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CERTIFICATE OF LIABILITY INSURANCE (557)ACORbe CERTIFICATE OF LIABILITY INSURANCE L...------ 6/1/2020 DATE(MM/DD/YYYY) 5/10/2019 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 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 CONTACT NAME: PHONE H NNE, Ext): FAX No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Lexington Insurance Company 19437 INSURED HDR ENGINEERING, INC. 1429583 1917 SOUTH 67TH STREET OMAHA NE 68106 INSURER B : NOT APPLICABLE RECEIVED SAY 2 OFFICIAL GIS'ATIVE INSURER C INSURER D : $ XXXXXXX INSURER E : INSURER F : PREMISES (ERENTED occu ence) COVERAGES * • 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 LTR TYPE OF INSURANCE ADDL INSD SUBR INVD POLICY NUMBER POLICY EFF IMM/DD/YYYY) POLICY EXP (MM/DDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY NOT APPLICABLE RECEIVED SAY 2 OFFICIAL GIS'ATIVE b �� -�` ✓,f� A�r� EACH OCCURRENCE $ XXXXXXX CLAIMS -MADE OCCUR❑ PREMISES (ERENTED occu ence) $ XXXXXXX MED EXP (Any one person) $ XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GENERAL AGGREGATE $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO -LOC OTHER: PRODUCTS - COMP/OP AGG $ XXXXXXX AUTOMOBILE — _ LIABILITY ANY AUTO AUTOS ONLY AUTOS ONLY _ SCHEDULED NON -OWNED YY NOT APPLICABLE '�� 5R C DEPT SINGLE LIMIT Lacccident) $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident, $ XXXXXXX PROPERTY DAMAGE .(Per accident) $ XXXXXXX $ UMBRELLA LIAB EXCESS LIAB — OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS belowE. N / A NOT APPLICABLE PER STATUTE OTH- ER E.L. EACH ACCIDENT V V $ XXXXXXX E.L. DISEASE - EA EMPLOYEE $ XXXXXXX L. DISEASE -POLICY LIMIT XX XX $ XXXXXXX A ARCH & ENG PROFESSIONAL LIABILITY N N 061853691 6/1/2019 6/1/2020 PER CLAIM: $1,000,000 AGGREGATE: $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 2009-2012 CITY OF CLEARWATER - ENGINEER OF RECORD AGREEMENT FOR PROFESSIONAL SERVICES. ATE HOLDER CANCELLATION 14728691 CITY OF CLEARWATER, FLORIDA ATTN: CITY CLERK PO BOX 4748 CLEARWATER FL 33754 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD