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CERTIFICATE OF LIABILITY INSURANCE (508) �"'�'y-�r--•�'��r''' MEADHUII OP ID:MR:.'.: �i��.R.JeI1.✓ DATE(i6 MIDDIYYYY).. - CERTIFICATE OF LIABILITY'' INSURANCE _ 0611412019 € 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(es)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 ri hts tC1 the certificate holder in Ileu of Such endorsement s PRODUCER 608-257-3795 (CONTACT Phil Hausmann,CIC NAME:...- ------ Hausmann-Johnson — lnsurancelnc PHONE 608-257-3735 FAX 608-257-4324 700 Regent St.,PO Box 259408 QVC,No,Ext): .....__._.. - (AIC,.No): Madison,WI 53725-9408 EMAIL Phil Hausmann _VDRES3. ..._._....INSURERS1,AFFORDING COVE_RAGE...__...._._.__..._, INSURER A Travelers Casualty&Surety 19038 ; INSURED Medd&Hunt,Inc. INSURERB:Cincinnati Insurance Company 10677 MB.H Architecture,Inc. Mead&Hunt Companies,Inc. INSURER c; Mead&Hunt International,Inc INSURER D 2440 Deming Way Middleton,WI 53562-1552 INSURER E INSURER..F: COVERAGES CERTIFICATE NUMBER: 2019 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 INSR _. ADDL SUBR POLICY EFF POLICY ExPi TYPE OF INSURANCE POLICY NUMBER LIMITS ... .INSD,WVIB. -..(MM1001YYYY9+iMMlQ01YYYYj< --- A X I COMMERCIAL GENERAL LIABILITY - _. --. 1,000,000 f EACH OCCURRENCE � CLAMS-MADE X OCCUR P630SC656013TIL18 1280182018 i21Q182019 DAMAGE ro €NTE° 300,000 + X ,PRE.MIES`E.a 4>tictxrrerlS ... MED EXP(Any dr,e ersen) $ 14,000 ... PERSONAL__. - PERSONAL&ADV INJURY $ ---_. 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER j GENERAL AGGREGATEg 2,000,000 X c2,000,000POLICY Jr jLae PRIDUCTS COMPfOP AGG f$ OTHER ....... ......... ....... _ ......... - !$ A NU TOMOBSLE LIABILITY OC MBINED SINGLE LunIT 1,000,000 {Ea accident) X ANY AUTO X 8101L2755751843G 12!0112018 12101!2019 BODILY INJURY LPerp€xson OWNED SCHEDULED AUTOS ONLY 4 AUTOS i 6 DILY INJURY IPer acodent)I$ _. X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY i � ,{Per ace�dont) ...... �$ I A X UMBRELLA LIAB XOCCUR I --_. _._ - 9,000,000'. EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE ;CUPQK3011011843 1210112018 12801t2019 9,000,000 AGGR€GAT€_. __. DELI X REI ENTION S ..01 A.. WORKERS COMPENSATION _- ..... _. PER --- OTH AND EMPLOYERS'LIABILITY X STATUTE ER_— A ANYPROPRI€TORIPARTN€RIEXECUTNE ---N UB8J3173931843VWI 1210112016 128Q412Q19 EL EACH ACCIDENT $, 111,000,000 OFFICERIMEMBER EXCLU5ED? N NIA UBSJ2154321843E-OTH STAT 12101112018 1210182019 r $ 1,000,060 (Mandatery in NH) ..- El DISEASE.,_EA EMPLOYEE If yes describe under 1,600,600 .... DESCRIPTION OF OPERATiONS,belaw .... L._..-. ...._...- ......... ......... .__...... .-.-_. ---_ E DISE.ASE...POLICY LtM1T $ CRIPTION F S 1 TIONS f VEHICLES CORq 1„Additio al Re ks Sehe ma 6e attached if more space is required) holderojeC 1 en requiredn wn 'en conrac �1e cer'i�icae r is listed as additional insured with respect to commercial general liability and commercial auto liability. CERTIFICATE HOLDER CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ci Of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. 1650 North Arcturas Building C Clearwater,FL 33765 AUTHORIZED REPRESENTATIVE I /.,4 ACORD 25(2016103) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A r,. CERTIFICATE OF LIABILITY INSURANCE 06/4/2019 Y' 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 1.-800-527-9049 CONTACT Linda Bomar CO _---_ Holmes Murphy & Assoc - WI NAONE:PHONE FAX..... .......... .. ... .. .. (AIC-11,1q, J. 309-282-39(73 IA ,_ QI 866-503.-3945 E-MAIL lbomarito@holmesmu h c..Om 10 E. Doty Street,. Suite 800 ADDRESS: �' y- INSURER(S)..AFFORDING COVERAGE .... NAIL# .. Madison, Sit 53793 INSURER A: XL SPECIALTY INS CO --. ... 37865 ..,., .,. --- --- _. ..-- ............--.. w .. ..... INSURED INSURER B Mead & Hunt., Inc. .._., __. .... M & H Architecture, Inc. INSURER C.: 2990 Deming Way INSURERD: INSURER E: Middleton, STI 53562 INSURERF: COVERAGES CERTIFICATE NUMBER: 56490802 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, iNSR I ,, ,.., AODLSU R - - - pMLICY EFF,. POLICY EXP LTR( TYPE OF INSURANCE I mwi POLICY NUMBER MM1DD/YYYY MIM/DDPYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE -, CLAIMS-MADE OCCUR DAMAGE-r LINTE�7 -_ ..._... , _-. ( PREMISES{Ea occurramcel --- I .... .... .... ME.,D EXP(Any one prrso�I I'llI S __ .... PERSONA 4.&A01V IN S I � I _ I _ I GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE ( POLICY PRO E v ( LOC _ I PRODUCTS CONIP,OPAGG 1 S .,.�, OTHER: AUTOMOBILE LIABILITYL.OMBINED SINGE LIMIT ( .. tE� {Pwr I ANY AUTO BODILY INJURY T _.......� pt•«rcarr} _ t OWNED SCHEDULED AUTOS ONLY AUI OS BODILY INJURY(Per accident} $ .... -.. _... i � _ HIRED ..� NON OWNED PROPERTY DAMAGE � $ I AUTOS ONLY . AUTOS ONLY ( ,-_[Per accident} _... I i I 13 UMBRELLA LIAR OCCUR EACH OCCURRENCE ...EXCESS LIAB 1_ CLAIMS-MADE; ,... AGGREGATE. _ $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITYY t N _ I STATUTE ER. ANYPROPRIETORIPARTNERtEXECUTIVE 1 E L-EACH ACCIDENT I $ OFFNIAIC:ERlMEM6EREXCL.U9ED7 .- _.. ... (Mandatary in NHI E L DISEASE-EA EMPLOYEE If yes,describe under r ... ._.. ...... DESCRIPTION OF OPERA71ON5 below E.L.DISEASE-POLICY LIMIT $ A Professional Liability DPR9931217 10125/18 10125/19 Each Claim 5,400,000 (Claims Made) Aggregate 10,000,000 ' I DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLE'S (ACORD f 3f,Additional Remarks Schedule,may be attached if more space is required) Pollution Liability Included RE: RFQ #26-19 CERTIFICATE HOLDER CANCELLATION i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ..1650 North Arcturas AUTHORIZED REPRESENTATIVE Building C Clearwater, FL 33765 USA 198E-2015 ACORN CORPORATION. All rights reserved. ACORN 25(2018103) The ACORD dame and logo are registered marks of ACORD MHzulauf 56490802