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MARSHALL STREET INFLUENT PUMP STATION REPAIR PROJECT - 16-0038-UT - CERTIFICATE OF LIABILITY INSURANCE - 16-0038-UT (INLAND MARINE)►c�o, o� CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) 06/23/2017 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. PRODUCER Aon Risk 5ervices Central, Inc. Chicago IL Office 200 East Randolph Chicago IL 60601 U5A INSURED PCL Construction, Inc. 3810 Northdale Boulevard 5uite 160 Tampa FL 33624 U5A No. Ext): �866) 283-7122 STOMERID#: 570000034016 INSURER(S) AFFORDING COVERAGE INSURERA: XL Insurance America Inc INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: (800) 363-0105 s, � � � NAIC # � � � 24554 � � � 0 �" COVERAGES CERTIFICATE NUMBER: s�oo6�is�oi6 REVISION NUMBER: LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (A[[ach ACORD 101, Addi[ional Remarks Schedule, if more space is required) Re: Marshall St. Influent Pump Station Repair, Project #16-0038-UT, Project location: 1605 Harbor Drive, Clearwater, FL 33755, Project duration: 07/OS/2017 - O1/04/2018. 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS LTR DATE (MM/DD/YYYY) DATE (MM/DD/YYYY) PROPERTY BUILDING CAUSES OFLOSS DEDUCTIBLES PERSONALPROPERTY BASIC BUILDING BUSINESS INCOME BROAD EXTRA EXPENSE CONTENTS SPECIAL RENTAL VALUE BLANKET BUILDING EARTHQUAKE BLANKET PERS PROP WIND FLOOD BLANKET BLDG & PP X INLAND MARINE TYPE OF POLICY X Builders Risk $1,349,525 Builders Risk CAUSES OF LOSS Earth Movement $1,349,525 POLICY NUMBER X q NAMED PERILS U500075798CA17A 07/Ol/2017 07/Ol/2018 Flood $1,349,525 X X Direct Physical Loss X Transit $1,349,525 CRIME TYPE OF POLICY � � 0 � � � n � O O n � � W m � � Z W H Q U LL H � W U � BOILER 8. MACHINERY / � EQUIPMENT BREAKDOWN t= .� �� - � SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) � All terms, conditions, limitations and exclusions in current use will apply as per Master Builder's Risk policy. � � 4-: CERTIFICATE HOLDER City of Clearwater 100 5. Myrtle Ave Clearwater FL 33756 U5A CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEDREPRESENTATIVE � R�R. �� _ �� Den�a i�: �- .-.-. �� y � na — � O 7995-2015 ACORD CORPORATION. All rights reserved. ACORD 24 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000034016 �� LOC #: "4�...�.°- RO ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk services Central, Inc. PCL Construction, Inc. POLICY NUMBER see Certificate Number: 570067187016 CARRIER NAIC CODE see Ce rti fi cate Numbe r: 570067187016 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 24 FORM TITLE: Certificate of Property Insurance INSURER(S� AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER If a policy below does not include limit information, refer to the corresponding policy on the ACORD ADDTTIONAL POLICIES certificate form for policy limits. INSR TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS LTR DATE (MM/DD/YYYI� DATE (MM/DD/YYYY) INLAND MARINE A us00075798ca17a 07/O1/2017 07/O1/2018 ff 5ite 5torage $1,349,525 ACORD 101 (2008/01) O 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACO � `......�. AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE AGENCY NAMEDINSURED Aon Risk services Central, Inc. POLICYNUMBER PCL Construction� II"1C. see Certificate Number: 570067187016 CARRIER NAIC CODE see Certificate Number: 570067187016 EFFECTIVEDATE: ADDITIONAL REMARKS 570000034016 Page _ of _ ACORD 101 (2008/01) O 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD