CERTIFICATE OF LIABILITY INSURANCE (43)
~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDNYYY)
08/20/2007
PRODUCER (651)644-7200 FAX (651)644-9137 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lee F. Murphy, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2515 Wabash Ave. #300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
St. Paul, MN 55114-2000
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A Am Internat'l Specialty Lines In . Co. (BISA:
Ceres Environmental Services, Inc. HAL INSURER B: Commerce and Industry Insurance o. (BISA)
3825 85th Avenue North, Suite n01 INSURER C: Hanover Insurance Company
Brooklyn Park, MN 55443 INSURER D:
INSURER E:
COVFRAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN~ ~~~~ TYPE OF INSURANCE POLICY NUMBER ~ EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL UABILITY PROP 7076886 06/03/2007 06/03/2008 EACH OCCURRENCE $ 2,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000
I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 10,000
A X Incl. Poll/Prof PERSONAL & ADV INJURY $ 2,000,000
X Claim made GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000
m POLICY n j~8Tn LOC
AUTOMOBILE UABILlTY CA 7076888 06/03/2007 06/03/2008 COMBINED SINGLE LIMIT
f-- (Ea accident) $ 1,000,000
X ANY AUTO
f-- HIR D PHYSICAL DAMAGE ACV
ALL OWNED AUTOS RE( ;EIVED BODILY INJURY
f-- )UCTIBLE $1,000/$1,000 (Per person) $
SCHEDULED AUTOS DE
A cy
HIRED AUTOS BODILY INJURY
f-- AUG ~ 3 2007 (Per accident) $
X NON-OWNED AUTOS
-
- PROPERTY DAMAGE $
OFFICIAL A....... (Per accident)
LEGISLATIVE \On..
GARAGE LIABILITY SRVCS DEPT AUTO ONLY - EA ACCIDENT $
=1 ANY AUTO OTHER TliAN EA ACC $
AUTO ONLY: AGG $
EXCESSlUMBRELLA LIABILITY PROU 7076887 06/03/2007 06/03/2008 EACH OCCURRENCE $ 10,000,000
KI OCCUR D CLAIMS MADE AGGREGATE $ 10,000,000
A $
~ DEDUCTIBLE $
X RETENTION $ 10,000 $
WORKERS COMPENSATION AND we 342-36-96 12/08/2006 12/08/2007 I TVJ.~~T~~~ I I OJ.);!-
EMPLOYERS' UABILlTY 1,000,000
A ANY.PROPRIETORlPARTNERlEXECUTIVE E.L EACH ACCIDENT $
OFFlCER1MEMBEREXCLUDED? --- - ----"- - ----- . ----- -- n-:-nISt:ASl:-EAEMPI:OVEE - l;OOO;OO<<l
$
If yes, desaibeunder E.L DISEASE - POLICY LIMIT $ 1,000,000
SPECIAL PROVISIONS below
~~\~actors Scheduled IHX 8406400-01 08/18/2007 08/18/2008 $7,245,248. Limit
B quipment Coverage L :ASED/RENTED EQUIPMENT Deductible $10,000.
LIM IT $500,000/DED $1,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
ity of Clearwater Florida is listed as Additional Insured under the General Liability Policy
~ith regard to: RFP #37-07, Disaster Debris Removal and Disposal Services.
City of Clearwater, Florida
Attn: City Clerk
P.o. Box 4748
Clearwater, FL 33758-4748
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Rodne
G~~UJJtcJ~rdc-
ACORD 25 (2001/08)
@ACORD CORPORATION 1988
-
ACDBQM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY)
12/10/2007
PRODUCER (651)644-7200 FAX (651)644-9137 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lee F. Murphy, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
2515 Wabash Ave. #300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
St. Paul, MN 55114-2000
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Am Internat'l Specialty Lines In . Co. (BISA:
Ceres Environmental Services, Inc. ETAL INSURER B: Commerce and Industry Insurance I o. (BISA)
3825 85th Avenue North, Suite #101 INSURER C: Hanover Insurance Company
Brooklyn Park, MN 55443 INSURER D:
INSURER E:
CnVERAGE~
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I!'I~ ~~~~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY PROP 7076886 06/03/2007 06/03/2008 EACH OCCURRENCE $ 2,000,000
"X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000
I CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ 10,000
A X Incl. Poll-Occur PERSONAL & ADV INJURY $ 2,000,000
-- X Prof. Cl aims -- ~acre' ~O DATE IS 4-15-1999 GENERAl AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000
!xl POLICY n ~:8;: n LOC
AUTOMOBILE LIABILITY CA 7076888 06/03/2007 06/03/2008 COMBINED SINGLE LIMIT
I-- $
X ANY AUTO ~ ...- ,.. ~ ,~:,., (Ea accident) I,OOO,OOC
I-- h.-l - r VI /
AlL OWNED AUTOS BODILY INJURY
- D PHYSICAL DAMAGE ACV (Per person) $
SCHEDULED AUTOS HIR
B - :,~i' 1 .: 2Um
-.!.. HIRED AUTOS DE UCTIBLE $1,000/$1,000
:... ._v ,- BODILY INJURY $
X NON-OWNED AUTOS (Per accident)
- ~:" ~.r""~r:-- ," t, 1"'.~.
~-,C r. PROPERTY DAMAGE
~ '''....'''-' $
"r,'.""'" ,>;' -,v ,)'~r-1 (Per accident)
.-
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=1 ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESSlUMBRELLA LIABILITY PROU 7076887 06/03/2007 06/03/2008 EACH OCCURRENCE $ 10,OOO,OOC
]J OCCUR D CLAIMS MADE AGGREGATE $ 10,OOO,OO(]
A $
~ DEDUCTIBLE $
X RETENTION $ 10,000 $
WORKERS COMPENSATION AND we 342-65-16 12/08/2007 12/08/2008 X I T~~.5T~W~ I 10JbI-
EMPLOYERS' LIABILITY 1,000,000
B ANY PROPRIETORlPARTNERlEXECUTIVE E.L EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $ 1.000,000
.- ". ibe u..-..... '-' --_.----- -. - __n_ ___._ ___ __._ _ ____ -.-. ----- '-.- - -.--.--
SPECIAl PROVISIONS below E.L DISEASE - POLICY LIMIT $ I,OOO,OO(]
_OTHER RHX 8406400-01 08/18/2007 08/18/2008 $7,245,164. Li mi t
C ~ontractors Scheduled L :ASED/RENTED EQUIPMENT Deductible $10,000.
quipment Coverage
LIM IT $500,OOO/OED $1,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
ity of Clearwater Florida is listed as Additional Insured under the General Liability Policy
r./ith regard to: RFP #37-07, Disaster Debris Removal and Disposal Services.
City of Clearwater, Florida
Attn: City Clerk
P.O. Box 4748
Clearwater, FL 33758-4748
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Rodne
at)~IUJtO~rdc-
ACORD 25 (2001/08)
@ACORD CORPORATION 1988