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CERTIFICATE OF LIABILITY INSURANCE (464)A CORD,. Client#: 1049386 SDIENV CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 9/06/2017 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 INSURED CONTACT NAME: (A/C, N o, E:t): 813 321 -7500 E -MAIL ADDRESS: ( FAX No): 813 321 -7525 INSURER(S) AFFORDING COVERAGE S D I Environmental Services, Inc. 10014 N. Dale Mabry Hwy., Suite 202 Tampa, FL 33618 COVERAGES CERTIFICATE NUMBER: THIS IS TO CE INSURER A: Phoenix Insurance Company INSURER B : Travelers Indemnity Company INSURER C : Travelers Casualty and Surety C NAIC # 25623 25658 31194 INSURER D : Admiral Insurance Company INSURER E: Travelers Indemnity Company of INSURER F : 24856 25682 REVISION NUMBER: INDICATED. CERTIFICATE EXCLUSIONS INSR NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANidttN ISSUED TO INSURED NAMED ABOVE FOR Y CONTRACT OR HOTHER DOCUMENT WITH RESPECT TETO POLICY WHICH ETHIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR INSR SUB SUER POLICY N R.. I , (M D Y EFF ) (MM/ IC POLICY EryYX�P! LIMITS A E X COMMERCIAL GENERAL LIABILITY X . 6802J375951 R " "''° '"'' ' Iii LLLi,iv .(t 06/ 7 `•'"^ �� _�. , 06/30/2018 EACH OCCURRENCE $1,000,000 $1,000,000 $10,000 CLAIMS -MADE X OCCUR PREMISES (Ea RENTED MED EXP (Any one person) PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F _ I PRO- JECT LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OPAGG $2,000,000 $ AUTOMOBILE LIABILITY X X BA2562L144 07/29/20•7 07/29/2018 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ANY AUTO ALL OWNED X SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per person) $ AUTOS X HIRED AUTOS 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 RETENT ON $10000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N N / A UB4J086442 09/01/2017 09/01/2018 X STATUTE ETH ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N E.L. EACH ACCIDENT $1,000,000 (Mandatory in NH) - If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $1,000,000 $1,000,000 E.L. DISEASE - POLICY LIMIT D Pollution -En FEIECC1738404 09/02/2017 09/02/2018 $1,000,000 per claim $2,000,000 aggregate DESCRIPTION OF OPERATIONS / 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. 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 01.6' © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S21436392/M21436119 AKTZP Os! 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