33758 -4748 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2334058/M2333838 JQF