CERTIFICATE OF LIABILITY INSURANCE (64)
ACORD..
PRODUCER
Aon Risk services, Inc..of Tennessee
501 Corporate Centre Drlve
suite 300
Franklin TN 37067 USA
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ;ONL Y
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURER A:
INSURER B:
INSURERS AFFORDING COVERAGE
XL specialty Insurance Co
Greenwich Insurance Company
PHONE- 866 283-7124
INSUREO
ARCADISU.S., Inc.
formerly ARCADIS G&M, Inc.
630 plaza Dr. Ste 200
Highlands Ranch CO 80129-2379 USA
FAX- 866 430-1035
INSURER c:
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INSURER D:
INSURER E:
THE POllCIES OF INSURANCE llSTED BEWW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POllCY PERIOD INDICATED , NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WID! RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFEcrJV POLICY EXPIRATION
DAn(MMlDDIYY) DATE(MMlDDlYY)
LIMITS
GENERAL AGGREGATE
$1,000.000
$1,000,000
$10,000
$1.000.000
52,000,000
52,000,000
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GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 0 OCCUR
Contractu a 1
GEc001076105
General liability
~~eE ~~08
EACH OCCURRENCE
FIRE DAMAGEIAnv one fire)
MED EXP lADy one person)
rr""' 1 c.' 2nu.Q.1
'''''''J;. '
PERSONAL It ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY IE] :g.: [E] LOC
t :::FIClAt. Rt(; IWS AND
:GIS!J-,\T;VE S ves DEPT
PRODUCTS. COMPIOP AGG
AEC001075805
Auto (AOS)
AECOOl719503
MaSS Auto
01/01/07
01/01/07
01/01/08
01/01/08
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
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BODILY INJURY
( Per person)
BODILY INJURY
(Per accid""t)
PROPERTY DAMAGE
(Per accideut)
AUTO ONLY. EA ACCIDENT
OTHER THAN
AUTO ONLY:
EA ACC
AGG
o CLAIMS MADE
UEC00107 90
umbrella
01/01/07
01 08
EACH OCCURRENCE
AGGREGATE
$1,000,000
$1,000,000
DEDUCTIBLE
$10,000
WORKERS COMPENSATION AND
EMPLOYERS' LIABWTY
RWD943516301
Workers compensation
RWR943516701
State of Wisconsin
01/01/07
01101/08
01/01/08
E.L. DISEASE-POLICY LIMIT
$1.000.000 =
$1,000,000 ::
$1,000,000 iiii
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01/01/07
E.L. DlSEASE-EA EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSlVEHlCLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Evidence of Insurance.
Cancellation provision shown herein
and reason for, the cancellation.
is subject to shorter or longer time periods depending on the jurisdiction of,
AUTHORIZED REPRESENTATIve
.AIO. ~ $_. '7..... 4 7_..__
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city of clearwater
Attn: Kathy Bedini (City clerk)
P.O. BOX 4748
clearwater FL 33758-4748 USA
SHOU'LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT fAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.