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CERTIFICATE OF LIABILITY INSURANCE (455),® CERTIFICATE OF LIABILITY INSURANCE DAT 0(M2M/2D17�) 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 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 AOn Risk Services Southwest, Inc. Houston TX Office 5555 San Felipe Suite 1500 Houston TX 77056 USA CONTACT NAME: PHONE 8662837122 FAX (800) 363 -0105 (A/C. No. Ext): (NC. No.): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Cardno, Inc. 10004 Park Meadows Drive Suite 300 Lone Tree Co 80124 USA INSURER A: Underwriters At Lloyds London 15792 INSURER B: Lloyd's Syndicate No. 2232 AA1120112 INSURER C: Zurich American Ins Co 16535 INSURER D: American Guarantee & Liability Ins Co 26247 INSURERE: Ironshore Specialty Insurance Company 25445 INSURER F: DAMAGE TO RENTED PREMISES (Ea occurrence) COVERAGES CERTIFICATE "N U M B ER: 570068607 555 REVISION NUMBER: 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUM �„ r..., POLICY EFF � POLICYEXP M. LIMITS C X COMMERCIAL GENERAL LIABILITY GL0618 3 9 6 10 2`'/�U�LJ30/ y General Liability ' y .. -� '3� ua" 1 '-+ \ (t I - ` i. .. �2 .y. 2RJ fi ,': + ,,.;. ^) EACH OCCURRENCE $1,000,000 CLAIMS -MADE I X I OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 X Per Project Agg $2M MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $10,000,000 X PRO POLICY I I JECT LOC PRODUCTS - COMP /OP AGG $2,000,000 OTHER: C AUTOMOBILE LIABILITY Auto 09/3'0 )/201-7 Y_. 06/30/2018 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X X ANY AUTO BODILY INJURY ( Per person) OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -OWNED AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) D X UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE AUC018392702 Umbrella 09/30/2017 06/30/2018 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 DED (RETENTION C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y/ N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? I N I (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/ A wC018396002 WC 09/30/2017 06/30/2018 " PER STATUTE OTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE- POLICY LIMIT $1,000,000 E Env Site Liab 002161703 Pollution 09/30/2017 06/30/2018 Occurrence Aggregate $10,000,000 $10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Clearwater is listed as additional insured with respect to the General, Auto and Excess Liability policies. waiver of subrogation in favor of the additional insured applies to the General, Auto and Excess Liability policies. This insurance is primary and non - contributory over any other insurance maintained by certificate holder. CERTIFICATE HOLDER CANCELLATION City of Clearwater Attn: city Clerk PO Box 4748 Clearwater FL 33758 -4748 USA 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 tXXO�a c�GIO�Sc Vitfitt�Q e./GYl��ifLl7'Jli ✓ 98E1. Holder Identifier : 158115 Certificate No : 570068607555 NMI ACORD 25 (2016/03) ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000051836 LOC #: ADDITIONAL REMARKS SCHEDULE r Page _ of s*' AGENCY Aon Risk Services Southwest, Inc. NAMED INSURED Cardno, Inc. POLICY NUMBER See Certificate Number: 570068607555 CARRIER See certificate Number: 570068607555 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD /YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) LIMITS OTHER A Archit &Eng Prof PSDEF1700430 Arch & Eng. Prof. PRIM SIR applies per policy terms 06/30/2017 & conditions 06/30/2018 Aggregate $7,500,000 Each Claim $7,500,000 SIR $500,000 SIR $500,000 B E&O -PL -XS PSDEF1700431 Arch & Eng. Prof. EX SIR applies per policy terms 06/30/2017 & conditions 06/30/2018 Aggregate $7,500,000 Each claim $7,500,000 SIR $500,000 SIR $500,000 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. AcC'O 0I2 I AGENCY CUSTOMER ID: 570000051836 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Southwest, Inc. NAMED INSURED cardno, Inc. POLICY NUMBER See Certificate Number: 570068607555 CARRIER See Certificate Number: 570068607555 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance EXCESS PROFESSIONAL LIABILITY POLICIES Primary USD $7.5m Policy Number: PSDEF1700430 Lex London on behalf of AIG Europe Ltd Line size: 100% USD $7.5M xs USD $7.5M Policy Number: PSDEF1700431 AWAC Syndicate: 2232 Line size: 33.7% WRB Syndicate: 1967 Line size: 12.6% Brit Syndicate: 2987 Line size: 21.1% Axis Syndicate: 1686 Line size: 12.6% ACT Syndicate: 9555 Line size: 20% ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 4' c IW AGENCY CUSTOMER ID: 570000051836 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ AGENCY Aon Risk Services Southwest, Inc. NAMED INSURED Cardno, Inc. POLICY NUMBER See Certificate Number: 570068607555 CARRIER See Certificate Number: 570068607555 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance CARDNO NAMED INSUREDS Cardno ChemRisk, LLC. Cardno EM- Assit, Inc. Cardno Emerging Markets USA, Ltd. Cardno ENTRIX Cardno ERI Cardno GS, Inc. Cardno Haynes Whaley, Inc. Cardno JFNew Cardno MMA Cardno NC, Inc. Cardno TBE (AZ) Cardno TBE (FL) Cardno TBE; TBE Group, Inc. Cardno TEC, Inc. Cardno USA, Inc. Cardno WRG, Inc. Cardno WRG, Inc. dba WRG Designs Inc. Cardno, Inc (OR) Cardno, Inc. (TX) Cardno, Inc. (FL) Cardno (MI), Inc. Cardno PPI Engineering & Construction, Services LLC., PPI Technology Services,LLC., PPI Quality & Asset Management, LLC., and its Affiliated Companies Entrix Inc. dba Cardno Entrix Environmental Resolutions, Inc. ES NY Engineering, P.A. PC. J.F. New & Associates, Inc. JFNew Marshall Miller & Associates, Inc. TBE Group, Inc. (Adden) TBE Group, Inc. dba: Cardno TBE TBE Group, Inc., Cardno TBE TBE Professional Services, PLLC WRG North Carolina PLLC TBE Group (Canada) ULC is included as a Named Insured as identified in the insurance Policy referenced on this certificate ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD