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CERTIFICATE OF LIABILITY INSURANCE (448)AC"Ror CERTIFICATE OF LIABILITY INSURANCE DATE (I DY YY' 5r3I/'L71E3 T MMI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOE'S NOT AFFIRMATIVELY OR NEGATIVE=LY 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(Ees) 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 LDCI(tOEI Companies 444 W, 47th Street, Suite 900 Kansas Clt MO 64112 -1906 (816) 966 -9099 CONT CT NAME. O, PHONE Ext : AIC No E -MAIL ADDRESS: E AFFORDING COVERAGE NAIC # rX INSURER A: 1-1artlord Fire InSUranceCompany 19682 N, INSURED BROWN AND CALDWELL INSURER 13: 11artford Accident and IndQmnity Cont an 22357 105121? AND ITS WHOLLY OWNED SUBSIDIARIES AND AFFILIATES 201 NORTH CIVIC DRIVE, SUITE 115 INSURER C: Lloyds of4London INSURER D: Twin C'itjr fire Insurance C:otx n 9459 SURER E: WALNUT CREEK CA 94596 �INSIJRER F: DAMAG S O RENTED a PRE M COVERAGES* CERTIFICATE NUMBER: 13557925 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIE =S 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 TIdE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .TYPE iINSR..... LTR OF INSURANCE ADDL INS© SUBR WVD POLICY NUMBER POLICY EFF MMI IY POLICY EXP LIMITS A rX COMMERCIAL GENERAL LIABILITY N, 37C,5E -;';31 2(11.7 5131/20tg EACH OCCURRENCE s 2,000 (1 0 CiAIhS -MADE . fL DAMAG S O RENTED a PRE M 1000,000 MED EXP (Any one person) 1 O ( O r PERSONAL & ADV INJURY $ ? Ci00 1000 GEN 'LAGGRE' GAT PRIMI "rAPPL.IE"SPER- POLICY❑ J'.E T 7 LOCr fli I � �l � GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMPFOP AGG s 4,000,000 OTHER; tT r` $ A AUTOMOBILE LIABILITY Y 'N :37C r I I 1_71t,j E � Lng1 53 1.C2019 COMBINED SINGLE LIMIT $ 2 000 000 ANY AUTO AUTO 'L afi -r° BODILY INJURY (Per Person) S XXXXXXX AC�1"�I OS ONI..Y �LITa�ULED Jx BODILY INJURY � (Far accident' S XXXXXXX AUTOS ONI..Y AUOTC7SWON Y P��accidentDAMAGE S XxXXXX.X sxxxxxxx I UMBRELLA LIAR OCCUR EACH OCCURRENCE $ XXkxXXX EXCESS LIAR CLAIMS -MADE N APPLICABLE AGGREGATE $ XXXXXXX DIED I I RETENTIDN $ $ F3 L1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY C EOPRILTURtPAkIUDF ExECIJFi +tE N OFFICER MEMBER EXCI JC1ErJ? (Mandatory I n rd Fl) (Ives. describe cheer QESCRbPTION OP OPERATIO14S Pwlow N f A TY I7W4 i fC11 I' 7(1 37L�,13RQU1171 a/3112C }17 5/31!2017 5/3 I' "�(1 i E( 5312T118 PER 01'1.1 - S'T'ATUTE ER E.I... EACH ACCIL1ENl' $ '?,()()C),[i tlti E L G`ISEAS E. EA EMPLOYEE . ' 2,000,000 E:. L. r51 S EASE - °O;.I GY 1.J M IT 2,000.000 C PROEI�'10NA 1, 1 1 1.}319.8 15' � � I'AL)SA1700482 5/31/2017 S3U2018 S1.000.000 PER C`L AIM & AGGREGATE. DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule„ may be attached if more space is required).... RF. RE'(� +i31 1 P:�;("a1NL.E:R Cal RECORD B(.' SII7 711..56, (IIY OF C L ARWW'.M1TI R IS ADDITIONAL INSLIRFD ON A PR1MAR'Y' AND NON- C:ONTRI1301ORY BASIS _N GE ERAI LIrABIL.I1'Y AND At 70 LIAL3[LIT'Y C:C)WE31t.R(.iL, WS1,CC`RLw. REe:(1T:IRk 13 1i3Y 1W'RI1T1'? L'CDI TEtriC'T rANIJ L:13JL.f_ 1 I'(:) T'E'[G TER4tS AND CONDITIONS OF THE POLICY. Itll:'E'Ro 6A'T -E 4I 1'1947 AI'E'lAf.,;.5 IO I RC,)FE:SSIONAI., I.IABILI7Y. THIRTY DAYS NOTIC.'L C)F CANC.E'1.1...ATION BY THE INSI.I,R R WW 11.1 BE PROVIDED 1 O �T HE, CERTIFICATE HOLDER W]'TI I RESPEC n TO THE G NER,AL. JAT.,;TCI, PROFESSIONAL I I ABILIT Y AND WORKERS COMPENSATION POLICIES. I IV'IY ]CU :1.4dM9 ➢I MILS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 13557925 CLE -23 CITY OF CLEARWATER ATTN: D, SCOTT RICE, PE ENGINEERING, RFO 434.15 PO BOX 4748 CLEARWATER FL 33758.4748 ACCORD 25 (2016/03) (0 1 teT r. 5 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD Named Insured: BROWN AND CALDWELL AND ITS WHOLLY OWNED SUBSIDIARIES Policy Number: 37CSEQUI172 Policy Term: 513112017 to 513112018 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED BY CONTRACT OR AGREEMENT - OPTION 11 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE .............................. . . ......... . . ..... ame of Additional Insured Persons or or Designated Project(s) or Location(s) of Organiza.tion.N..: ................ Covered _p _peralLiq� ................ ALL ALL . . .......................... Information required to coLnp.!9e this Shedule, if not shown above, will be shown in the .. ...t c .............................. A. Section 11 - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule above with whom you agreed in a written contract or written agreement to provide insurance such as is afforded under this policy, but only to the extent that such person or organization is liable for "bodily injury", "property damage" or "personal and advertising injury" caused by: Your acts or omissions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing operations for such additional insured at the project(s) or locatlon(s) designated in the Schedule; b. In connection with your premises owned by or rented to you and shown in the Schedule; or C. In connection with "your work" for the additional insured at the project(s) or location(s) designated In the Schedule and included within the "prod ucts-com p leted operations hazard", but only if: (1) The written contract or agreement requires you to provide such coverage to such additional insured at the project(s) or location(s) designated in the Schedule„ and (2) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products-completed operations hazard". 2. The acts or omissions of the additional insured in connection with their general supervision of your operations at the projects or locations designated in the Schedule. B. The insurance afforded to these additional insureds applies only if the "bodily injury" or "property damage" oCCUM, or th"erso,nal and-advertising-injury'L-offense is committed- 1. During the policy period; and 2. Subsequent to the execution of such written contract or written agreement; and 3. Prior to the expiration of the period of time that the written contract or written agreement requires such insurance be provided to the additional insured. Attachment Code : D465 3 5 8 Certificate ID : 13-557925 C. With respect to the insurance afforded to the additional insureds under this endorsement, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or failure to render any professional architectural, engineering or surveying services by or for you, including: 1. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, - reports, surveys, field orders, change orders, designs or specifications; and 2. Supervisory, inspection, architectural or engineering activities. D. Limits of Insurance With respect to insurance provided to the additional insured shown in the Schedule, Paragraph 8. How Limits of Insurance Apply To Additional Insureds in Section III - Limits of Insurance does not apply. E, Duties Of Additional Insureds In The Event Of Occurrence, Offense, Claim Or Suit The Duties Condition in Section IV - Conditions is replaced by the following and applies to the additional insured shown in the Schedule: 1. Notice Of Occurrence Or Offense The additional insured must see to it that we are notified as soon as practicable of an "'occurrence "" or an offense which may result in a claim. To the extent possible, notice should include: a. How, when and where the "occurrence" or offense took place; b. The names and addresses of any injured persons and witnesses; and C. The nature and location of any injury or damage arising out of the "occurrence" or offense. Notice Of Claim If a claim is made or "suit is brought" against the additional insured, the additional insured must: a. Immediately record the specifics of the claim or "suit" and the date received; and b. Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. Assistance And Cooperation Of The Insured The additional insured must: a. Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the claim or "suit"; lb, Authorize us to obtain records and other information; c. Cooperate with us in the investigation or settlement of the claim or defense against the "suit"; and d. Assist us, upon our request, in the enforcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may also apply. 4, Obligations At The Additional Insureds Own Cost No additional insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent. 5. Additional Insureds Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available to the additional insured, such additional insured must submit such claim or "suit" to the other insurer for defense and indemnity. Attachment Code : D465358 Certificate ID : it ' ) 557925 However, this provision does not apply to the extent that you have agreed in a written contract or written agreement that this insurance is primary and non-contributory with the additional insumyd,s own insurance. 6. Knowledge OfAn Occurrence, Offense, Claim OrSuit Paragraphs 1. and 2. apply to the additional insured only when such "Occurrence", offense, claim or^auit"io known to: a. The additional insured that igmnindividual; b. Any partner, if the additional insured Imapartnership; C. Any manager, dthe additional insured ima limited liability company; d. Any "executive officer" mr insurance manager, if the additional insured |s a corporation-, e. Any trustee, If the additional insured is a trust; or Any elected or appointed official, if the additional insured is a political subdivision or public entity. F. Other Insurance With respect to insurance provided to the additional insured shown in the Schedule, the Other Insurance Condition Section |V- Conditions |s replaced by the following- Primary Insurance a. Primary Insurance When Required By Contract This insurance ia primary if you have agreed lna written contract orwritten agreement that this insurance beprimary. |f other insurance ia also primary wmwill share with all that other insurance by the method described in3.below. b. Primary And Non-Contributory To Other Insurance When Required By Contract |f you have agreed in a written contract or written agreement that this insurance is primary and non-contributory with the additional |neured'm own insurance, this insurance is primary and we will not seek contribution from that other insurance, Paragraphs a. and b.do not apply 10 other insurance to which the additional insured has been added as an additional insured or to other insurance described in paragraph 2. below. 2. Excess Insurance This Insurance is excess over any of the other insurance, whether primary, excess, contingent mron any other basis: a. Your Work That is Fire. Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; b. Premises Rented to You That is fire, lightning or explosion insurance for premises rented to you or temporarily occupied by you with permission uf the owner; C. Tenant Liability Thatieinsuranoepurchasedbyyout000veryour|imbi|kyasatenantfur^pruparty damage" to premises rented to you or temporarily occupied by you with permission of the owner; d. Aircraft, Auto 0rWatercraft |f the loss arises out Vf the maintenance or use cf aircraft, "auhom"or watercraft bothe extent not su�2�! �q Exclusion 9, of Section I - Coveraq� Bodily I pJyry And Property Damage Liability; e. Property Damage To Borrowed Equipment [>r Use C)fElevators |f the loss arises out of "property damage" tmborrowed equipment mrthe use of elevators to the extent not subject tVExclusion j. mf Section |- Coverage A-Bodily Injury Or Property Damage Liability; or When You Are Added As An Additional Insured To Other Insurance Attachment Code :D46535B Cerdficate[O: 13557925 That hs any other insurance available b)you covering liability for damages arising out cf the premises or operations, orproducts and completed operations, for which you have been added aman additional insured by that insurance. When this Insurance is excess, we will have rm duty under Coverages AorBto defend the insured against any "muit'|f any other insurer has a duty {o defend against that "mu|t". |fnoother insurer defends, we will undertake todo so, but we will be entitled to the |nsunmd's rights against all those other insurers, When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: a. The total amount that all such other insurance would pay for the loss in the absence of this insurance; and b. The total of all deductible and self-insured amounts under all that other insurance. We will share the remaining |uss, if any, with any other insurance that |s not described in this Excess Insurance provision and was not bought specifically bo apply |n excess cf the Limits of Insurance shown 1n the Declarations cf this Coverage Part. 3. Method of Sharing If all other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until |i has paid its applicable limit Vf insurance mr none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurers share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Attachment Code :D46S35Q Certificate ID: 13557925 Named Insured: BROWN AND CALDWELL AND ITS WHOLLY OWNED SUBSIDIARIES Carrier: Hartford Fire insurance Company Policy Number: 37CSEQU1173 Policy Term: 5/3112017 to 513112018 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 1-3 a] a] III d [*]'Lq F-11 109aac This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM �-101 [I � _ � Any person or organization whom you are required by contract to name as additional insured is an "insured" for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an "insured" under the WHO IS AN INSURED provision of Section it - LIABILITY COVERAGE. Attachment Code : D465338 Certificate ID : 13557925