CERTIFICATE OF LIABILITY INSURANCE (515) 0 DATE(MMIDDIYYYYE
ACC)IRL> CERTIFICATE OF LIABILITY INSURANCE
111/2020 2t12t1 6/5/20 1
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)roust 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 - _ CONTACT
L ckton Com�anes
NAME:
444 W.47th Street,Suite 900 PHONIEExtIr
FAX wrrl..,... ._.._..,.. ._
Kansas City MO 64112-1906 EEMAIL(816)960-9000 ADDRESS:-
INSURERS)APEOROING COVERAGE MAIC
INSURER A:LexinglOr[, rt, llFan ®1TII7c lT1v _. _ 19437
INSURED TERRAI"ON CONSULTANTS,INC. INSURERB:Travelers Property Ca, Ity Co of America ...... 2567
1312893 _
5463 9u'WATERS AVE,SUITE 830 INSURER.c:The Travelers Indemnit CL�rn an ..-. i 25658_
TAMPA FL 33634 � _ P .Y__. _
INSURER D
INSURER E. I
INSURERP:
COVERAGES CERTIFICATE NUMBER: 16126659 REVISION NUMBER: xxxxxxx
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCELISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR EITHER 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.
_ _ _._..._...__._. ....._ ..... --—
INS .. TYPE OF INSURANCE ___rAC3C7l SUBR' POLICY NUMBER rPOLICYY EFF POL ICY EXP LIMITS
LTR
X' COMMERCIAL GENERAL LIABILITY Y1 N T("2J=(i1.SA-II'I81-2'93 111/2019 1%I'2020 EACHOCCUFtR,ENCE.. s I Q[I(IOfI
._. _...
DAMAGE TO RENTED $ I..CI�CI,II(1{)
!CLAIMS-MADE ; Xl OCCUR , PFEEMlSE Ela oc.irrr._n_e1
X CONTRACTUAL LIAR ................... MEQ EXP(Any one person) s 25,000
X XCU COVERAGE-_ � .PERSONAL i1.ADV INJURY $ I.
GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2.000.000
PRO
__. POLICY ,I 7 D LOC I PRODUCTS-COMPIOp AGG $ 2,000,000 -
OTHER':
B AUTOMOBILE LIABILITYCOMBINER SINGLE LIM+IT
y N TC29-(`AP-131.1385E 1f1f2l319 1/tlz(? f� {E aco�denty_
$ 2,000,000
X ANY AUTO g !BODILY INJURY(Pet Person) $ YAXV��
OWNED SCHEDULED I � BODILY INJURY 4Pee accidentl $ X.
XXX
AUTOS ONLY AUTOS ( -_, X. .
HIRED NON-OWNED - PROPERTY DAMAGE $ ...
AUTOS ONLY -_— AUTOS ONLY r j 1 ;(Pgr�ccirtf).. _ ........
xxxxxxx
UMBRELLA LIAROCCUR I NOT APPLICABLE EACH OCCURRENCE $ xxxxxxX
_
---L EXCESS LIAR CLAIMS MADE E AGGREGATE ...._.._ .. $.xxxxxxx
DED RETENTIaN$ $ XXX.x -
WORKERS COMPENSATION � � _-- PER , ,OTH -. --
H AND EMPLOYERS'LIABILITY N LJB-21.,11111337-1.9-51-K(AOS) 1/1/2[}19 1'Ir2(?217 X50TH-_.
€ .._._.
C` MANY PROPRIETOR)PARTN +EXECUTIVE Y I N UB 11-55461)71951 R(AL,R�tA,1h l) 1/112019 L`I i2tE2U E.L.EACH ACCOENT $ 1 Q
— ....uy .
`OFF4CERtMEP,RBER EXCL.LlgEll`� ;X1 N t A_ , I E,L,DISEASE-EA EMPLOYEE $ OQQ[ 000
!(Mandatory in NH)
if es,describe under
O SCRIPTION OF OPERATIONS below EL DISEASE.POLICY LIMIT I$ j Q .OMI
A PROFESSIONAL N N I 26430216 R1/20I9 11'2020 S L,D00,000 EACH CLAIM&
LIABILITY i i S 1,000,000 ANN UAL AGGREIGATE'
—
DESCRIPTION Or:OPERATIONS I LOCATIONS I VEHICLES (ACORD 161,Additlonal Remarks Schedule,may be attached IT more space Is required)
EOL:ENGINEERING,Rl Q 112649.CITY OF CLE.ARWATER IS AN ADDITIONAL INSURED AS RESPECTS GENERAL LIABILIJ Y AND AUTO
LIABILri-Y,AND THESE COVERAGES ARE PRIMARY AND NON-CONTRIBUTORY,IF REQUIRED BY WRITTEN CONTRACT
CERTIFICATE HOLDER CANCELLATION See Attachments
16126659
CITY OF CLEARWAT ER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION THEREOF, NI�E WILL BE DELIVERED IN
ENGFNEERING,RFC x26-19 ACORAWITH POPPVISIO
P.OBOX 4748
CLEAR'1 ATER FL 33758-4748
AUTHORIZED REPRESENTATI
1988 015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: TC2J-GLSA-1 1181-293 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - AUTOMATIC STATUS
IF REQUIRED BY WRITTEN CONTRACT
(CONTRACTORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
I. The following is added to SECTION 11 -WHO IS AN INSURED:
Any person or organization that:
a. You agree in a "written contract requiring insurance" to include as an additional insured
on this Coverage Part; and
b. Has not been added as an additional insured for the same project by attachment of an
endorsement under this Coverage Part which includes such person or organization in
the endorsement's schedule;
is an insured, but:
a. Only with respect to liability for"bodily injury", "property damage" or "personal injury";
and
b. Only as described in Paragraph (1), (2) or(3) below, whichever applies:
(1) If the "Written contract requiring insurance" specifically requires you to provide
additional insured coverage to that person or organization by the use of:
(a) The Additional Insured -Owners, Lessees or Contractors - (Form B) endorsement
CG 20 10 11 85; or
(b) Either or both of the following: the Additional Insured -Owners, Lessees or
Contractors - Scheduled Person Or Organization endorsement CG 20 10 10 01, or
the Additional Insured - Owners, Lessees or Contractors -Completed Operations
endorsement CG 20 37 10 01;
the person or organization is an additional insured only if the injury or damage arises out
of"your work"to which the "written contract requiring insurance" applies;
(2) If the "written contract requiring insurance" specifically requires you to provide additional
insured coverage to that person or organization by the use of:
(a) The Additional Insured - Owners, Lessees or Contractors - Scheduled Person or
Organization endorsement CG 20 10 07 04 or CG 20 10 04 13, the Additional
Insured -Owners, Lessees or Contractors -Completed Operations endorsement CG
20 37 07 04 or CG 20 37 04 13, or both of such endorsements with either of those
edition dates; or
(b) Either or both of the following: the Additional Insured - Owners, Lessees or
Contractors - Scheduled Person Or Organization endorsement CG 20 10, or the
Additional Insured Owners, Lessees or Contractors - Completed Operations
endorsement CG 20 37, without an edition date of such endorsement specified;
the person or organization is an additional insured only if the injury or damage is caused,
in whole or in part, by acts or omissions of you or your subcontractor in the performance
Miscellaneous Attachment:M482524
Certificate ID: 16126659
of"your work" to which the "written contract requiring insurance" applies; or
(3) If neither Paragraph (1) nor (2) above applies:
(a) The person or organization is an additional insured only if, and to the extent that, the
injury or damage is caused by acts or omissions of you or your subcontractor in the
performance of"your work"to which the "written contract requiring insurance" applies;
and
(b) The person or organization does not qualify as an additional insured with respect to
the independent acts or omissions of such person or organization.
2. The insurance provided to the additional insured by this endorsement is limited as follows:
a. If the Limits of Insurance of this Coverage Part shown in the Declarations exceed the
minimum limits of liability required by the "written contract requiring insurance", the
insurance provided to the additional insured will be limited to such minimum required
limits of liability. For the purposes of determining whether this limitation applies, the
minimum limits of liability required by the "written contract requiring insurance" will be
considered to include the minimum limits of liability of any Umbrella or Excess liability
coverage required for the additional insured by that"written contract requiring insurance".
This endorsement will not increase the limits of insurance described in Section III - Limits
Of Insurance.
b. The insurance provided to the additional insured does not apply to "bodily injury",
"property damage" or"personal injury" arising out of the rendering of, or failure to render,
any professional architectural, engineering or surveying services, including:
(1) The preparing, approving, or failing to prepare or approve, maps, shop drawings,
opinions, reports, surveys, field orders or change orders, or the preparing, approving,
or failing to prepare or approve, drawings and specifications; and
(2) Supervisory, inspection, architectural or engineering activities.
c. The insurance provided to the additional insured does not apply to "bodily injury" or
"property damage" caused by "your work" and included in the "products-completed
operations hazard" unless the "written contract requiring insurance" specifically requires
you to provide such coverage for that additional insured during the policy period.
3. The insurance provided to the additional insured by this endorsement is excess over any valid
and collectible other insurance, whether primary, excess, contingent or on any other basis,,
that is available to the additional insured. However, if the "written contract requiring
insurance" specifically requires that this insurance apply on a primary basis or a primary and
non-contributory basis, this insurance is primary to other insurance available to the additional
insured under which that person or organization qualifies as a named insured, and we will not
share with that other insurance. But the insurance provided to the additional insured by this
endorsement still is excess over any valid and collectible other insurance, whether primary,
excess, contingent or on any other basis, that is available to the additional insured when that
person or organization is an additional insured, or is any other insured that does not qualify
as a named insured, under such other insurance.
4. As a condition of coverage provided to the additional insured by this endorsement:
a. The additional insured must give us written notice as soon as practicable of an
"occurrence" or an offense which may result in a claim. To the extent possible, such notice
should include:
(1) How, when and where the "occurrence" or offense took place',
(2) The names and addresses of any injured persons and witnesses; and
(3) The nature and location of any injury or damage arising out of the "occurrence" or
Miscellaneous Attachment:M482524
Certificate ID: 16126659
offense.
b. If a claim is made or"suit" is brought against the additional insured, the additional insured
must:
(1) Immediately record the specifics of the claim or"suit" and the date received; and
(2) Notify us as soon as practicable.
The additional insured must see to it that we receive written notice of the claim or"suit" as
soon as practicable.
c. The additional insured must immediately send us copies of all legal papers received in
connection with the claim or"suit", cooperate with us in the investigation or settlement of
the claim or defense against the "suit", and otherwise comply with all policy conditions.
d. The additional insured must tender the defense and indemnity of any claim or"suit" to any
provider of other insurance which would cover the additional insured for a loss we cover
under this endorsement. However, this condition does not affect whether the insurance
provided to the additional insured by this endorsement is primary to other insurance
available to the additional insured which covers that person or organization as a named
insured as described in Paragraph 3, above.
5. The following is added to the DEFINITIONS Section:
"Written contract requiring insurance" means that part of any written contract or agreement
under which you are required to include a person or organization as an additional insured on
this Coverage Part, provided that the "bodily injury" and "property damage" occurs, and the
"personal in-jury" is caused by an offense committed, during the policy period and:
a. After the signing and execution of the contract or agreement by you; and
b. While that part of the contract or agreement is in effect.
CG D6 04 08 13
Miscellaneous Attachment:M482524
Certificate ID: 16126659
Miscellaneous Attachment: M467648 Certificate 11): 16126659
POLICY NUMBER: TC2J-CAP-131J3858 COMMERCIAL AUTO
ISSUE DATE: 01/01/2019
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR COVERED AUTOS LIABILITY
COVERAGE - PRIMARY AND NON-CONTRIBUTORY WITH
OTHER INSURANCE - CONTRACTORS
This endorsement modifies insurance provided by the following:
BUSINESS AUTO COVERAGE FORM
SCHEDULE OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS
WHERE REQUIRED BY WRITTEN CONTRACT.
PROVISIONS
1. The following is added to Paragraph c. in A. I., Who Is An Insured, of SECTION 11-COVERED
AUTOS LIABILITY COVERAGE:
This includes any person or organization designated in the Schedule Of Additional Insured Persons Or
Organizations who you are required under a written contract or agreement, that is signed by you before
the"bodily injury"or"property damage"occurs and that is in effect during the policy period, to name as an
additional insured for Covered Autos Liability Coverage, but only for damages to which this insurance
applies and only to the extent of that designated person's or organization's liability for the conduct of
another"insured".
2. The following is added to Paragraph 5.,Other Insurance, in B., General Conditions , of SECTION
IV-BUSINESS AUTO CONDITIONS:
Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, this
insurance is, primary to and non-contributory with applicable other insurance under which the person or
organization designated in the Schedule of Additional Insured Persons Or Organizations is a named
insured when a written contract or agreement with you, that is signed by you before the"'bodily injury"or
"property damage"occurs and that is in effect during the policy period, requires this insurance to be
primary and non-contributory.
CA T6 00 02 16