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CERTIFICATE OF LIABILITY INSURANCE - RFQ 34-15 A�® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 6/1/2018 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 certs@fenner-esler.com NAME: Fenner & Esler AHC NNo Ex (2 01)262-1200 FAX No:(201)262-7810 467 Kinderkamack Road E-MAIL ADDRESS: P. 0. BOX 6 0 INSURERS AFFORDING COVERAGE NAIC# Oradell NJ 07649-0060 INSURERA:Charter Oak Fire Insurance Co. 25615 INSURED Biller Reinhart Engineering Group, Inc. INSURERB:The Travelers Indemnity Co. 25658 Biller Reinhart Structural Group, Inc. INSURERC:Admiral Insurance. Company 24856 3434 COLWELL AVENUE INSURERD: SUITE 100 INSURER E: Tampa FL 33 614 INSURER F: COVERAGES CERTIFICATE NUMBER:Master 18-19 PL 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. INTRR TYPE OF INSURANCE INSD SUER POLICY NUMBER MMIDDNYYY MM/DDYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO NTED A CLAIMS-MADE F OCCUR PREMISES(Ea occurrence) $ 1,000,000 X 680-7x522856-18-47 3/1/2018 3/1/2019 MED EXP(Any one person) $ 10,000 PERSONAL BADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X JPROECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 POLICY EC OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 11000,000 Ea accident A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 680-7H522856-18-47 3/1/2018 3/1/2019 BODILY INJURY(Per accident) $ AUTOS AUTOS $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS f AUTOS Per accident UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 3,000,000 B X EXCESS LIAR CLAIMS-MADE AGGREGATE $ 3,000,000 DED X RETENTION$ 10,000 CIIP-31331364A-18-47 3/1/2018 3/1/2019 $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STATUTE ER ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Professional Liability E0000032627-03 3/1/2018 3/1/2019 Per Claim Limit $1,000,000 Aggregate Limit $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Additional Insured - Certificate Holder as respects general liability where required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering, RFQ#34-15 ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 4748 Clearwater, FL 33758-4748 AUTHORIZED REPRESENTATIVE Timothy Esler/JEAN @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) ® DATE(MM/DD/YYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 05/2212018 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(les)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 CONTACT "Marsh USA,Inc. NAME: PHONE FAX 1166 Avenue of the Americas (AIC, AIC No Ext): AJC. /C No): New York,NY 10036 E-MAIL Attn:Atlanta.Certrequest@marsh.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# 342881-FL-WC-18-19 5061 INSURER A:Illinois National Insurance Company 23817 INSURED DeINSURER B: dsionHR,Inc. 11101 Roosevelt Blvd N INSURER C: St.Petersburg,FL 33716 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-004478238-13 REVISION NUMBER: 1 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE F]OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO F—]JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION WC 020771071 66 0 2018 06/01/2019 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUI N❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Coverage is provided for only those employees leased to but not subcontractors of BillerReinhart Engineering Group,Inc CERTIFICATE HOLDER CANCELLATION City of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Engineering,RFQ#34-15 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O.Box 4748 ACCORDANCE WITH THE POLICY PROVISIONS. Clearwater,FL 33758 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Henry L.Whiting - ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD