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CERTIFICATE OF LIABILITY INSURANCE (561)
A�® CERTIFICATE INSURANCE DATE (MM/DD/YYYY) 09/24/2020 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. PRODUCER CONTACT NAME: Aon Risk Services Southwest, Inc. PHONE FAX Houston TX Office ('C.No,Ext): C866) 283-7122 (800) 363-0105 5555 San Felipe E-MAIL s Suite 1500 ADDRESS: W Houston TX 77056 USA PRODUCER 570000051836 CUSTOMER ID#: � O INSURER(S)AFFORDING COVERAGE NAIC# H Fa INSURED INSURER A: Zurich American Ins Co 16535 Cardno, Inc. INSURER B: x 380 Park Place Blvd INSURER C: Suite 300 INSURER D: Clearwater FL 33759 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570083994030 REVISION NUMBER: LOCATION OF PREMISES/DESCRIPTION OF PROPERTY(Attach ACORD 101,Additional Remarks Schedule,if more space is required) 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 C7 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, m C7 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 6t INSR POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER COVERED PROPERTY LIMITS m LTR DATE(MM/DD/YYYY) DATE(MM/DD/YYYY) W A CPP956365400 06/30/2020 06/30/2021 X PROPERTY BUILDING C7 n CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY BASIC BUILDING BUSINESS INCOME BROAD EXTRA EXPENSE CONTENTS RENTAL VALUE W III X SPECIAL BLANKET BUILDING j EARTHQUAKE Z BLANKET PERS PROP W WIND a X BLANKET BLDG&PP $11,641,819 U FLOOD LL X BI&Extra Expense $500,000 I— Blkt B&PP Ded lY W 0 INLAND MARINE TYPE OF POLICY CAUSES OF LOSS POLICY NUMBER NAMED PERILS CRIME TYPE OF POLICY BOILER&MACHINERY/ EQUIPMENT BREAKDOWN y SPECIAL CONDITIONS/OTHER COVERAGES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) a _J } ®J CERTIFICATE HOLDER CANCELLATION LEA w SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Clearwater Engineering, RFQ 26-19 j 100 S. Myrtle Ave., to 220 AUTHORIZED Clearwater FL 33756 USA REPRESENTATIVE US IVL44SV 'f(r/' ©1995-2015 ACORD CORPORATION.All rights reserved ACORD 24(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000051836 LOC#: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Aon Risk services southwest, Inc. POLICYNUMBER Cardno, Inc. See Certificate Number: 570083994030 CARRIER I NAIC CODE See Certificate Number: 570083994030 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 24 FORM TITLE: Certificate of Property Insurance NAMED INSURED Cardno ChemRisk, LLC. Cardno EM-Assit, Inc. Cardno Emerging Markets USA, Ltd. Cardno ENTRIX Cardno ERI Cardno GS, Inc. Cardno Haynes Whaley, Inc. Cardno JFNew Cardno MMA Cardno NC, Inc. Cardno TBE (AZ) Cardno TBE (FL) Cardno TBE; TBE Group, Inc. Cardno TEC, Inc. Cardno USA, Inc. Cardno WRG, Inc. Cardno WRG, Inc. dba WRG Designs Inc. Cardno, Inc (OR) Cardno, Inc. (TX) Cardno, Inc. (FL) Cardno (MI) , Inc. Cardno PPI Engineering & construction, Services LLC. , PPI Technology Services,LLC. , PPI Quality & Asset Management, LLC. , and its Affiliated companies David Douglas Associates, Inc. Entrix Inc. dba Cardno Entrix Environmental Resolutions, Inc. ES NY Engineering, P.A. PC. J.F. New & Associates, Inc. JFNew Marshall Miller & Associates, Inc. TBE Group, Inc. (Addeo) TBE Group, Inc. dba: Cardno TBE TBE Group, Inc. , Cardno TBE TBE Professional Services, PLLC WRG North Carolina PLLC TBE Group (Canada) ULC is included as a Named Insured as identified in the insurance Policy referenced on this certificate ACORD 101(2008101) (D 2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) ACOROCERTIFICATE OF LIABILITY INSURANCE `�- 09/24/2020 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 w 1 p y, 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 'O NAME: Aon Risk Services Southwest, Inc. PHONE FAX v Houston TX Office (A/C.No.Ext): (866) 283-7122 (A/c.No.): (800) 363-0105 'a 5555 San Felipe E-MAIL z Suite 1500 ADDRESS: Houston TX 77056 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich American Ins CO 16535 Cardno USA, Inc. INSURER B: American Guarantee & Liability Ins co 26247 10004 Park Meadows Drive Suite 300 INSURER C: Ironshore Specialty Insurance Company 25445 Lone Tree co 80124 USA INSURER D: Firemans Fund Ins co 21873 INSURER E: Lexington Insurance Company 19437 INSURER F: Allied World Assurance co. (Europe) DAC 0727FI COVERAGES CERTIFICATE NUMBER: 570083993877 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 MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, Limits shown are as re nested INSR ADDL SUBR EFF POLICY EXP LTR TYPE OF INSURANCE IVSD WVD POLICY NUMBER (POLICYMMBD(YIYY) (MMBD(YIYY) LIMITS A X COMMERCIAL GENERAL ILIA�BILITY GLOO18396105 06/30/202U 06/73072021 EACH OCCURRENCE $1,000,000 10 I11:NI`U CLAIMS-MADE I ' I OCCUR PREM111 ISES(Ea occurrence) $1,000,000 l-1 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 HTAGGREGATE LIMITAPPLIESSPER: GENERAL AGGREGATE $10,000,000 m POLICY PRO I I LOC PRODUCTS-COMP/OP AGG $2,000,000 m JECT l-1 OTHER: o r A BAP 0183962-05 06/30/2020 06/30/2021 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $2,000,000(Ea accident) X ANYAUTO BODILY INJURY(Per person) .. O OWNED SCHEDULED BODILY INJURY(Per accident) Z AUTOS ONLY AUTOS HIREDAUTOS NON-OWNED PROPERTY DAMAGE RN ONLY AUTOS ONLY (Per accident) U v BX UMBRELLA LIAB X OCCUR AUC018392705 06/30/2020 06/30/2021 EACH OCCURRENCE $10,000,000 U EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED I RETENTION A WORKERS COMPENSATION AND Wc018396005 06/30/2020 06/30/2021 X I PER STATUTEORTH- EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/ YNN N/A E.L.EACH ACCIDENT $1,000,000 EXECUTIVE OFFICER/MEMBER (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 DySCdescribeunder $1,000,000 ES,describe ON OF OPERATIONS below E.L.DISEASE-POLICY LIMIT E Archit&Eng Prof PSDEF2000430 06/30/2020 06/30/2021 Each claim $3,750,000 claims Made Aggregate $3,750,000 =_ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) S RE: RFQ No. 26-19. City of Clearwater is included as Additional Insured in accordance with the policy provisions of the General - Liability, Automobile Liability and Umbrella Liability policies. With respects to policy number PSDEF2000430 and PSDEF2000431, ti and Aon Risk Solutions (U.S.) is generating and distributing this certificate in an administrative capacity. Aon Risk Services Sydney Australia is the broker for the defined policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. city of Clearwater AUTHORIZED REPRESENTATIVE Engineering Dept. - Suite 220 PO Box 4748 aill/J p J Clearwater FL 33758-4748 USA V cJG�Dft�st��Tsaed r��fau s J. ©1988-2015 ACORD CORPORATION.All rights reserved ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000051836 LOC#: ACORO® ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk services southwest, Inc. Cardno USA, Inc. POLICYNUMBER See Certificate Numbe 570083993877 CARRIER NAIC CODE see Certificate Numbe 570083993877 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S)AFFORDING COVERAGE NAIC INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR ADDL SUBR POLICY NUMBER TYPE OF INSURANCE LIMITS EFFECTIVE EXPIRATION DATE LTR IVSD ',WD DATE (MM/DD/YYYY) OTHER C Env Site Liab 002161706 06/30/2020 06/30/2021 Each $10,000,000 Occurrence Aggregate $10,000,000 F E&O-PL-XS PSDEF2000431 06/30/2020 06/30/2021 Each claim $6,250,000 claims Made Aggregate $6,250,000 ACORD 101(2008101) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000051836 LOC#: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Aon Risk services southwest, Inc. —Cardno USA, Inc. POLICYNUMBER See Certificate Numbe 570083993877 CARRIER NAIC CODE See Certificate Numbe 570083993877 EFFECTIVE DATE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance CARDNO NAMED INSUREDS Cardno ChemRisk, LLC. Cardno EM-Assist, Inc. Cardno Emerging Markets USA, Ltd. Cardno ENTRIX Cardno ERI Cardno GS, Inc. Cardno Haynes Whaley, Inc. Cardno JFNew Cardno MMA Cardno NC, Inc. Cardno TBE (AZ) Cardno TBE (FL) Cardno TBE; TBE Group, Inc. Cardno TEC, Inc. Cardno USA, Inc. Cardno WRG, Inc. Cardno WRG, Inc. dba WRG Designs Inc. Cardno, Inc (OR) Cardno, Inc. (TX) Cardno, Inc. (FL) David Douglas Associates, Inc. Ensight Haynes Whaley, LLC Entrix Inc. dba Cardno Entrix Environmental Resolutions, Inc. ES NY Engineering, P.A. PC. J.F. New & Associates, Inc. JFNew TBE Group, Inc. (Addeo) TBE Group, Inc. dba: Cardno TBE TBE Group, Inc. , Cardno TBE TBE Professional Services, PLLC WRG North Carolina PLLC ACORD 101(2008101) (D 2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD