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CERTIFICATE OF LIABILITY INSURANCE (497) DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE I 07/02/2019 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 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 2 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Aon Risk Services Southwest, Inc. PHONE 8662837122 FAX (800) 363-0105 N Houston TX Office (A/C.No.Ext): AIC.No.: .a 5555 San Felipe E-MAIL p suite 1500 ADDRESS: _ Houston TX 77056 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA Zurich American Ins Co 16535 Cardno, Inc. INSURER B: American Guarantee & Liability Ins Co 26247 10004 Park Meadows Drive suite 300 INSURER C: Lexington Insurance Company 19437 Lone Tree co 80124 USA INSURER D: Ironshore specialty Insurance Company 25445 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570077348177 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 POLICY EFF POLICY Ezv LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYW MM/DD/YYW LIMITS A X COMMERCIAL GENERAL LIABILITY GLO EACH OCCURRENCE $1,000,000 CLAIMS-MADE X❑OCCUR PREMISES Ea occurrence) $1,000,000 Per ProjectAgg$2M MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER. GENERAL AGGREGATE $10,000,000 0-0 X POLICY ❑PE F—]LOCPRODUCTS-COMP/OPAGG $2,000,000 I- 0 OTHER: 0 I— ABAP 018396204 06/30/2019 06/30/2020 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY - $1,000,000 Ea accident X ANYAUTO BODILY INJURY(Per person) Z OWNED SCHEDULED BODILY INJURY(Per accident) N AUTOS ONLY AUTOS HIREDAUTOS NON-OWNED PROPERTY DAMAGE R ONLY AUTOS ONLY Per accident w N B X UMBRELLALIAB X OCCUR AUC018392704 06/30/2019 06/30/2020 EACH OCCURRENCE $10,000,000 V EXCESS LAB CLAIMS-MADE AGGREGATE $10,000,000 DED I RETENTION A WORKERS COMPENSATION AND wc018396004 06/30/2019 06/30/2020X PER OTH- EMPLOYERS'LIABILITY Y STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACHACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below I I I E.L.DISEASE-POLICY LIMIT $1,000,000—_ D Env Site Liab 002161705 06/30/2019 06/30/2020 Occurrence $10,000,000— Pollution Liability Aggregate $10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) �! RE: RFQ No. 26-19. City of Clearwater is included as Additional Insured in accordance with the policy provisions of the General Liability, Automobile Liability and Umbrella Liability policies. W CERTIFICATE HOLDER 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. city of Clearwater AUTHORIZED REPRESENTATIVE Engineering Dept. - Ste. 220 PO Box 4748 ( y Clearwater FL 33758-4748 USA elan C � '9.,Zt� J. ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000051836 LOC#: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk services southwest, Inc. cardno, Inc. POLICY NUMBER see certificate Number: 570077348177 CARRIER NAIC CODE See certificate Number: 570077348177 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. POLICY POLICY INSR ADDL SUBR EF LTR TYPE OF INSURANCE INSD WVD POLICYNUMBEEFFECTIVE EXPIRATION LIMITS DATE DATE MM/DD/YYYY MM/DD/YYYY OTHER C Archit&Eng Prof PSDEF1900430 06/30/2019 06/30/2020 Aggregate $7,500,000 claims Made Each claim $7,500,000 ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000051836 LOC#: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk services southwest, Inc. Cardno, Inc. POLICY NUMBER see Certificate Number: 570077348177 CARRIER NAIC CODE See Certificate Number: 570077348177 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. J.F. New & Associates, Inc. JFNew 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) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD