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CERTIFICATE OF LIABILITY INSURANCE - RFQ 26-19 (4) DATE(MMIDDJYYYY) CERTIFICATE OF LIABILITY INSURANCE 5r120213 611412019 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 Luckton Compani's NOANMTE, 444 W,47th Street,Suite 9011 PHONE_.._... _..._...-----_._..__..._ -......._._._— FAx l .Ha,F.JA . ._..._.. __..._ _ ........ talc.No): Kansas Cov MO 64112-190,6 E-MAIL (8 16)960-9000 �oR ss _-� INSURERS)AFFORDING COVERAGE NAIL d INSURER A.Berkshire Flatlyaway Specialt °In urancs C."'DI, 22276_--_. INSURED STAN' EC CONSULTING SERVICES,NCINSURER B Travelers Property Casualty Cu of America i 2,5674 14151177 270 IN IERLOC KEN BOULEVARD,SIATE.300 INSURER c. BR19t9M1=IE1 D CO 80021-8012 INSURER INSURER E i IN'.,SURER.F COVERAGES CERTIFICATE NUMBER: 16147292 REVISION NUMBER: XXXXXXX 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. — — ..... ...... ... lNSR AtYDL�SUBR` POLICY EFF POLICY EXP LIMITS LTR( TYPE Of INSURANCE POLICY NUMBER fMwDOryYYY1 (MM/DDfYYYY1 _... COMMERCIAL GENERAL LIABILITY Y Y 47-GL4)-3(1759,--4 5-I,2..IT1) 7 1''2020 EAChi C7CGl1RRENCE .� $-,_ ,000,000 DAMAGE TO RENTED .. CLAIMS-MADE OCCUR � � � � � �Mer��Exp�a y�������� �$ L{1CMU Utz X C ONTRAC` UA "(1RQ)SS n) f ZJ,CI©C} X XCC.I COVERED --f PERSONAL&ADV INJURY DENY.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,0011.000 POLICY X ET X LOG _ � PRODUCTS-C3MPJOP_AGG $ _�0{}()_100 '., 1 OTHER: -- - 13 AUTOMOBILE LIABILITY_- g it (CTC2I-CC' Eflau21) S I`2t1? 71IZtEOMBceINEeD SINGLE LIMIT a adtB TJ-BAP-8E086820 0 I $ 1 000. J ]X ANY AUTO ' I/1 120 19 ' Ufl ILYINJURY X�TC2I-CA - FI 7fl ' 2017 ,] � � OWNED BODILY INJDAMAGERPiaccident) $NLY {X X— XX NON-OWNED ERTY $ XXXXXXXAUT©sUNLY AUTOS ONLY -- $ XXXXXXX A X' UMBRELLA LIAR 'X{ OCCUR � N N 1 47-FI'MO-3075115 15//2019 5!F2020 I EACH OCCURRENCE $_5,000,000 X ExcEss LlAB CLAIMS-MADE; AGGi2EGATE $ 5,000,000 DED RETENTION$ $ XXXXX;XX. F3 WORKERSCOMPENSANON �AND EMPLOYERS'LIABILITY � Y TC2J-UB-8F`08592 15/1'21119 a'I?2020 X! S7E`ATtlTE EOR ANY PROPRIETORIPARTNERtEXECUTIVE YlN TRJ-UB-SF09593(NIA,'&l) 511,'20119 511!2020 E.L EACH ACCIDENT .,(jl}{) ..,,... $ . ,j0I xn B OFFICE REMBER EXCLUDED? 'N/AEXCEPT FOR l kl NIT WA WY (Mandatory in NH) +, E.L.DISEAS. EMPLOYEE — If Dyes, IPrIdescribe under E.L.DISEASE.-POLICY LIMIT 5 1.00{)_001 DESCRIPTION OF OPERATIONS tkslew � €, p I DESCRIPTION Of OPERATIONS t LOCATIONS 1 VEHICLES (ACORO 461.Additional Remarks Schedule,may be attached'.it more space is required) - -- RERFQ7t26-19/ENGINEER OF RECORD CONSULTING SERVICES: PLANNING,STUDIES AND DESIGN SERVICES,CITY OF CLEARWATER IS ADDITIONAL INSUREDS AS RESPECTS GENERAL.LIABILITY AND AUTO LIABILITY,AND THESE COVERAGES ARE PRIMARY AND NON-CONTRIBUTORY,IF REQUIRED BY WRITTEN CONTRACT WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY,AUTO LIABILITY AND WORKERS COMPENSATION'I':MPLOYER'S LIABILITY WHERE ALI.('ti14'F:F3 BY STATE LAS';,'AND]FREQUIRED BY WRITTEN CONTR.AC;T. CERTIFICATE HOLDER CANCELLATION 16147292 CITY OF CL ARWATER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ENGINEERING,RFQ 926-19 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. BOX 4748 ACCORDANCE WITH THE POLICY PROVISIONS. CLEAR'o'v'ATER FL x33758-47413 AUTHORIZED REPRESENTATIVP f - - - 1988 O15 ACORD CORPORATION, All rights reserved. ACORD 25(2016t03) The ACORD name and logo are registered marks of ACORD 9 I AC7"R"' CERTIFICATE OF LIABILITY INSURANCE F DATE(MMIDDIYYYY) 10/1/2020 1 9/13/2019 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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOCkton Companies NA 444 W.47th Street,Suite 900HL No Ext): A/C,No Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: I3crk,lure Hathaway Specialty Insurance Company 22276 INSURED STANTEC CONSULTING SERVICES,INC. INSURER B: AIG Specialty Insurance Company 26883 1414100 370 INTERLOCKEN BOULEVARD,SUITE 300 INSURER C: BROOMFIELD CO 80021-8012 INSURER D: INSURER E: ` INSURER F: COVERAGES CERTIFICATE NUMBER: 16147296 REVISION NUMBER: XXXXXXX 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 EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE XXXXXXX CLAIMS-MADE OCCUR NOT APPLICABLE DAMAGE TO RENTED XXXXXXX PREMISES Ea occurrence MED EXP(Any oneperson) XXXXXXX PERSONAL&ADV INJURY $ XXXXXXX GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX POLICY❑JE� F__]LOC PRODUCTS-COMP/OP AGG $ XXXXXXX OTHER- $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT NOTAPPLICABLE Ea accident $ XXXXXXX ANY AUTO BODILY INJURY(Per person) $ XXXXXXX AUTOS ONLY NED SCHEDULED AUTOS BODILY INJURY(Per accident $ XXXXXXX AUTOS ONLY AUTOS ONL� Peri accidentDAMAGE $ XXXXXXX $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAR CLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN NO I APPLICABLE STATUTE ER ANY PROPRIETOR/PARTNEPJEXECUTIVE El $ XXXXXXX OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT (Mandatory in NH) E .DISEASE-EA EMPLOYEE XXXXXXX If yes describe under V•V V DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT XXXXXXX A Professional Liab N N 47-EPP-308810 10%1/2019 10/1/2020 $3,000,000 PERCLAIM/AGG A NO RETROACTIVE DATE INCLUSIVE OF COSTS B Contractors Pollution Liab CP08085428 10/1/2019 10/1/2021 $3,000,000PER LOSS%AGG DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:RFQ#26-19/ENGINEER OF RECORD CONSULTING SERVICES: PLANNING,STUDIES AND DESIGN SERVICES. k")'E P 2 0 201 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. 16147296 AUTHORIZED REPRESENTATIVE CITY OF CLEARWATER ENGINEERING,RFO#26-19 P.O.BOX 4748 CLEARWATER FL 33758-4748 ACORD 25(2016/03) ©1 8-2015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD Attachment Code : D522052 Certificate ID : 15163628 Policy No: 47-EPP-308810 , NO RETROACTIVE DATE Named Insured: See Attached Certificate PROFESSIONAL LIABILITY NOTICE OF CANCELLATION FOR THIRD PARTIES This contract is amended as follows: In consideration of the premium charged, it is hereby understood and agreed as follows: (1) Underwriters authorize [Lockton Companies/BFI, Canada] the ("Certificate Issuer") to issue Certificates of Insurance at the request or direction of the Insured. It is expressly understood and agreed that, subject to Paragraph (2) below, any Certificate of Insurance so issued shall not confer any rights upon the Certificate Holder, create any obligation on the part of the Underwriters, or purport to, or be construed to, alter, extend, modify, amend, or otherwise change the terms or conditions of this Policy in any manner whatsoever. In the case of any conflict between the description of the terms and conditions of this Policy contained in any Certificate of Insurance on the one hand, and the terms and conditions of this Policy as set forth herein on the other, the terms and conditions of this Policy as set forth herein shall control. (2) Notwithstanding Paragraph (1) above, such Certificates of Insurance as are authorized under this endorsement may provide that in the event the Underwriters cancel or non-renew this Policy or in the event of a Material Change to this Policy, Underwriters shall mail written notice of such cancellation, non-renewal, or Material Change to such Certificate Holder 30 days prior to the effective date of cancellation, non-renewal, or a Material Change, but 10 days prior to the effective date of cancellation in the event the Assured has failed to pay a premium when due. The Insured shall provide written notice to the Underwriters of all such Certificate Holders, if any, specified in each Certificate of Insurance (i) at inception of this Policy, (ii) 90 days prior to expiration of this Policy, or (iii) within 10 days of receipt of a written request from Underwriters. Underwriters' obligation to mail notice of cancellation, non-renewal, or a Material Change as provided in this paragraph shall apply solely to those Certificate Holders with respect to whom the Assured has provided the foregoing written notice to the Underwriters. (3) It is further understood and agreed that Underwriters' authorization of the Certificate Issuer under this endorsement is limited solely to the issuance of Certificates of Insurance and does not authorize, empower, or appoint the Certificate Issuer to act as an agent for the Underwriters or bind the Underwriters for any other purpose. The Certificate Issuer shall be solely responsible for any errors or omissions in connection with the issuance of any Certificate of Insurance pursuant to this endorsement. (4) As used in this endorsement: (1) Certificate of Insurance means a document issued for informational purposes only as evidence of the existence and terms of this Policy in order to satisfy a contractual obligation of the Assured. (2) Material Change means an endorsement to or amendment of this Policy after issuance of this Policy by the Underwriters that restricts the coverage afforded to the Assured. All other terms and conditions remain unchanged.