CERTIFICATE OF LIABILITY INSURANCE (520) WRIGHT--01 DUBBY1
[DATE(MMIDYYYYI
RA
CERTIFICATE OF LIABILITY INSUNCE DII
6112/2019
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 tNSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ios)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 DOI
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER License#1780862 CONTACT
NAME:
HUB International New England PHONE FAX
275 US Route I (AtC,No,Ext):(207)829-3450 (AIC,Nol:(207)829-6350
AIJSS:
Cumberland Foreside,ME 04110 A'bMOR
INSURER(S)AFFORDING COVERAGE NAIL
INSURER A:Travelers Property Casualty Company of America 25674
INSURED INSURER 8
Wright-Pierce,c/o John Nelson INSURER C:
11 Bowdoin Mill island,Suite 140 INSURER D
Topsham,ME 04086
INSURER E
L INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
tea® ............
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 VVITH 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 TYPE OF INSURANCEADOL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTR (MMIDDfYYYYf
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000
CLAIMS-MADE X OCCUR 63066894369 1/112019 1/1/2020 DAMAGE TO RENTED 100,000
PREMISES(Ea occurrence) $
MED EXP;Any one person) S 5,000
PERSONAL&ADV INJURY $ 1,000,000
GEN L AGGREGATE APPLIES PER GENERAL AGGREGAT, S 2,000,000
POLICY JERef X LOC PRODUCTS-COMP/Op AGO $ 2,000,000
OTHER
COMBINED SINGLP LMIT 1,000,0
A AUTOMOBILE LIABILITY 00
(Ea accident) 5
ANY AUTO BA6G892930 11112019 11112020 BODILY INJURY(Per persirn, s
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY IPer accident) S
A RS ONLY L Y A
X NC�116PN PROPERTY CADAMAGEC
J&DX HUIRY IPer acrjderrt�
A X UMBRELLA LIAR X OCCUR EACH OCCuRRENCE 5 10,000,0670
CUP7G000536 111/2019 111/2020
EXCESS LIAB CLAIMS-MADE AGGREGATE S
DED X RFIENIION S 0 Aggregate S 10,000,000
7H.
0
A WORKERS COMPENSATION X PTR STATUTE ER
AND EMPLOYERS'LIABIlUTY YIN UB9J121542 111/2019 1/112020 1,000,000
ANY PROPRIETOR/pARTNER&XECUTIVE E L. EACH ACCIDENT $
IR MIMSER EXCL1,000,000
UDED' NIA
(Tw',C.t�ry n NH) E L DISEASE-EA EMPLOYEE S
If yes,describe under
DESCRIPTION OF OPERATIONS below E.I. DISEASE-POLICY LIMIT S
....................
A Transportation 63066894369 11112019 111/2020 Leased&Rented Equip
............
DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES JACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
City of Clearwater is additional insured as respects General Liability&Auto Liability as required by written contract
Workers Compensation Includes the following States: ME,FL,MA,NH,NY,CT,RI
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Clearwater ACCORDANCE WITH THE POLICY PROVISIONS.
Engineering,RFQ#26-19
PO Box 4748 ............. ............
Clearwater,FL 33758-4748 AUTHORIZED REPRESENTATIVE
L....__....... ..........
ACORD 25(2016/03) (D 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
WRIGHTP-01 CJOHNSOFI
DATE(MMIDDNYYY)
CERTIFICATE OF LIABILITY INSURANCE 611212019
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 CONTACT
NAME:
Ames&Gough
859 Willard Street PHONE F
tAic'No,Ext):(617)328-6555 (AIAXC,Nol:(617)328
-6888
Suite 320 -DmA'Jss:boston@amesgough.com
Quincy,MA 02169
INSURER(S)AFFORDING COVERAGE NAIL#
INSURER A:Lexington Insurance Company A,XV 19437
INSURED INSURER B:
Wright-Pierce INSURER C i
11 Bowdom Mill island
Suite 140 INSURER D:
Topsham,ME 04086 INSURER E
L INSURER F
COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT VATH 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 TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTR INSO IMMIDDMM IMMIDDIYYYYI --- ——__--
COMMERCIAL GENERAL UI EACH OCCURRENCE 5
CLAIMS-MADE OCCUR DAMAGE TO RENTED
PREMISES(Ea occurrence)
MED EXP(Any one person)
PERSONAL&ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AUGREGATE S
POLICY LOG PRODUCTS-C0%TPi0PAHG S
OTHER 5
COIsI SlNi,�LE�7Ai�T
AUTOMOBILE LIABILITY (Ea accident) $
ANY AUTO BODILY INJURY Per person) $
M�'N F D SCHEDULEC
AUTOS ONLY AUTOS BODILY INJURY tPef accident) $
NON ED PROPERTY DAMAGE
UTCJrC�
HIR S 0 N L Y A t'JL Y (Per accidenzi $
UMBRELLA IUI OCCUR EACH OC CtRRENCE $
EXCESS LAB CLAIMS MADE
AGGREGATE $
DED RETENriON S $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY YIN STATUTE ER
ANY PROPRIE roRIPARTNEWEXECUTIVE E L EACH ACODENT $
C
6
FrCERIM�M®V EXCLUDED`? NIA
( a
nd I
story n I E L DISEASE-EA EMPLOYEE 5
0 yes,describe under
DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $
F A�
Prof. Liability 031711011 1/112019 1/1/2020 Per Claim Limit 5,00V000-P
A 031711011 1/112019 1/1/2020 Aggregate Limit 5,000,000
iDESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached rr more space is requirecil
AH Coverages are in accordance with the policy terms and conditions,
RE:RFQ#26-19
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE A13OVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Clearwater ACCORDANCE WITH THE POLICY PROVISIONS.
Engineering, RFQ#26-19
P.O.Box 4748
Clearwater,FL 33758-4748 AUTHORIZED REPRESENTATIVE
ACORD 25(2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD