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CERTIFICATE OF LIABILITY INSURANCE (538) d OCf 28 201" � b Client#:89184 TAYLENGInj ACORD. CERTIFICATE OF LIABILITY INSURANCE ��,�, D1 1041 g1IQD YYYY> 1 ort 81z6l9 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONITA'rNAME: Trudy Henry Greyling Ins.Brokerage/EPIC PHONEFAx 866.550.4082 (ac No Exiq:770.552.4225 _ �c Ne 3780 Mansell Rd.Suite 370 E-MAIL en re n ADDRESS: trud yhry�gil y g•com Alpharetta,GA 30022 - _- INSURER(S)AFFORDING COVERAGE NAIC M ..,..._----.—..----- INSURER A:Hartford Accident&Indemnity Company 122357 INSURED INSURER B:Hartford Fire Insurance Co. 19682 Taylor Engineering Inc. -- _ _ _____ —___ INSURER C:Hartford Underwriters 30104 10199 Southside Blvd.,Ste 310 INSURER D: Jacksonville,FL 32256 _ +II INSURER E: L...... _........... INSURER F: COVERAGES CERTIFICATE NUMBER: 19-20 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 EXP (— LTR TYPE OF INSURANCE IN3R-WVD _— POLICY NUMBER _JMMIDDIYYYY] (MM/DD/YYYY) -_— -, LIMITS A �(�COMMERCIALGENERAL LIABILITY 20SBWNA6176 11/01/2019 11/01/2020 EACH OCCURRENCE 1$1000000 -_ 4 CLAIMS-MADE �,Xf OCCUR PREM E TO RENTED PREMISES(Ea occurrence) $1 000,000 MED EXP(Any une person) $10,000 ;PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000 F,1 PRO­ POLICY ECT �l LOC PRODUCTS-COMP/OP AGG $2,000,000 _._ OTHER; $ ,_..---_ ...._....... ....... AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT -- C 20UEGLP0627 11/01/2019 11101/202q IEaacr deme $1,000,000 X.ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED� AUTOS ONLY AUTOS BODILY INJURY(Per accident)�! ! , HIRED NON-OWNED PROPERTY DAMAGE $ X-AUTOS ONLY AUTOS ONLY -iPer accident A X1UMBRELLA LIAB X OCCUR 20SBWNA6176 11/01(2019}11/01/2020 EACH OCCURRENCE _- s4 000 000 r __..._ EXCESS LIAB CLAIMS-MADE AGGREGATE ________4s4,000,000 ANYOPROPRIETO_ftETENTION$1 OOOO1$ DED X _.__.. —EMPLOYERS' __— LIABILITY- — PER rOTH- WORKERS COMPENSATION I X�57ATUTEIFR OFFICER/MEMBER EXCLUDED'' Y/N N/A E.L.EACH ACCIDENT $1,000,000 B20WBGBN0954 11/01/2019 11!01/2020 WPARTNER/EXECUTIVE_. (Mandatory in NNI N 1 E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 i I i DESCRIPTION OF OPERATIONS I LOCATIONS(VEHICLES(ACORD 101,Additional Remarks Schedule.may be attached if more space Is required) RE:Professional Engineering Services RFQ#26-19 City of Clearwater is named as an Additional Insured on the above referenced liability policies with the exception of workers compensation where required by written contract.Waiver of Subrogation is applicable where required by written contract&allowed by law.Should any of the above described policies be cancelled .... (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Cit of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering,RFQ#26-19 ACCORDANCE WITH THE POLICY PROVISIONS. P.O.Box 4748 Clearwater,FL 33758-4748 AUTHORIZED REPRESENTATIVE (D1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S1836193/M1807680 NLAR1 DESCRIPTIONS (Continued from Page 1) by the issuing insurer before the expiration date thereof,30 days'written notice(except 10 days for nonpayment of premium)will be provided to the Certificate Holder. SAGITTA 25.3(2016/03) 2 of 2 #S1836193/M1807680 Client#: 1051175 TAYLOENG2 ACORDTM CERTIFICATE OF LIABILITY INSURANCE —DATE(MM/I 1 10/11/2019 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 po—llcy­(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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONT NAME., USI Insurance Services, LLC PHO.1 �FAX _LALC_No, ,,t:813 321-7500 1(A/C,No): 2502 N Rocky Point Drive E-MAIL Suite 400 ADDRESS:- Tampa, FL 33607 INSURER(S)AFFORDING COVERAGE ............_NAIC# INSURER A XL Specialty insurance Company 37885 INSURED INSURER 8 Certain Urul­ltors at Lloyds NONAIC Taylor Engineering,Inc INSURER C: .......—--------- 10199 Southside Blvd. Suite 310 -INSURER D: Jacksonville, FL 32256 INSURER E: 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 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. MUR ADDLISUBR POLICY EFF POLICY EXP -—----- LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/Y YYY).(MM/DN DYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE 10 RENTED I CLAIMS-MADE L--i OCCUR I E a occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: �IGENERALAGGREGATE- 7 PRO- _L$ POLICY J JECT LOC j PRODUCTS-COMP/OP AGG $ OTHER:- AUTOMOBILE LIABILITY combiNED SINGLE LIMIT accident $ ANY AUTO BODILY INJURY(Per person) is OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE BODILY INJURY(Per accident) $ L AUTOS ONLY AUTOS ONLY Per accident) 1$ UMBRELLA LIAB OCCUR EACH OCCURRENCE 1$ EXCESS LIAB CLAIMS MADE AGGREGATE 1$ DED RETENTION$ $ WORKERS COMPENSATION :PER OTH-I I AND EMPLOYERSLIABILITYY/N TAT TE �.R ANY PROPRIETOR/PARTNER/EXECUTIVE 11 OFFICER/MEMBER EXCLUDED? :N/A E.L.EACH ACCIDENT (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE!$ It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ A Professional DPR9943252 06/01/2019 06/01/2026, $2,000,000 per Claim I Liability 1 $2,000,000 Anni Aggr. B ICyber Liability ES101 1515350 09/28/2019 09/28/202� $1,000,000'pe Claim DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Professional Liability coverage is written on a claims-made basis. RE: RFQ#26-19, Professional Engineering Services. OCT 210 20@19 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering, RFQ#26-19 ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 4748 Clearwater, FL 33758-4748 AUTHORIZED REPRESENTATIVE 06—W-.,O-.----- ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S26882753/M26882102 RCGZP