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CERTIFICATE OF LIABILITY INSURANCE - NE WWTP FILTER REHAB - 18-0019-UT, 18-109 Client#: 26140 WHARTONS DATE(MM/DD/YYYY) ACORDT. CERTIFICATE OF LIABILITY INSURANCE 1 3/3112020 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 CONTACT NAME: Marsh &McLennan (CLW) PHONE 727 447-6481 FAX 727 449-1267 A/C,No,Ext: (A/C,No): 101 N Starcrest Dr. E-MAIL ADDRESS: certificates@bouchardinsurance.com Clearwater, FL 33765 INSURER(S)AFFORDING COVERAGE NAIC# 727 447-6481 Amerisure Insurance Company 19488 INSURER A: p Y INSURED INSURER B:Starr Indemnity&Liability Co 38318 Wharton-Smith, Inc. INSURER C: Liberty Insurance Underwriters 19917 750 Monroe Road INSURER D: Great American Assurance Co 26344 Sanford, FL 32771 INSURER E: Specialty XL S ecialt Insurance Co j 37885 INSURER F: Berkley Assurance Company 39462 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 WTH 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 INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY Y Y GL20361081501 04/01/2020 04/01/2021 EACHOCCURRENCE $1,000,000 CLAIMS-MADE ®OCCUR PREMISES(Ea olccurrDence) $1,000,000 Contractual iab MED EXP(Any one person) $10,000 X XCU Included -PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE x2,000,000 PRO- POLICY X1 ECT F-1 LOC PRODUCTS-COMP/OPAGG x2,000,000 OTHER: $ A AUTOMOBILE LIABILITY Y Y CA20361071501 04/01/2020 04/01/2021 CO(EaMBINED ccidentSINGLE LIMIT $1e 000e 000 a X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ B UMBRELLA LAB X OCCUR Y Y 1000585014201 04/01/2020 04/01/2021 EACH OCCURRENCE 620,000,000 C X EXCESS LAB CLAIMS-MADE Y Y 100008433607 04/01/2020 04/01/2021 AGGREGATE x20,000,000 D DED RETENTION$ Y Y EXC3274892 04/01/2020 04/01/2021 $ A WORKERS COMPENSATION Y WC203610914 04/01/2020 04/01/2021 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ® N/A (Mandatory in NH) E.L.DISEASE-EA E1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT $190009000 Rented Equipment 000024961A20A 04/01/2020 04/01/2021 2,500,000 F Pollution Liab Y PCAD50083340420 04/01/2020 04/01/2021 5,000,000 F Professional Liab PCAD50083340420 04/01/2020 04/01/2021 590009000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is additional insured as respects General Liability,Automobile Liability, Pollution Liability and Excess Liability only if required by written contract,and subject to the terms, conditions and exclusions as specified in the policy. Coverage is primary as respects to General Liability&Automobile Liability and non-contributory as subject (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Cit ®f Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 100 S. Myrtle Ave Suite 220 ACCORDANCE WITH THE POLICY PROVISIONS. Clearwater, FL 33756-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #51248618/ 1247502 GINDE DESCRIPTIONS (Continued from Page 1) to the terms,conditions and exclusions of your policy. Waiver of subrogation applies in favor of certificate holder as respects General Liability,Automobile Liability and Workers Compensation only if required by written contract,and subject to the terms, conditions and exclusions as specified in the policy. It is agreed by endorsement to the General Liability,Automobile Liability and Workers Compensation policy that this policy shall not be cancelled by the insurance carrier without first giving thirty(30)days prior written notice except for nonpayment of premium or if the first named insured elects to non renew. Excess Liability polices follow the forms/endorsements of the underlying General Liability,Automobile Liability and Workers Compensation policies. Blanket Loss Payee applies for Rented and Leased Equipment. Rented and Leased Equipment deductible: $2,500 standard deductible. 2% subject to a$10K minimum deductible applies to all rented cranes, directional boring equipment and items valued over$750,000. Project NE WWTP Filter Rehab# 18-109 SAGITTA 25.3(2016/03) 2 of 2 #51248618IM1247502 NAMED INSURED: Wharton-Smith, Inc. COMPANY: XL Specialty Insurance Company NAIC #37885 AM Best Rating: A (Excellent), XV ($2 Billion or greater) POLICY TERM: 4/1/2020 - 4/1/2021 POLICY NUMBER: UM00024960MA20A COVERED PROPERTY AND PREMISES DESCRIPTION New construction and remodeling of waste water treatment plans; new construction and non- structural renovations of commercial buildings at various premises within the state of Georgia, Florida, North Carolina, South Carolina, Virginia, Mississippi, Alabama, Louisiana, Texas and Tennessee SUMMARY Covered Property at Premises Described Above— $2,500,000 Consisting of Frame or Joisted Masonry Construction Covered Property at Premises Described Above— Consisting of Non-Combustible, Masonry Non- $100,000,000 Combustible, Semi Fire-Resistive and Fire-Resistive Construction (Including Water Treatment Plants Except on Islands Covered Property at Premises Described Above— On Islands (Water Treatment Plant Projects Only) $5°000°000 Soft Costs $1,000,000 DEDUCTIBLE OR WAITING PERIOD $2,500 projects $50,000,000 All Coverages Unless Otherwise Specified Below and under. $25,000 on projects over $50,000,000 Named Storm —On Islands $1,000,000 2%, Subject to $2,500 Minimum on projects $50,000,000 and Named Storm —Water Treatment Plant Projects Only under. 2%, Subject to $25,000 minimum of projects over $50,000,000 5%, Subject to $2,500 Minimum Named Storm — Frame, Joisted Masonry or Non- on projects $50,000,000 and Combustible Construction under. 5%, Subject to $25,000 minimum on projects over $50,000,000 2%, Subject to $2,500 Minimum Named Storm — Masonry Non-Combustible, Semi Fire- on projects $50,000,000 and Resistive or Fire-Resistive Construction under. 2%, Subject to $25,000 minimum of projects over $50,000,000 Flood —Zones C or X (Unshaded) $25,000 Flood —Zone B or Shaded X $50,000 Flood —All Other Zones and Water Treatment Projects on $500,000 Islands Earthmovement and Volcanic Eruption "Pacific Northwest 1% Subject to $50,000 Seismic Area" "High Hazard Seismic Zones" Minimum Earthmovement and Volcanic Eruption "New Madrid 1% Subject to $50,000 Seismic Area" Minimum Earthmovement and Volcanic Eruption —All Other $25,000 SUBLIMITS Flood — Per Occurrence —Zone C or Unshaded X $75,000,000 Flood — Per Occurrence —Zones B & Shaded X $15,000,000 Flood — Per Occurrence —All Other Zones $1,000,000 Flood — Per Occurrence — Islands $500,00 (Waste Water Treatment Plants Only) Flood Annual Aggregate $75,000,000 Earth Movement and Volcanic Eruption — Pacific Northwest $1,000,000 Seismic Area, High Hazard Seismic Zones Earth Movement and Volcanic Eruption — New Madrid $10,000,000 Seismic Area Earth Movement and Volcanic Eruption — Per Occurrence $50,000,000 Earth Movement and Volcanic Eruption —Annual $50,000,000 Aggregate Windstorm or Hail — Premises Located on Islands $2,500,000 COVERAGE TERMS • Maximum Limit of Insurance- $100,000,000 • Valuation Clause- Replacement Cost • Co-Insurance- 0% • Additional Coverages — Testing- Electrical, Mechanical, Pneumatic and Hydrostatic • Equipment Breakdown Endorsement • Loss of Use Coverage Endorsement • Permission to Occupy Endorsement • Additional CoveraQe Limit for Valuable Papers - $250,000 Contract Penalty $250,000 RemovalDebris $500,000 / 25% Extra and Expediting Expenses $50,000 Fire Department Service Charge $25,000 Fire Protection Systems $25,000 Increase in Construction Costs $200,000 / 10% Landscaping and Signs $100,000 Limited Coverage for "Fungi", Wet of $25,000 and Dry Rot Loss Adjustment Expenses $5,000 Demolition Cost and Increased Cost of $500,000 Construction Pollutant Cleanup and Removal $25,000 Preservation of Property Covered Property in the Open $25,000 Property that Supports your Business $50,000 Reimbursement for Returning Stolen $10,000 Property Reward Coverage $5,000 Site Preparation Covered Sewer and Drain Backup Covered Sinkhole Collapse Covered Temporary Premises $1,000,000 Temporary Structures $25,000 Transit $1,000,000 Unintentional Errors and Omissions $25,000 Virus, Harmful Code or Similar $10,000 Instruction Voluntary Parting $25,000 This page has been left blank intentionally.