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CERTIFICATE OF LIABILITY INSURANCE (253) Client#: 1048486 ADVANENG4 ACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 08/30/2017 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 ! CONTACT NAME: USI Insurance Services, LLC, PHONE F 1715 N.Westshore Blvd.Suite 700 E MAIo F"t):813 321-7500 wc,No, ADDRESS: Tampa, FL 33607 _ INSURER(S)AFFORDING COVERAGE �NAIC# INSURERA:Old Dominion Insurance Co 40231 _ INSURED Advanced Engineering&Design, Inc. INSURER B:Travelers Casualty and Surety C 31194 INSURER C:Liberty International Underwrit 19917 3931 68th Avenue North Pinellas Park, FL 33781 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY X BPG2647A 2/16/2017;02/16/201 EACH OCCURRENCE $1_10001000 DAMAGE TO RENTED CLAIMS-MADE IX OCCUR PREMISES Xa occurrence) $500,000 _ MED EXP(Any one person) 1$5,000 _ PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE II$2,000,000 PRO- I—' POLICY._ JECT '._ LOC PRODUCTS-COMP/OPAGG $2,000,000 — OTHER_---- --- �— $ A AUTOMOBILE LIABILITY X �BPG264 A 6/2017; 2/16/2018 EaaccdeDSINGLELIMIT $1,000,000 D ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS ; i AUTOS + ¢° �" '' q�}y BODILY INJURY(Per accident) $ XI HIRED AUTOS X NON-OWNED A PROPERTY DAMAGE AUTOS Per accident $ Ep 3�u i $ UMBRELLA LIAB r y OCCUR i I j re llt EACH OCCURRENCE $ EXCESS LIAB r r P _ CLAIMS-MADE; AGGREGATE Is DED _ RETENTION$ B WORKERS EMPLOYERS' X UB708OY490 9/01/2017 09/01/2018X !STATUS. �OTH-j-- AND EMPLOYERS'LIABILITY IER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $100 000 OFFICER/MEMBER EXCLUDED? ,N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under ---- DESCRIPTION OF OPERATIONS below DISEASE-POLICY LIMIT $500,000 C I Professional AEENYAA9RTDO01 02/15/2010181 $2,000,000 per claim Liability $2,000,000 annl aggr. I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Professional Liability coverage is written on a claims-made basis. The City of Clearwater is listed as an Additional Insured as respects the Commercial General Liability policy where required by a written contract prior to a loss per policy terms and conditions. CERTIFICATE HOLDER CANCELLATION City of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Engineering Dept. ACCORDANCE WITH THE POLICY PROVISIONS. P.O.Box 4748 Clearwater,FL 33758-4748 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S21394154/M21394147 MRLEW