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CERTIFICATE OF LIABILITY INSURANCE (570)page 2 of 3 Client#: 2175323 69DEUELAS ACORD. CERTIFICATE OF LIABILITY INSURANCE FOATE,MINDONYYY, 03/22/2021 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: It the certificate holder Is an ADDITIONAL INSURED, the policy(fes) 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 endoraemem. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: _ Wilson Cabrera MGGriff Insurance Services fLNA 727 327-7070 ,NP, 8686326451 12485 - 28th Street North AD°rDiIELSS. . atP 9 Ins@rnc m riff.co Saint Petersburg, FL 33716 INSURERS) AFFORDING COVERAGE HAIG0 727 327-7070 — - — - . _.._. INSURED Compass Engineering 8 Surveying Inc dba Deuel & Associates 565 S. Hercules Avenue Clearwater, FL 33764 Graffi Midwest Insurance Company Owners Insurance Compere, COVERAGES CERTIFICATE NUMBER- Rcvlatlnu All Mrncla. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCV PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR 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. INBR LTR TYPE OF INSURANCE DD UBR POLICY NUMBER POLICY EFF MIDdYY POLICY ESP (MINDDIYYYY Le1R8 COMMERCIAL GENERAL LIABILITY S CLAIMSV.IADE 1-1OCCURPREMISES ppEAAACCaAHpp��OEECCCTURgRENCE Eio cu i c S MED EXP (My one Fenn) S PERSONAL S ADV N.AIRY S GENL AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S �l PRP —1 POLICY JECT LOC PRODUCTS-COMP/OP AGG S OTHER: a B AUTOMOBN.E LNBS-RY 5277369300 221CWIBINED SINGLE LVAIT 11,000,11,000,0001DOOD e 1 X ANY AUTO BODILY WJURY (Pe Pusan) E OWNED SCHEDULED AUTOS ONLY AUTOS BODILY NJJURY Per aaenS S X AUTO$ X NLY TYDAMAGE ONLY AUTOS AUTOS ONLY jper.. a Lawdenl XMWOthCw E UMBRELLA LAS OCCUR EACH OCCURRENCE E AGGREGATE S EXCESS UAB CLAIMS -MADE DED (RETENTIONS e YORKERS COMPENSATION PER DTH. AND EMPLOYERSLIABILITY Y I N EL. EACH ACCIDENT S ANY PROPRIETORIPARTNERTMECUTIVE OFFICERAIEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE S '(LMRdatmy In NH) 'Ir deacMeumter -- - DESCPIPTIONOFOPERATIONS Wow EL. DISEASE. POLICY UNUT S 1512020 0605512021' See Below A iProfessional Llab AEGM00Do12200 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. A(IdWeml Remarks Schedule. may bo anachod If more nate Is required) Professional Liability (Claims Made) - $1,000,000 Each Claim; $2,000,000 Aggregate; $5,000 Each Claim Retroactive Date 6/15/2005 Received FMAR � 0 mi City of Clearwato Engineering #220 100 S Myrtle Ave Clearwater, FL 33756 ACORD 25 (2016/03) 1 of 1 3639 #S27571030/M27571013 Ler SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ent THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORQED REPRESENTATIVE ®1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 3WC page 2 of 3 Client#: 2175323 69DEUELAS ACORD, . CERTIFICATE OF LIABILITY INSURANCE DFTE(MAvooNyyy) 03/22/2021 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. It 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 NAMTAIT E Wilson Cabrera McGriff Insurance Services PHONE727 32_7-707_0 8886328451 (A/C. No. ExR. _ _ {AIC No): 12485 - 28th Street North ADD Ess: stpins@mcgrttf.com Saint Petersburg, FL 33716 INSURER(S) AFFORDING COVERAGE NAIO8 727 327-7070 INSURER A : Grest Midwest Insurance Company 18684 INSURED Compass Engineering & Surveying Inc dba Deuel & Associates 565 S. Hercules Avenue Clearwater, FL 33764 INSuRER B: Owners Insurance Company _INSURER C : _ i INSURER D: I INSURER E enUFRAGPS CFRTIFICATF NUMRFR! 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBIECT TO ALL THE TERMS. AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN RpOELLDDDU��C��EDF By PAID CLAIMS. NgEXCLUSIONS LTRR TYPE OFINSURANCE DOL,BU POLICY NUMBEfl AnaVIRF YMDDVI'Y SILWdYY1x'P LNIRS COMMERC IAL GENERAL UAaIUTV EACH OCCURRENCE E Fl BREM_IBE E CLAIMSWADE OCCufl oNaTumenlx MED EXP( Any me person) E PERSONAL & ADV INJURY E GEN -L AGGREGATE LIMITAPPLIES PER. GENERAL AGGREGATE a PRECT6 F7 � PRODUCTS-CCMIt AGO POLICY JLOC a OTHER: B AUTOMOBAELAINUIT 5277369300013/=0211,03124W 1COMBINED SINGLE LMR 1,000000 X ANY AUTO BODILY INJURY (Par Demon) S OWNED SCHEDULED BODILY INJURY (Per andtharle S AUTOS ONLY AUTOS X wTEUOS X NONIOWNED PROPERTYDAALAGE S ONLY AUTOS ONLYes li X ve Oth car a UMBRELLA LMB OCCUR EACH OCCURRENCE a EXCESS UAB CLAtMS#IADE AGGREGATE a DED RETENTIONS S WORKERS COMPENSATION PEE OM AND EMPLOYERS' LMBILRY YIN ANY PROPRIETOWPARTNEWEXECUTNE U. EACH ACCIDENT S OFFICE"EMBER EXCLUDED? NIA (M4mal In NH) ,E.L DISEASE -EA EMPLOYEE a II dateribeunder DESCRIPTION OF OPERATIONS babes Plrotesslonai Llab IAEGM00DO12200 EL DISEASE - POLICY UNIT Is 15/2020I06/15/2021I See Below A DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Adoltlonal Remark$ Schedule. may be attach" It mora space b mquled) Professional Liability (Claims M Aggregate; 55,000 Each Claim V. Retroactive Date 6/15/2005 1 c e i V e d MAR 2 9 2021 a 021 City of Clearwater Attn: Engineering RFO #26-19 Po Box 4748 Clearwater, FL 33758 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 a I Yee-Lul b AGunu l unrunA I lum. Xu rigors reserves. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD 3114) #S27571031/M27571013 3WC