Loading...
CERTIFICATE OF LIABILITY INSURANCE (459) DATE(MM/DD/YYYY) 09/27/2017 CERTIFICATE OF LIABILITY INSURANCE 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 w certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT a NAME: Aon Risk Services Southwest, Inc. PHONE 8662837122 FAx (800) 363-0105 d Houston TX Office (A/C.No.Ext): (A/C.No.): 5555 San Felipe E-MAIL p Suite 1500 ADDRESS: _ Houston TX 77056 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Underwriters At Lloyds London 15792 Cardno. Inc. INSURER B: Lloyd's Syndicate No. 2232 AA1120112 10004 Park Meadows Drive suite 300 INSURER C: Zurich American Ins co 16535 Lone Tree CO 80124 USA INSURER D: American Guarantee & Liability Ins Co 26247 INSURER E: Ironshore Specialty Insurance Company 125445 INSURER F: COVERAGES CERTIFICATE NUMBER: 57006860/556 ' REVISIOM 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 TYPE OF INSURANCE AI SD WVD POLICY NUMBER MM/DD M/DDS LIMITS C X COMMERCIAL GENERAL LIABILITY GLO _ EACH OCCURRENCE $1,000,000 General L ` „ ),m,a 'y, DAMAGE TO RENTED CLAIMS-MADE OCCUR �, '� PREMISES occurrence $1,000,000 ' X Per Project Agg$21A MED EXP(Any one person) $5,000 st PERSONAL&ADV INJURY $1,000,000 sr' LO LO GEN'LAGGREGATE LIMITAPPLiES PER }'!, i °” GENERALAGGREGATE $10,000,000 0 X POLICY ❑PECOT- ❑LGC i. s PRODUCTS-COMP.'OP AGG $2,000,000 OTHER: C AUTOMOBILE LIABILITY BAP 0183962 0 g V ov Ci091"IU2_©' 0/2018 COMBINED SINGLE LIMIT $1,000,000 Auto Ea accident „ X ANYAUTO BODILY INJURY(Per person) 0 Z X OWNED SCHEDULED BODILY INJURY(Per accident) y AUTOS ONLY AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE M ONLY AUTOS ONLY Per accident yU—. d D X UMBRELLA LIAB X OCCUR A00018392702 09/30/2017 06/30/2018 EACH OCCURRENCE $10,000,000 U EXCESS LIAB CLAIMS-MADE Umbrella AGGREGATE $10,000,000 DED RETENTION C WORKERS COMPENSATION AND WC018396002 09/30/2017 06/30/2018 X STATUTE EORH EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� WC E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? N NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000_- E Env Site Liab 002161703 09/30/2017 06/30/2018 Occurrence $10,000,000 Pollution Aggregate $10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) ■�- Products/Compeleted Operations and contractual Liability is included under General Lianbility policy. RE: RFQ #34-15. yJ Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability policy. ■=rte General Liability evidenced herein is Primary and Non-contributory to other insurance available to an Additional Insured, but -''-■ only in accordance with the policy°s provisions. Should any of the above described General Liability, Automobile Liability and workers' Compensation policies be cancelled before the expiration date thereof, the policy provisions will govern how notice of cancellation may be delivered to certificate holders in accordance with the policy provisions of each policy. CERTIFICATE HOLDER CANCELLATIONA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE —. POLICY PROVISIONS. City of Clearwater AUTHORIZED REPRESENTATIVE �F Engineering, RFQ #34-15 Po Box 4748 Clearwater FL 33758-4748 USA ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000051836 LOC#: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk services Southwest, Inc. Cardno, Inc. POLICY NUMBER see certificate Number: 570068607556 CARRIER NAIC CODE See certificate Number: 570068607556 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(2008101) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD .4�co CERTIFICATE OF PROPERTY INSURANCE DATE 27/2017 Y) 09/27/2017 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 CONTACT NAME: AOn Risk Services southwest, Inc. PHONE FAX Houston TX office (AC. No.Ext`: (866) 283-7122 (AC. No.): (800) 363-0105 5555 San Felipe E-MAIL suite 1500 ADDRESS: Houston TX 77056 USA PRODUCER 570000051836 CUSTOMER ID#, INSURER(S)AFFORDING COVERAGE NAIC# b INSURED INSURER A: Zurich American Ins Co 16535 L. CdrdnO. Inc. INSURER B: O 380 Park Place Blvd INSURER C: suite 300 INSURER D: Clearwater FL 33759 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570068585686 REVISION NUMBER: LOCATION OF PREMISES DESCRIPTION OF PROPERTY(Attach ACORD 101,Additional Remarks Schedule,if more space is required) RE: RFQ #34-15. 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, CO EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 00 INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS 00 LTR DATE(MM'DDrYYYY) DATE (MM/DD/YYYY) �0 A MLP018 91702 09/30/2017 06/30/2019 O X PROPERTY' BUILDING CD Property CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY BASIC BUILDING BUSINESS INCOME BROAD CONTENTS ., EXTRA EXPENSE m X SPECIAL [yga4t RENTAL VALUE EARTHQUAKE - N BLANKET BUILDING Z ��, ( '¢ BLANKET PERS PROP LU WING FLOOD BLANKET BLDG&PP t LL ine(TIAg X Loss Limit $15,0oo,00o F- Uj INLAND MARINE TYPE OF POLICY CAUSES OF LOSS POLICY NUMBER NAMED PERILS CRIME TYPE OF POLICY BOILER&MACHINERY/ L EQUIPMENT BREAKDOWN :'tom �l rr'a SPECIAL CONDITIONS 1z OTHER COVERAGES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) s - CERTIFICATE HOLDER CANCELLATION .,r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. �+- City of Clearwatery Engineering, RFQ #34-15 PO BOX 4748 .AUTHORIZED REPRESENTA`IVE t� . yid �V'relit Clearwater FL 33758-4748 USA ©1995-2015 ACORD CORPORATION.All rights reserved. ACORD 24(2016/03; The ACORD name and logo are registered marks of ACORD DATE(MM/ /Y DDYYY) qv° CERTIFICATE OF LIABILITY INSURANCE D9I27/2017 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 Cl) BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 0 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. N 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 c� certificate does not confer rights to the certificate hclder in lieu of such endorsement(s). PRODUCER CONTACT 41 NAME: Aon Risk Services Southwest, Inc. PHONE FAX (800) 363-0105 d Houston TX office (A/C.No.Ext): 8662837122 (A/C.No.): .� 5555 San Felipe E-MAIL Suite 1500 ADDRESS: _ Houston TX 77056 USA INSURERS)AFFORDING COVERAGE NAIC# INSURED INSURERA: Underwriters At Lloyds London 15792 Cardno, Inc. INSURER B: Lloyd's Syndicate No. 2232 AA1120112 10004 Park Meadows Drive Suite 300 INSURER C: Zurich American Ins Co 16535 Lone Tree CO 80124 USA INSURER D: American Guarantee & Liability Ins Co 26247 INSURERE: Ironshore Specialty Insurance Company 25445 INSURER F: COVERAGES CERTIFICATE NUMBER: 5(0068607558 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 INSD WVD POLICY NUMBER MM/DD/YYYY MMIDDIYYYY LIMITS C X COMMERCIAL GENERAL LIABILITY GLO EACH OCCURRENCE $1,000,000 CLAIMS-MADE XE OCCUR General Liability DAMAGE TO RENTED -$1,000,000 PREMISES Ea occurrence X Per Project Agg$2M ; ar l`., MED EXP(Any one person) $5,000 � a PERSONAL&ADV INJURY $1,000,000 GEN1 AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $10,000,000 0 X POLICY PRO- LOC f )�' PRODUCTS $2,000,000 c JECT { i6 �. ; tp OTHER: O r C BAP 018:111062-02 /0 6/30/2018 COMBINED SINGLE LIMIT 1O AUTOMOBILE LIABILITY5 $1,000,000 Auto s�lq�'Q'.T`�� �-� Ea accident X ANYAUTO a >v;°�t�T O !, -�.�Ys°� BODILY INJURY(Per person) �,p :gym. z X OWNED SCHEDULED BODILY INJURY(Per accident) w AUTOS ONLY AUTOS HIREDAUTOS NON-OWNED PROPERTY DAMAGE ONLY AUTOS ONLY Per accident) y0—. d D X UMBRELLA LIAB X I OCCUR AUC018392702 09/30/2017 06/30/2018 EACH OCCURRENCE $10,000,000 U EXCESS LIAB CLAIMS-MADE umbrella AGGREGATE $10,000,000 DED RETENTION C WORKERS COMPENSATION AND WC018396002 09/30/2017 06/30/2018 X STATUTE 10TH - ANY LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y WC E.L.EACH ACCIDENT $1,000,000 DED? N OFFICERMEMBER EXCLU NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 —_ E Env Site Liab 002161703 09/30/2017 06/30/2018 Occurrence $10,000,000 Pollution Aggregate $10,000,000 AL DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) city of Clearwater is included as Additional Insured as required by written contract, but limited to the operations of the Insured under said contract, per the applicable endorsement with respect to the General Liability, Auto Liability and umbrella Liability policy. `r da-- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE �J EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE �.lJ POLICY PROVISIONS. city of Clearwater AUTHORIZED REPRESENTATIVE Engineering Dept. - Ste. 220 y PO Box 4748 tXif�l� eyltl ,� r 1, ,.yam �. Clearwater FL 33758-4748 USA cC/� e/S� ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000051836 LOC#: ,a °® ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk services Southwest, Inc. Cardno, Inc. POLICY NUMBER See Certificate Number: 570068607558 CARRIER NAIC CODE See Certificate Number: 570068607558 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