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CERTIFICATE OF LIABILITY INSURANCE - RFQ 26-19 (10) -"1 TIERINC-01 DSITH2 ACORO� DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE�•� 4/29/2020 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 CONTACT NAME: Hub International Florida PHONE FAx One Urban Centre (A/C,No,Ext): (727)797-0441 (A/C,No):(727)669-0673 4830 W.Kennedy Boulevard ADMDRIEss:Certificates.FLA@Hubinternational.com Tampa,FL 33609 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Charter Oak Fire Insurance Company 25615 INSURED INSURER B:The Travelers Indemnity Company of America 25666 Tierra,Inc. INSURER C:Travelers Property Casualty Company of America 25674 7351 Temple Terrace Highway INSURER D:The Phoenix Insurance Company 25623 Tampa,FL 33637 INSURER E:Illinois Union Insurance Company 27960 INSURER F:Endurance American Specialty Insurance Company 41718 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR6601H805464 5/1/2020 5/1/2021 DAMAGE TO RENTED 300,000 LAIX PREMISES Ea occurrence $ X Standard Contractual MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ® JECT 1:1LOC PRODUCTS-COMP/OPAGG $ 2,000'000 X OTHER:$5,000,000 Maximum Limit $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO X 8109M551030 5/1/2020 5/1/2021 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ HPIP $ 10,000 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE CUP1J383756 5/1/2020 5/1/2021 AGGREGATE 5,000,000 DED X RETENTION$ 10,000 OverGL,AL,EL D WORKERS COMPENSATIONX PER OT ANDEMPLOYERS'LIABILITY STATUTE ER YIN UB4K2024521943V 5/1/2020 5/1/2021 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ® NIA E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E Pollution/SIR 25,000 7DPL30001055701 6634937004 5/1/2020 5/1/2021 $1 M per occ/Agg --> 2,000,000 F Professional Liab. 5/1/2020 5/1/2021 SIR$25,000/ea&agg 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project#6511-19-163 Engineer of Record Services;Engineering,RFQ 26-19. Geotechnical and Materials Testing.City of Clearwater is included as Additional Insured&both Primary&Noncontributory terms apply for General Liability&Auto Liability,when required in a written contract or agreement with the Insured,as per the terms&conditions of the policy endorsements. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cit of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 4748 Clearwater,FL 33758 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD