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CERTIFICATE OF LIABILITY INSURANCE (445)HWLOCHN -01 BOLDEN ,-'�."' CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 4/27/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. HOLDER. THIS BY THE POLICIES AUTHORIZED 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 Willis of Illinois, Inc. do 26 Century Blvd P.O. Box 305191 Nashville, TN 37230 -5191 CONTACT Willis Towers Watson Certificate Center NAME: PHONE FAX (AC, No, Exty (877) 945 -7378 (A/C, No):(888) 467 -2378 ADDRE -MAIL SS: certifcates @willis.com E INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Lexington Insurance Company 19437 INSURED H.W. Lochner, Inc. 225 West Washington, Suite 1200 Chicago, IL 60606 INSURER B : INSURER C : INSURER D : OCCUR INSURER E : $ INSURER F : • - - "'° '—'"� ^" " "' "`• KCVIJIUIV PIUMt3tK: 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL ■ s SUBR it . POLICY NUMBER POLICY EFF 1/ / AA 6 ero , (i ae .4 POLICY EXP , „ I It AA LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence MED EXP An one .erson PERSONAL & ADV INJURY GENERAL AGGREGATE $ $ $ $ GEN'L AGGREGATE POLICY LIMIT APPLIES PER JECT r LOC PRODUCTS - COMP /OP AGG $ OTHER: $ AUTOMOBILE ■OWNED ■ LIABILITY ANY AUTO L -. -- ' "" COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS W NON -ONED AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB ■ OCCUR CLAIMS -MADE EACH OCCURRENCE $ ■ EXCESS LIAB AGGREGATE DED RETENT ON $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER STATUTE OTH- ER Y/N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYE $ E DISEASE - POLICY LIMIT $ A Professional Liab 044177432 05/01/2017 05/01/2018 Per Claim /Aggregate: 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Master 7830; City of Clearwater Engineer of Record RFQ 16 -12 E HOLDER CANCELLATION City of Clearwater Attn: 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD