CERTIFICATE OF LIABILITY INSURANCE (970)ACORbr CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDDTYYY)
3116/2021
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(les) 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 Hahts to the certificate holder In lieu of such andorsement(a).
PRODUCER
Arthur J. Gallagher Risk rVJCna Inc
250 New ark York NY 1 177 or Receive d
New York NY 10177
INSURED _ '�r R -UD 2021_--_- -,
WSP USA Inc.
One Penn Plaza Cl tl' 0/e CIBQi'LUQt2Y
New York, NY 10119
111.7TV =1
COVERAGES CERTIFICATE NUMBER: 1740926102 REVISION NUMBER:
16535
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. OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
_
ILTR TYPEOf INSURANCE - POLICY NUMBER MMLICIYEVFVV M DCD/YYY s---� - UNITS
A
X COMMERCIAL GENERAL LIABILITY
GLO983681907 4!1/2020
5/1/2021 EACH OCCURRENCE $2,000,000
CLAIMS MADE X _ OCCUR
DAUGE'GET R RENTED
PREM1S$300,000
X ContreauY 4eb
MED EXP (Any a+e arson) (5,000
PERSONAL B ADV INJURY $2.000,000
GEN'L AGGREGATE APPLIES PER.
AGGREGATE $5,000,000
pUNIT
)t POLICY77
IJECT _J LOC
_GENERAL
PRODUCTS COMP,OPAGG (2,000,000
OTHER.
$
B
AurOMOBILEUABIUTV
A57-621-094060.030 4112020
5112021 OMBIN D L f5.000,00D
X ANV AUTOas
BODILY INJURY IPM parson) $
OWNED SCHEDULED
BODILY INJURY (PW amdent) f
AUTOS ONLY AUTOS
HIRED NON -OWNED
PROPERTY DAMAGE S
AUTOS ONLY AUTOS ONLY
_IPA, sgaOeng_ -_
f
A
X UMBRELI-AUAS X
OCCUR
AUC014438604 4112020
5112021 EACH OCCURRENCE $10.000.000
EXDE89 UAB
CLAIMS -MADE
AGGREGATE $10,000,000
DED
RETENTIONS
Foflm Fw It
B
MDRPaMCO PENBATION
WA7.62D-094060-010 4,12020
5112021 IX'
ATUTE
ND
AEMPLOVOS' LIABILITY
ANYPROPIDETOWPARTNER'EXECUTIVE -.-
E1.EACHACCIDENT $2.000,000
OFFTCER44EMBEREXCLUDED?
NIA
.
(NarldMary In NH)
E L. DISEASE - EA EMPLOYE f 2.000 D00
$ YaC MI'o a &O
DESCRIPTION OF OPEflA110N5 bw
EL. DISEASE � POLICY IT $2.000,000
DESCRIPTION OF OPERATIONS I LOCATIONS, VEHICLES (ACORD 101. Additional Remarks Schedule, may be Mtsched II more "SCe Is required)
THIRTY (30) DAYS NOTICE Or CANCELLATION
City of Clearwater, Its Council, the Community Redevelopment Agency of the City of Clearwater. its duly appointed officers, or other public bodies, officers,
employees. representatives and agents are included as an Additional Insured under the General Liability policy. on a primary and non contributory basis. and
Automobile Liability policy when required in a written agreement in accordance with policy terms. conditions and exclusions for services performed by the
Named Insured. 30 Day Notice of Cancellation in favor of the First Named Insured and the certificate holder on the General Liability policy when required by
written agreement in accordance with policy terms, conditions and exclusions.
IC
City of Clearwater. Engineering FQ @34-15
P.O. Box 4748
CLEARWATER FL 33758-4748
USA
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
C_
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