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' Civil/Environmental Engineering I 1-3 <br /> Insurance certificate <br /> I <br /> i <br /> I ACO a L02/20 <br /> CERTIFICATE OF LIABILITY INSURANCE Page 1 0f 2 DATEYST <br /> D4/02/2012 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> 1 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms end conditions of No policy,certain polltles may raguire an endorsement Astatement on this certificate does not confer lights to the <br /> certificate holder in lieu of such endorsement(s). <br /> I PRODUCER CONTACT <br /> Willie of Fes York, The. `Hien <br /> </< 26 Century Blvd. PHONEen; 877-945-7378 I,..nal 888-461-2378 <br /> 9. 0. Box 305191 - <br /> Nashville, TN 1)130-5191 sap IF-53. certltiicatese'Paillis.com <br /> IMG R(S)AFFOPDOIG OWE RAGE I MO/ <br /> IN5'Je£RA Greenwich Insurance Company 122322-201 Ia <br /> INSUREDINSUREDAtkins Berth America, Inc. INSURER!.zneri can Guarantee f Liabilityurance 126243-001 <br /> 2601 RN 137th Avenue INSURER C:3I, Specialty Inaurante Cenpaay 37565-001 <br /> Riaei, T 33172-2507 INSURER O:Underwriter'a at Lloyds eY 115192-001 <br /> I I <br /> INSURERS <br /> LM61RiERP. ( <br /> COVERAGES CERTIFICATE NUMBER:17636961 REVISION NUMBER: <br /> 1105 IS TO CERTIFY THAT THE PCI IrnV S OF INSURANCE LISTED SE10W HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT CR OTHER DOCL*CIT WITII RESPECT TO WHICH THIS <br /> I CERTIFICATE MAY BEE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> FXCLUSfONS AND CCHDRIONS OF SUCH POLICIES.LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CUUMS. <br /> XRR ggpp Im-FwW'fn1Y17 /WprrWN LINTS <br /> pp TYPE DPe6uRAM� re951391 MUG! <br /> A IGENERAL W'WLITY CG57405D1601 14/1/2012 4/1/2013 EEpAAeC�Hpi,O.�COTpUR�RIG:C; 3 1.000 000 <br /> I% I COURERCIAL GENERAL l lean Cy PR`J..15y IEas mmT 3 000. <br /> 1 I I cuss-MIE_I x Io6c/R 1 000 <br /> Lem Exp VA es pima) H 300,000 <br /> I% Ii ContraCtual Liability P-RONAL4AOYDI.'JRY 1.000,000 <br /> IJ OEFERAL AGGREGATE k 2,000.000 <br /> II—I <br /> rF%LAGGREGATELA'RAPPDEBPER: PRODUCTS-CgiT0Pa5G S a,000.000 <br /> 11 I -I Pori I�72; 1 X 1 ton I <br /> A I AUTCROBRE Wan CALT740907701 N (m �sMGltuar 5 2,000,000 <br /> /1/2012 9/1/2013 <br /> Fr wnhrC OGDILY INJURY(Panmoal 5 <br /> ALL I SCWmULe3I - <br /> IA0TO6 BODILY eeeiTQmiLyn9 S <br /> I _ p er —:TOWRm IIOvera ) 5 <br /> 4/1/2012 4/1/2013 <br /> I 4 <br /> B IX UMBRELLA IJa <br /> A9 I IOtwn A0632434300 1IEACHNKLR2NcE S 1,700.000 <br /> rrtrts WS OAIMSAAADE AGGREGATE S <br /> I CEO I% kMiro NATION ero I 1.000.000 <br /> WORKERS COMPEWyTCW S�SiAT} FAL <br /> 4 <br /> C CNG740901501 '4/1/2012 9/i/2013 % It@Nlrwlgl Ira <br /> I AND EMPLOYERS.LMBIIRY <br /> AMY RrIT?ic RWi4MINA=%ECUTNE N1 N/A ELEAOTACCIy_1T <br /> rye-n(ym; ay(�Ipn L`J S 1,000,000 <br /> �l1ERD(NAEei <br /> L' 4Ge>bmunb EL.DISEASE-EA EMPLOYEE S 1,000,000 <br /> DESCR;PTTCM OF OPERATIONS below 6I-=VMS-HOLLY Urn 5 1,000,000 <br /> e D Prefeaaional <br /> Liahi lily-Ciaine Made 201301:1209P12 4/1/2012 4/1/2013 92.000.000 each claim a <br /> $2.030,000 Annual Aggregate <br /> 11/11/1961 Retrodate <br /> OEs.CRT.RN 6 CPERAVOIS/LO C AnONs I V EHRLES Wm,Amf:Ti.A440.ad Re mems 3clalb,a ewe era le remind) <br /> Effective April 1, 2011, Post, Buckley, Schuh L Jernigan, Inc., d/b/a PBS&J changed its nano <br /> 1 officially to Atkins North America, Inc. <br /> Greenwich Insurance Companies Best Rating A N <br /> American Guarantee and Liability Insurance Cor<pany Beat Rating A XV <br /> XL Specialty Insurance Company Best Rating A+ XV <br /> Underwriters at Lloyd's London AM Beet Rating: A XV. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLE)BEFORE <br /> THE EXPIRATION DATE THEREOF. NOTICE MILL BE DELIVERED IN <br /> Specimen <br /> ACCORDANCE WITH THE POLICY PROVISIONS <br /> nbaTED PE SENTAA1WWZ <br /> / I��S^J'-Y <br /> Coll:3683808 Tpl:1424702 Cert:17536901 ©1988-Z010ACORD CORPORATION.AIldghts reserved. <br /> ACORD 25(2010(05) The ACORD name and logo are registered marks of ACORD <br /> I0006.027944.0512 Atkins I City of Sunny Isles Beach, RFQ No. 12-04-02 <br />