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CERTIFICATE OF LIABILITY INSURANCE (496)• ACS ® �— CERTIFICATE OF LIABILITY INSURANCE DAT M /D1) O( 20 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: (A/C.o. Ext): 8662837122 FAX No.): (800) 363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Cardno, Inc. 10004 Park Meadows Drive suite 300 Lone Tree CO 80124 USA INSURER A: Zurich American Ins Co 16535 INSURER B: American Guarantee & Liability Ins Co 26247 INSURER C: Lexington Insurance Company 19437 INSURER D: Ironshore Specialty Insurance Company 25445 INSURER E: INSURER F: CLAIMS -MADE X I OCCUR COVERAGES CERTIFICATE NUMBER: 570076949627 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 NUMBER POLICY EFFPOLICY MM/DD EXP LMMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL0018396104 0/i01 Ob/30/2l EACH OCCURRENCE $1,000,000 CLAIMS -MADE X I OCCUR 7 � E C E! 9v6 /E D DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 Per Project Agg $2M MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 JUL UL 201901 GENERAL AGGREGATE $10,000,000 X POLICY PRO -LOC JECT PRODUCTS - COMP/OPAGG $2,000,000 OTHER: OF ���y-_�/R�jC RE a n A AUTOMOBILE LIABILITY BAP 0183962-1�.4.FICIAL - L GISLATIVE SRVCS jp)52U1� DEPT. 96/30/2020 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY ( Per person) OWNED — SCHEDULED BODILY INJURY (Per accident) AUTOS ONLY_ HIRED AUTOS AUTOS NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) ONLY _ B X UMBRELLA LIAB X OCCUR AUC018392704 06/30/2019 06/30/2020 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $10,000,000 DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC018396004 06/30/2019 06/30/2020 X PER I IOTH- STATUTE ER Y / N ANY PROPRIETOR / PARTNER / EXECUTIVEE.L. I N I N/ A EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (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 D Env Site Liab 002161705 Pollution Liability 06/30/2019 06/30/2020 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 City of Clearwater Attn: City Clerk PO Box 4748 Clearwater FL 33758-4748 USA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Holder Identifier : 158115 570076949627 Certificate No AUTHORIZED REPRESENTATIVE c3Gi'osa ��G.rOJlc clsLtvrvd c lcr�l�aeG ✓sect ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORN® 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: 570076949627 CARRIER See Certificate Number: 570076949627 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 C Archit&Eng Prof PSDEF1900430 Claims Made 06/30/2019 06/30/2020 Aggregate $7,500,000 Each Claim $7,500,000 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. } A ACORLY00 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: 570076949627 CARRIER See Certificate Number: 570076949627 NAC 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 -Assist, 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 Ensight Haynes Whaley, LLC Entrix Inc. dba Cardno Entrix Environmental Resolutions, Inc. ES NY Engineering, P.A. PC. 3.F. New & Associates, Inc. 7FNew TBE Group, Inc. (Adden) TBE Group, Inc. dba: Cardno TBE TBE Group, Inc., Cardno TBE TBE Professional Services, PLLC WRG North Carolina PLLC ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD 2008 ACORD CORPORATION. All rights reserved.