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CERTIFICATE OF LIABILITY INSURANCE - 18-0019-UT (2)INSR ADDL SUBR LTR INSR WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE INSURER(S) AFFORDING COVERAGE NAIC # Y / N N / A (Mandatory in NH) ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EACH OCCURRENCE $ DAMAGE TO RENTED $PREMISES (Ea occurrence)CLAIMS-MADE OCCUR MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ PRO- OTHER: LOCJECT COMBINED SINGLE LIMIT $(Ea accident) BODILY INJURY (Per person)$ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS AUTOS ONLY HIRED PROPERTY DAMAGE $AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below POLICY NON-OWNED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) ACORDTM CERTIFICATE OF LIABILITY INSURANCE Amerisure Insurance Company Starr Indemnity & Liability Company Amerisure Mutual Insurance Company Amerisure Partners Insurance Company Berkley Assurrance Company Great American Assurance Co 3/31/2021 Marsh & McLennan Agency Bouchard Region 1 N. Dale Mabry Hwy, Suite #450 Tampa, FL 33609 727 447-6481 certificates@bouchardinsurance.com Wharton-Smith, Inc. 750 Monroe Road Sanford, FL 32771 19488 38318 23396 11050 39462 26344 A X X X Y Y GL20361081601 04/01/2021 04/01/2022 1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000 D X X X Y Y CA20361071601 04/01/2021 04/01/2022 1,000,000 A B F X X X X 0 Y Y Y Y Y Y CU21171470001 1000585014211 EXC3284641 04/01/2021 04/01/2021 04/01/2021 04/01/2022 04/01/2022 04/01/2022 20,000,000 20,000,000 C N Y WC203610915 04/01/2021 04/01/2022 X 1,000,000 1,000,000 1,000,000 G E E Rented Equipment Pollution Liab Professional Liab Y UM00024961MA21A PCADB50141490421 PCADB50141490421 04/01/2021 04/01/2021 04/01/2021 04/01/2022 04/01/2022 04/01/2022 2,500,000 5,000,000 5,000,000 Insurers Affording Coverage Continued: Insurer G - XL Specialty Insurance Company - Rented Equipment Coverage Blanket Loss Payee applies for Rented and Leased Equipment. Rented and Leased Equipment deductible: $2,500 standard deductible. (See Attached Descriptions) City Of Clearwater 100 S. Myrtle Ave Suite 220 Clearwater, FL 33756-0000 1 of 2 #S8150757/M8146161 WHARTINCClient#: 706782 RCSXW 1 of 2 #S8150757/M8146161 SAGITTA 25.3 (2016/03) DESCRIPTIONS (Continued from Page 1) 2% subject to a $10K minimum deductible applies to all rented cranes. Certificate holder is additional insured as respects General Liability, Automobile Liability, Pollution Liability and Umbrella/Excess Liability policies only if required by written contract, and subject to the terms, conditions and exclusions as specified in the policies. Coverage is primary as respects to General Liability & Automobile Liability and non-contributory as subject 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. Umbrella/Excess Liability policies follow the forms/endorsements of the underlying General Liability, Automobile Liability and Workers Compensation policies. Project NE WWTP Filter Rehab # 18-109 2 of 2 #S8150757/M8146161 BUILDER’S RISK COVERAGE COVERED PROPERTY AND PREMISES DESCRIPTION New construction and remodeling of waste or water treatment plants; new construction and non- structural renovations of commercial buildings at various premises within the state of Georgia, Florida, North Carolina, South Carolina, V irginia, Mississippi, Alabama, Louisiana, Texas and Tennessee SUMMARY COVERAGE LIMIT OF INSURANCE Covered Property at Premises Described Above – Consisting of Frame or Joisted Masonry Construction $2,500,000 Covered Property at Premises Described Above – Consisting of Non-Combustible, Masonry Non- Combustible, Semi Fire-Resistive and Fire-Resistive Construction (Including Water Treatment Plants Except on Islands) $100,000,000 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 COVERAGE DEDUCTIBLE OR WAITING PERIOD All Coverages Unless Otherwise Specified Below $5,000 projects $50,000,000 and under. $25,000 on projects over $50,000,000. Named Storm – On Islands 12.5%, Subject to $500,000 minimum on projects up to $8M. 10.0%, Subject to $500,000 minimum on projects over $8M. Named Storm – Water Treatment Plant Projects Only 2%, Subject to $5,000 Minimum on projects $50,000,000 and under. 2%, Subject to $25,000 minimum of projects over $50,000,000. Named Storm – Frame, Joisted Masonry or Non- Combustible Construction 5%, Subject to $5,000 Minimum on projects $50,000,000 and under. 5%, Subject to $25,000 minimum on projects over $50,000,000. NAMED INSURED: Wharton-Smith, Inc. COMPANY: NAIC #37885 XL Specialty Insurance Company AM Best Rating: A (Excellent), XV ($2 Billion or greater) POLICY TERM: POLICY NUMBER: 4/1/2021 - 4/1/2022 UM00024960MA21A Named Storm – Masonry Non-Combustible, Semi Fire-Resistive or Fire-Resistive Construction 2%, Subject to $5,000 Minimum on projects $50,000,000 and 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 Islands $500,000 Earthmovement and Volcanic Eruption “Pacific Northwest Seismic Area” “High Hazard Seismic Zones” 1% Subject to $50,000 Minimum Earthmovement and Volcanic Eruption “New Madrid Seismic Area” 1% Subject to $50,000 Minimum Earthmovement and Volcanic Eruption – All Other $25,000 SUBLIMITS COVERAGE LIMIT OF INSURANCE 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 (Waste Water Treatment Plants Only) $500,000 Flood Annual Aggregate $75,000,000 Earth Movement and Volcanic Eruption – Pacific Northwest Seismic Area, High Hazard Seismic Zones $1,000,000 Earth Movement and Volcanic Eruption – New Madrid Seismic Area $10,000,000 Earth Movement and Volcanic Eruption – Per Occurrence $50,000,000 Earth Movement and Volcanic Eruption – Annual Aggregate $50,000,000 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 Coverage Limit for Valuable Papers - $250,000 ADDITIONAL COVERAGE LIMIT OF INSURANCE Contract Penalty $250,000 Debris Removal $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 Rot and Dry Rot $25,000 Loss Adjustment Expenses $5,000 Demolition Cost and Increased Cost of Construction $500,000 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 Property $10,000 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 Instruction $10,000 Voluntary Parting $25,000