CERTIFICATE OF LIABILITY INSURANCE (964) ACD"R" CERTIFICATE OF LIABILITY INSURANATE JMMIDDNM)
CE
llh,� 1 615/2019
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 pollcy(les)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
4=T
certs@fenner-ealer.com
Penner & Enlor Agency, Inc PwuoNE (201)262-1200 FAX VJCJNAI, (2011262-79LO
467 Kindorkarnack RoadADDRESS:
P. 0, Box 60 INSURER(S)AFFORDING COVERAGE NAIL 0
Oradell NJ 07649-0060 INSURER A:Travelers Indent Co/Connecticut 25682
INSURED Biller Reinhart Engineering Group, Inc. INsuRERa:The Travelers Inderpni!iyCo. 25658
Biller Reinhart Structural Group, Inc. INSURER C;Admiral Insurance&9weany24856-
3434 COLWELL AVENUE INSURERD:
SUITE 100 INSURER .
,T—pa FL 33614 1 INSURER F:
COVERAGES CERTIFICATE NUMBER:Nasrer 19-20 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.
INSA TYPE OF INSURANCE ADDL SUOR POLICY NUMBER POLICY Eff POLICY FXP LIMITS
LTR Iffso vivo (MMMODWYNY1 _tMMADDAW_Y1_
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000.,0:00.
UAWE T6 RENWO
A CLAIM&MADE I—XI OCCUR PEM FS Nis occurrence e 6 1,000,000
X 3/112019 3/112020 MED EXP(AnX one person) $ 10,000
PERSONAL&ADV INJURY S 2,000,000
GENT AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000
Poucy 0 TECOT- FILOC PRODUCTS-COMPIOP AGG 8 4,000,000
OTHER: 5
AUTOMOBILE LIABILITY EaMDI EDSI GLELIMIT $ 1,000,000
A ANY AUTO BODILY INJURY(Per peracn) S
ALL OWNED SCHEDULED 680-7HS22856-19-47 3/1/2019 3/1/2020 BODILY INJURY(Per accident) S
AUTOS AUTOS
HIRED AVTOS NON-OWNED PROPERTY DAMAGE $
rX �AUTOS Per.aocldelg) .. -- $
UMBRELLA DAB X OCCUR EACH OCCURRENCE _S3 000 000
B x I EXCESS LIAR CLAM&MADE AGGREGATE S 3,000,000
IDED X I RETENTION S 10.000 CUP-31II31364A-19-47 3/1/2019 3/1/2020 $
WORKERS COMPENSATIONPE OTH
AND EMPLOYERS'LIABILITY YIN STAHJIE E.
ANY PROPRIETORPARTNERIE XEInUTIVE F L EACH ACCIDENT S
OFFICERIMEMBER EXCLUDED? NIA
IMantlatory In NH) F L DISEASE-EA EMPLOYEE $
lirs er
Sd dewAbe and
ID RIPIX)NOFOPFRATIONSItelm E.L.DISEASE-POLICY LIMIT $
C Professional Liability EOOOO,032627-04 3/1/2019 3/1/2020 Per Claim Unlit s1o000,000
I I I ftilmilaut LkrA $110001000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Sclnnfula,may be attachad If more space Is required)
"Additional Insured -City of Clearwater 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
ngineering, €t1* 6-19 ACCORDANCE WITH THE POLICY PROVISIONS.
E
PO Box 4,748 LI d
;UTHORIZED REPRESENTATIVE
Clearwater, FL 33758-474,18
Tlirriothy Esler/KATIIY
1, 19,88-2014 ACORD CORPORATION. Alt rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INS025(20114011)
®ATE(MMP)DNYYY) _
r*a CERTIFICATE OF LIABILITY INSURANCE 166)t15ti 1g
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)mint 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 dries not confer rights to the certificate bolder In lieu of such endorsement(s).
PRODUCERCT
"Marsh USA,Inc. NAME'.-
PHONE IFAX
1166 Avenue of the Americas IAIC.No.Extk
New York,NY 119636 e-MA IL
Attn:Atlanta.Cenrequest(sr�jmarsh.comADD es,,,,,_s,,_ ._
INSURE AFFORDING COVERAGE NAIL d '.
342881-FL•WC-19-20 506121 INSURER A:Illinois National Insurance Company 23617
INSURED ... INSUf ER.8
®arldonHR+Inc.
11101 Roosevelt Blvd N INSURER C;
Sl,Petersburg,FL 33716 INsURER n
INSURER E
INSURER E
COVERAGES CERTIFICATE NUMBER: ATL-004953474-01 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 fS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ITR
TYPE OF INSURANCE. A DOL S'.B. POLICYNUMB R �.._... :MMO1)pYFI(YFtiE'r MM1gQ#YYEi`YY' LIMITS
LTRWVD
COMMERCIAL GENERAL.LIABILITY EA'GHOOCORRENCE $
.m._ CLAIMS-MADE 0 OCCUR. PREMISES EN- ne. $ _®
MED EXP(Anyone pen! $
PERSONAL A ADM INJURY $ '....
GEN't.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE It
POLICY PRO= I LOC
JECT I_l PRODUCTS-COMP/OP AGO $
OTHER: $
AUTOMOBILE LIABILITY CEOMaINs a d9DISi GLE 11 T $
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED r It
NOWOWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LJA& ..CLAIMS-MADE AGGREGATE __. _.. $...
LIED RETENTION$ $
A WORKERS COMPENSATION WC 023540396 1 ::.. X PER OTH-
ANDEMPLOYERS'LIABILIT'Y STATUTE ER__
ANYPROPRIETORIPARTNERIEXECUTIVE Y r N E.L.EACH ACCODENT _ $ 1,0tifl,010
OFFICERIMEMBER EXCLUf?ED7 N NIA
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
91 es,describe under 1,0Q0,fJ00
DESCRIPTION OF OPERATIONS below 'E.L.DISEASE-POLICY LIMIT
DESCRIPTION OF OPERATIONS F LOCATIONS I VEHICLES(ACORD DH,Addlnonal Remarks.Schedule..,may be attached if more space Is raquirad)
Coverage Is provided for only those employees leased to but not subcontractors of BiltatRelnbart Engineering Croup,Inc.
CERTIFICATE HOLDER CANCELLATION
City of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Engineering,RFO#26-lg' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO Box 4748 ACCORDANCE WITH THE POLICY PROVISIONS.
Clearwater,FL 337584748
AUTHORIZED REPRESENTATIVE.
of Marsh USA Inc.
Henry L.Whiting
C 1988-2016 ACORD CORPORATION, All rights reserved.
ACORD 25(2016105) The ACORD name and logo are registered marks of ACORD