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CERTIFICATE OF LIABILITY INSURANCE (451)• t#• n.den . IV•90.�UU ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE 30 /2017YYY) 6130/2017 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 USI Insurance Services, LLC, 1715 N. Westshore Blvd. Suite 700 Tampa, FL 33607 CONTACT NAME: PHONE 813 321 -7500 FAX No): 813 321 -7525 (A/C, No, Ext): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Phoenix Insurance Company 25623 INSURED SDI Environmental Services, Inc. 10014 N. Dale Mabry Hwy., Suite 202 Tampa, FL 33618 INSURER B : Travelers Indemnity Company 25658 INSURER C : Travelers Casualty and Surety C 31194 INSURER D: Admiral Insurance Company 24856 INSURER E, Travelers Indemnity Company of 25682 INSURER F : CLAIMS -MADE CERTIFICATE MI MBER• VVYCR/1VCJ . 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDDY/YYYY) I(MMIDDY/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X x 6802J375951 rd fi ,,,,,„,,,r. °� ,,l U L 0 7 �% LO ®i i IC !AL f.�..'�....,,J BA2562L1�r+ c l R `�.`�..PE SR1,0712 LL17�J { v L /0/2017 LT_ +' 1 1 ? ^ "�. �•J AND ....� /2936 06/30/2018 07/29/2017 EACH OCCURRENCE $1,000,000 $1 r000,000 $10,000 DAMAGE TO (RENTED PREMISES R occurrence) CLAIMS -MADE X OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC PRODUCTS - COMP /OPAGG $2,000,000 COMBINED SINGLE LIMIT (Es accident) $1,000,000 E AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON T-OWNED AUOS $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B x UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUP6416Y164 06/30/2017 06/30/2018 EACH OCCURRENCE $1,000,000 $1,000,000 $ AGGREGATE DED X RETENTION $10000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / Ni NI N / A x UB7082Y944 09/01/2016 09/01/2017 X STATUTE ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 $1,000,000 E.L. DISEASE - POLICY LIMIT D Professional Liability FEIECC1738403 09/02/2016 09/02/2017 $1,000,000 $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Professional Liability coverage is written on a claims -made basis. CERTIFICATE 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 (2014/01) 1 of 1 #S20926644/M20926462 © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JMBEW • USI INSURANCE SERVICES CERTIFICATE RETURN MAIL PROCESSING P.O. BOX 5007 NOVATO CA 94948 -5007 CITY OF CLEARWATER ATTN: CITY CLERK PO BOX 4748 CLEARWATER FL 33758 -4748