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CERTIFICATE OF LIABILITY INSURANCE (541) MEADHUI OP ID:MRH CERTIFICATE OF LIABILITY INSURANCE 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 neat confer jIghtsJothe certificate holder In Ileo Rfsuch endorsements). _ PRODUCER 608-257-3795 CONTACT Phil Hausmann,CIC -NAME�, -,",---------------------- ------------------ Hausmann-Johnson Insurance Inc �PHONE 608-257-3795 FAX 608-257-4324 700 Regent St.,PO Box 259408 QVC,No,Ext): (AIC,No_):__ Madison,WI 53725-9408 EMAIL DIRESS; Phil Hausmann INSURERLS)AFFORDING COVERAGE NAIC# INSURER A Travelers Casualty&Surety !19038 INSURED Mead&Hunt,Inc. INSURER B Cincinnati Insurance Company ---'10677 M&H Architecture,Inc. Mead&Hunt Companies,Inc. INSURER C Mead&Hunt International,Inc INSURER D 2440 Deming Way Middleton,WI 53562-1562 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 CLAWS TYPE OF INSURANCE ADDL SUBR POLICY NUMBER oaf&EFF Poucy ExPi LIMITS --LTR INSD�WVD-1 (MMIDDIYYYYJ,(MMiDDrYYYY), — A X i COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE OCCUR X 300,000 DAMAGE TO RENTED CLAIMS-MADE X, P630SC656013TIL18 12/01/2018'12/0112019 MED EXP(Any 0.e pww�) 10,000 PERSONAL&ADV INJURY 1,0001,000,000 GENERAL 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER 11 1 :- 1 �$------- -- ----- POLICY X PRO- 2,000,000 JECT X 1 LOC PRODUCTS-COMPQP AGO S 1.................. OTHER, $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY 1,000,0001 X ANY AUTO X 810112755751843G 12/0112018 12/0112019 BODILY JNJURY-,P�, L -person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY,INJURY IPe,acodent)i$ 1 X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY i AUTOS ONLY A X '0 UMBRELLA LIAB X OCCUR 9,000,00 EACH OCCURRENCE rXCVSS LIAB CLAIMS-MAD r, ;CUPOK3011011843 1210112018 12/01/2019 A,GREGATE 9,000,000 DED , X RETENTION S 0 A WORKERS COMPENSATION X PER OTH- A AND EMPLOYERS'LIABILITY YIN UB8J3173931843V Wl 12101120118 1710I/2019 STATUTE ER----l---- 1 11 0-00 1 000 ANY PROPRETORIPARTNERIEXECUTIVE ---- ,EL EACHACCIDENT OFFICERIMEMBER EXCLIJ5ED? N NIA (MandatoTy in NH) :UBSJ2154321843E-OTH STAT 1210112018 12101/2019 E.I. DISEASE EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below EL -POLICYLIMI 1000,000 vCR,PTLON�FWWIONS I VEHICLES ffORQJf1,Addiflolal Reps iga schW ffi mabe attached if more space is required(i :projec FW4en requiredTwrien conraceceCate holder is listed as additional insured with respect to commercial general liability and commercial auto liability. L_ ........... ...... 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, 1650 North Arcturas Building C Clearwater,FL 33765 AUTHORIZED REPRESENTATIVE ............ /.,4 ...... ACORD 25(2016/03) @ 1988-2015 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE 10/07/2019YY) 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 1-800-527-9049 CONTACT NAME: Linda Bomarito Holmes Murphy & Assoc - WI PHONE FAX A/C No Ext: 309-282-3903 A/C,No: 866-501-3945 E-MAIL lbomarito@holmesmurphy.com 1600 Aspen Commons Suite 990 ADDRESS: P Y•com INSURER(S)AFFORDING COVERAGE NAIC# Middleton, WI 53562 INSURERA: XL SPECIALTY INS CO 37885 INSURED INSURER B: Mead & Hunt, Inc. M & H Architecture, Inc. INSURER C: 2440 Deming Way INSURERD: INSURER E Middleton, WI 53562 INSURERF: COVERAGES CERTIFICATE NUMBER: 57526248 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1:1 OCCUR DAMAGE TO RENTED CLAIMS-MADE PREMISES Ea 0.",.";.) ccurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROP ERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVEF—] N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liability DPR9949574 10/25/19 10/25/20 Each Claim 5,000,000 (Claims Made) Aggregate 10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Pollution Liability Included RE: RFQ #26-19 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 ACCORDANCE WITH THE POLICY PROVISIONS. 1650 North Arcturas AUTHORIZED REPRESENTATIVE Building C Clearwater, FL 33765 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD lbomaritowi 57526248