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CERTIFICATE OF LIABILITY INSURANCE (4) ;ORD.."_,~ERTIFIC~!E OF LIABILITY INSUI \NC~~~~ D DA~E;~~~D~~ ~UCER ,.;. THIS CERTIFICATE IS ..SSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Stahl Ross & Associates, Inc. . 33937 US 19, North Palm Harbor FL 34684 Phone: 727-784-8554 Fax: 727-789-2823 INSURERS AFFORDING COVERAGE Clearwater Country Club, Inc. Clearwater Country Club Management Inc. Attn: Ron Abraham 525 North Betty Lane Clearwater FL 33755 INSURER A; INSURER B; INSURER C: INSURER D; INSURER E: INSURED COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE POLICY NUMBER ~2~~~~b'f,mYE P6>.k+~~~~~~~J.}?N LIMITS GARAGE LIABILITY R ANY AUTO EXCESS LIABILITY A tJ OCCUR 0 CLAIMS MADE XYZ68348424 RDEDUCTIBLE RETE~mON $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY C 083028251 EACH OCCURRENCE $1,000,000 01/01/02 01/01/03 FIRE DAMAGE (Anyone fire) $ 100,000 MED EXP (Any c'" person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 I PRODUCTS - COMP/OP AGG $2,000,000 COMBINED SINGLE LIMIT $1,000,000 01/01/02 01/01/03 (Ea accident) BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY- EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $5,000,000 01/01/02 01/01/03 AGGREGATE $5,000,000 $ $ $ X TI"gR~Td~YTS I IU~~- 01/01/02 01/01/03 E,L, EACH ACCIDENT $ 500,000 E.L. DISEASE, EA EMPLOYEE $ 500,000 E,L, DISEASE - POLICY LIMIT $500,000 GENERAL LIABILITY t--- A X COMMERCIAL GENERAL LIABILITY MZX80774569 f-- ~ CLAIMS MADE ~ OCCUR t--- I t--- f-- GEN'L AGGREGATE LIMIT APPLIES PER: II ,nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY t--- B X ANY AUTO 9562406000 f-- ALL OWNED AUTOS t--- SCHEDULED AUTOS f-- HIRED AUTOS f-- NON-OWNED AUTOS t--- f-- OTHER DESCRIPTION OFOPERATIONSlLOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *30 days written notice of cancellation required on Workers Compensation. Certificate Holder is listed as an Additional Insured as respects General Liability. CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: A CITYOFC CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO~ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ...l.Q.!. 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 INSURER, ITS AGENTS OR REPRESENf,ATIVES. , A~~A~ r /'''' :J.&?7~ City of Clearwater Parks & Recreation Dept. Fax 562-4825 ATTN Debbie Reid P.O. Box 4748 Clearwater FL 33758 I ACORD 25-5 (7/97) ;1 003 00 @A~ORD CORPORATION 1988 ~e' ~I Q{'K1 VCrs/( €ERTIFICA1E)OF L..IABILI~lfSJSlJ~I.(\Jl#~Ji..]./ DA~~ 7~/~~~~ .,'. o THIS CERTIFICATE IS 13SUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE I Ai:;ORD~ ~RODUCER Stahl Ross & Associates, Inc. 33937 US 19, North Palm Harbor FL 34684 Phone No, 727-784-8554 Fax No, 727-789-2823 INSURED Clearwater Country Club, Inc. Clearwater Country Club Management Inc. Attn: Ron Abraham 525 North Betty Lane Clearwater FL 33755 COVERAGES ' COMPANY A Firemans Fund Insurance Co. COMPANY B Auto Owners Insurance Company COMPANY C American Intl. Companies COMPANY D 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, CO 'I TYPE OF INSURANCE II' POLICY NUMBER II POLICY EFFECTIVE POLICY EXPIRATION L TR DATE (MM/DDIYY) DATE (MM/DDIYY) GENERAL LIABILITY - A X / GENERAL AGGREGATE COMMERCIAL GENERAL LIABILITY I CLAIMS MADE [!J OCCUR OWNER'S & CONTRACTOR'S PROT c--- MZX80774569 01/01/01 01/01/02 PRODUCTS - COMP/OP AGG PERSONAL & ADV INJURY f- EACH OCCURRENCE FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) AUTOMOBILE LIABILITY I--- B ~ ANY AUTO ALL OWNED AUTOS I--- SCHEDULED AUTOS I-- HIRED AUTOS I--- NON-OWNED AUTOS I-- I--- 9562406000 01/01/01 01/01/02 COMBINED SINGLE LIMIT r , /;' - ,-,: i.l i BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE " LIMITS $2,000,000 $2,000,000 $~,OOO,OOO $1,000,000 $100,000 $5,000 $1,000,000 $ $ $ GARAGE LIABILITY - ANY AUTO - AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: I.:... '.' . EACH ACCIDENT $ AGGREGATE $ $5,000,000 $5,000,000 $ IOJ~-I...,<' ...,.. ".,...',...,'.', ",' $500,000 EL DISEASE - POLICY LIMIT $ 50 0 , 0 0 0 EL DISEASE - EA EMPLOYEE $ 500 , 0 0 0 - EXCESS LIABILITY A -xl UMBRELLA FORM I OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I I AGGREGATE EACH OCCURRENCE 01/01/02 01/01/01 I XYZ68348424 x1WC STATU- I tnRY LIMIT" EL EACH ACCIDENT C THE PROPRIETOR! PARTNERs/EXECUTIVE OFFICERS ARE: OTHER IXlINCL H EXCL WC6551498 01/01/01 01/01/02 ~"._ ...., 0", I ~ -.' .. . ; ~ , ~. ,,- , [....-; .. ,...,.- ","" : H L.: '~..I ,..e.....;;.!;! DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLEs/SPECIAL ITEN:l MAl< If 7 ZlIUi *30 days written notice of cancellation required on Workers Compensation. Certif1cate Holder is listed.as an Additional Insured as respects General Liabili ty. CITY Ci..I EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND \J.fON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. . '"'"O:~~~~"~RAnON 1988 --- ',,' " CERTI FICATE HOLDER CITYOFC City of Clearwater Parks & Recreation Dept. P.O. Box 4748 Clearwater FL 33758 ACORD25~S(1195)" "... '. ". ~ ,: L p., Ii I I PREPARED BY AND RETURN TO: Gary N. Strohauer, Esquire Baxter, Strohauer & Mannion, P.A. 1150 Cleveland Street, Suite 300 Clearwater, FL 33755 LESSOR'S AGREEMENT THIS LESSOR'S AGREEMENT (the "Agreement") is executed this -7 rl day of ,,1?l/e ",Jx.", 2000, by and between CITY OF CLEARWATER, a political subdivision of the State of Florida (the "Lessor"), FIRST NATIONAL BANK OF FLORIDA, a Florida banking corporation, (the "Lender"), CLEARWATER COUNTRY CLUB, INC., a Florida not for profit corporation (the "Lessee"), and CLEAR WATER COUNTRY CLUB MANAGEMENT, INC., a Florida not for profit corporation (the "Future Lessee") and is made in reference to the following facts: (A) At all times material hereto, the Lessor was and is the owner in fee simple title to the real property legally described in Exhibit "A" attached hereto (the "Property"). (B) The Property is contiguous to property owned in fee simple by Lessee legally described in Exhibit "B" attached hereto (the "Lessee's Property") upon which Lessee plans to erect a new clubhouse facility financed by Lender. (C) Lessee operates a golf and country club business upon the Property and Lessee's Property and has done so and will continue to do so under the Existing Lease described below until the effective date of the merger of Lessee and Future Lessee.. (D) On or about April 1 0, 1987, the Lessor and Clearwater County Club, Inc. entered into a written Lease Agreement covering the Property (the "Existing Lease") having a term commencing on May 1, 1987 and ending on April 30, 2002. (E) On or about May 9, 2000, Lessor and Future Lessee entered into a written Lease Agreement covering the Property (the "Future Lease") having a term commencing on May 1, 2002 and ending on April 30, 2032. (F) The Lender has made or will make a first mortgage loan to the Lessee and Future Lessee in the original principal amount of Two Million Five Hundred Thousand Dollars ($2,500,000.00) (the "Loan"). The Loan is to be evidenced by a promissory note executed by the Lessee and Future Lessee in favor of the Lender (the "Note"). The Note is secured, among other things, by a first mortgage on Lessee's Property and a first leasehold mortgage on the Property and the interest of the Lessee and Future Lessee as tenants under the Existing Lease and the Future Lease (hereinafter collectively the "Leases and/or the Mortgage") described above. The Mortgage and all other instruments of security for the Note will be sometimes collectively referred to below as the "Instruments of Security". The Note and the Instruments of Security will be sometimes collectively / 0 OC' /2 -i"/') 7 .....~ / / J '.../ I,~/ (;'01 , . I I referred to below as the "Loan Documents". (G) The Lender has required the execution of this Agreement as a condition to making the Loan, and the Lessor, the Lessee and the Future Lessee are agreeable to such, subject to the terms and conditions set forth below. (H) Future Lessee will succeed to all assets, obligations and rights of Lessee by the merger of Lessee unto Future Lessee not later than May 1,2002. Future Lessee shall be the surviving not for profit corporation. (1) Future Lessee will operate a golf and country club business on the Property and Lessee's Property from the effective date of the merger or May 1,2002, whichever first occurs, forward under the Lease(s). NOW THEREFORE, in consideration of the premises and other valuable consideration, the receipt and adequacy of which is hereby acknowledged, the parties agree as follows: ARTICLE ONE - INTRODUCTORY PROVISIONS 1.1 Recitals. The statements contained in the recitals of fact set forth above (the "Recitals") are true and correct, and the Recitals are by this reference made a part of this Agreement. 1.2 Exhibits. The exhibits which are attached to this Agreement are by this reference made a part hereof. 1.3 Abbreviations and Definitions. The abbreviations and definitions set forth in the Preamble and the Recitals will be used for purposes of this Agreement. ARTICLE TWO - WARRANTIES AND REPRESENTATIONS 2.1 Warranties and Representations by Lessor. The Lessor hereby warrants and represents to the Lender as follows: (a) The Lessor is a political subdivision, duly organized and existing under the Laws of the State of Florida; (b) All action exists or has been accomplished by the Lessor so as to duly authorize the individuals set forth below to execute this Agreement on behalf of the Lessor so as to fully and legally bind the Lessor to the terms and provisions of this Agreement; (c) The Lessee is the sole owner of the leasehold interest in the Property and the sole owner of the tenant's estate in the Lease through the term of the Existing Lease which expires on April 30, 2002. 2 I I (d) The Lessee is not in default under the Lease, and the Lease is fully current; (e) The Future Lessee will become the sole owner of the leasehold estate in the Property and will become the sole owner of the tenant's interest in the Future Lease effective on May 1, 2002 contemporaneously with the expiration of the Existing Lease; (f) The Future Lessee is not in default under the Future Lease and the Existing Lease is fully current; (g) The Existing Lease was modified by a First Amendment dated September 11, 1987; (h) The Existing Lease and First Amendment have not been further amended or modified; (i) The Future Lease has not been modified or amended; (j) Lessor consents to the merger of Lessee into Future Lessee which merger is to occur not later than May 1, 2002; (k) Lessor will not further encumber, sell or otherwise transfer its ownership interest in the Property to a third person or entity so long as any portion of the Loan is unpaid. 2.2 Warranties and Representations by Lessee. The Lessee hereby warrants and represents to the Lessor and the Lender as follows: (a) The Lessee is a not for profit Florida corporation, duly formed, presently existing and in good standing under the laws of the State of Florida; (b) All action exists or has been accomplished by the Lessee so as to duly authorize the officer set forth below to execute this Agreement on behalf of the Lessee so as to fully and legally bind the Lessee to the terms and provisions of this Agreement; (c) Consummation of the transaction contemplated hereunder will not violate or result in a breach of or constitute a default under any provision or any charter, bylaw, contract, lien, instrument, order, decree, ordinance, regulation or any other restriction of any kind to which the Lessee is bound or affected; (d) Lessee is the owner of the first leasehold interest in the Property pursuant to the Exhibit Lease for the period May 1, 1987 through April 30, 2002, and the owner of the tenant's interest in the Existing Lease, free and clear of all liens and encumbrances except for ad valorem taxes not yet due and payable, and the matters set forth in a mortgagee title commitment; (e) Lessee is not in default under either the Loan Documents or the Existing Lease; 3 ", I I (f) The Existing Lease was modified by a First Amendment dated September 11, 1987; (g) The Existing Lease and First Amendment have not been further modified or amended; (h) Lessee is in possession of the Property and Lessee's Property and operates pursuant to the terms of the Existing Lease a golf and country club business; (i) Lessee will merge into Future Lessee not later than May 1, 2002 and will cause all of it's property and assets, real, personal, intangible and mixed to be conveyed to Future Lessee upon the effective date of the merger; G) Lessee is the fee simple owner of Lessee's Property and owns the same free and clear of all liens and encumbrances other than real estate taxes for the current year, any indebtedness owed to Lender which is partially secured by Lessee's Property and rights of Lessor under the Leases; (k) So long as any portion of the Loan remains unpaid, Lessee will not further encumber Lessee's Property or its leasehold interest in the Property. 2.3 Warranties and Representations by Future Lessee. The Future Lessee hereby warrants and represents to the Lessor and the Lender as follows: (a) The Future Lessee is a not for profit Florida corporation, duly formed, presented existing and in good standing under the laws of the State of Florida; (b) All action exists or has been accomplished by the Future Lessee so as to duly authorize the officer set forth below to execute this Agreement on behalf of the Future Lessee so as to fully and legally bind the Future Lessee to the terms and provisions of this Agreement; (c) Consummation of the transaction contemplated hereunder will not violate or result in a breach of or constitute a default under any provision or any charter, bylaw, contract, lien, instrument, order, decree, ordinance, regulation or any other restriction of any kind to which the Future Lessee is bound or affected; (d) Future Lessee is the owner of the first leasehold interest in the Property pursuant to the Future Lease for the period May 1, 2002 through April 30, 2032 and the owner of the tenant's interest in the Future Lease, free and clear of all liens and encumbrances except for ad valorem taxes not yet due and payable, and the matters set forth in Exhibit "B" attached hereto; (e) Future Lessee is not in default under either the Loan Documents or the Existing Lease. 4 ) I (g) The leasehold estate of Future Lessee under the Future Lease will commence on May 1, 2002 and expire on April 30, 2032. (h) The Future Lease has not been modified or amended; (i) Not later than May 1, 2002 Future Lessee will come into possession of and fee simple ownership of Lessee's Property and all of lessee's other assets through merger and Future Lessee will operate a golf and country club business on the Property for the term of the Future Lease and any remaining period of the Existing Lease pursuant to those Leases; (j) Future Lessee shall, upon the effective date of the merger, assume all of the obligations, responsibilities and liabilities of Lessee; (k) So long as any portion of the Loan remains unpaid, Future Lessee will not further encumber Lessee's Property or its leasehold interest in the Property. ARTICLE THREE - AGREEMENTS 3.1 A2reements by Lessor. The Lessor subject to the provisions of paragraphs 3.4 and 3.5 hereof agrees with the Lender as follows: (a) A default under the Loan Documents or the acceleration of the Loan or the exercise of any rights or remedies provided by the Loan Documents or by law, including without limitation, the foreclosure of the Mortgage, shall not constitute a default under either the Existing Lease or the Future Lease (the "Leases") nor shall it entitle the Lessor to accelerate or terminate either Lease nor shall it entitle Lessor to exercise any right or remedy provided by either Lease or by law; (b) Neither the Lender nor any third party successfully bidding at a public sale acquiring title to the leasehold interest in the Property or the Lessee's or Future Lessee's interest in either Lease through foreclosure of the Mortgage nor the Lender acquiring leasehold title to the Property or the Lessee's or Future Lessee's interest in the lease through a deed-in-lieu offorec1osure shall constitute a default under either Lease nor entitle the Lessor to accelerate or terminate either Lease nor entitle the Lessor to exercise any right or remedy provided by either Lease or by law, provided such purchaser shall assume from date of purchase all of the lessee obligations under the Lease(s); (c) Subject to the limitations set forth in paragraph 3.5 hereof, in the event Lender succeeds to Lessee's or Future Lessee's interest in the Lease(s), Lender shall have the right to assign, to a third person or entity, the Lease and/or the Future Lease, as the case may be, to a third party, without the necessity of the consent of Lessor; (d) All right, title and interest of the Lessor in and to the leasehold interest in the Property, is hereby subordinated and made subject, subordinate and inferior to the lien and secured 5 interest of the Instruments of Security, whether for disbursed principal, accrued interest, default or capitalized interest costs or otherwise, and shall remain in effect for any modification or extensions of the Loan and the Loan Documents (which subordination includes, without limitation, Lessor's statutory landlord's lien provided by Florida law); ( e) Notwithstanding anything contained in either Lease to the contrary, Lessor will not accelerate or terminate either Lease or exercise any right or remedy as provided under either Lease or by law unless and until the following first occurs: (i) a default occurs under the Lease which is not cured within the applicable grace or curative period provided in the Lease; and (ii) if the default constitutes a monetary default which is not cured under (i) above, then if the monetary default is not cured by Lessee, Future Lessee or Lender within thirty (30) days following receipt by Lender from Lessor of written notice specifying with particularity such event of monetary default and the manner and time period in which to correct same; or (iii) if the default constitutes a non-monetary default which is not cured under (1) above, then if the non-monetary default is not cured by Lessee, Future Lessee or Lender within thirty (30) days following receipt by Lender from Lessor of written notice specifying with particularity such event of non-monetary default and the manner and time period in which to correct same (or, if such non-monetary default cannot be reasonably cured within the thirty (30) day period, then if Lender does not commence to cure such non-monetary default within the thirty (30) day period and thereafter diligently and continuously proceed to cure such non-monetary default); and (f) Any provision in the Lease(s) which prohibits or restricts or limits in any way the assignment or encumbrance of the Lessee's and Future Lessee's interest in the Lease is hereby waived in favor of Lender to the Extent of the Loan, Mortgage, and Loan Documents, and the Lessee and Future Lessee consents to such. A monetary default under subparagraph (e) above shall be deemed to include failure to make payments of rent and late charges under the Lease(s), as well as payments of taxes and governmental assessments and premiums for insurance under the Lease(s). All other defaults shall be deemed to be non-monetary defaults. The time period to cure a non-monetary default may include the time required by Lender to acquire title to the leasehold interest in the Property and the Lessee's or Future Lessee's interest in the Lease(s) through foreclosure or a deed-in-lieu of foreclosure if title to or possession of the leasehold interest in personal property and the Lessee's or Future Lessee's interest in the Lease(s) is required to cure a non-monetary default. It is intended by subparagraph (e) above, that the Lessee or Future Lessee have the opportunity to cure a default within the applicable curative period set forth in the Lease under subparagraph (e )(i) above prior to notice to or the cure by the Lender under subparagraphs (e)(ii) or (iii) above, as applicable. The Lender shall have the right, but without the obligation to do so, to cure any event of default under the Lease as set forth in subparagraph (e) above. The provisions of this paragraph 3.1 are solely for the benefit of the Lender and not the Lessee or Future Lessee, and the Lessee or Future Lessee shall not have any greater curative or grace period as to the Lease(s) than are provided in the Lease(s). Notwithstanding anything contained herein to the contrary, if any non-monetary default cannot be cured by Lender due to events or conditions over which Lender has no control then Lessor shall not terminate the Lease(s) or exercise any remedies under the Lease(s) or by law so long as no monetary default in the 6 " I I 3.3 Enforcement. The Lessor and the Lender may enforce the provisions of this Agreement from time to time as occasion therefor may arise, and neither party shall be required to first exercise any rights against any other person or entity primarily or secondarily liable with respect to the applicable Loan described hereunder and neither party shall be required first to initiate, pursue. or exhaust any remedies available to it against any other person or entity or to resort to or enforce any other security or collateral in its possession or under its control or over which it has a lien or security interest or otherwise. \ 3.4 Lessor's Right to Purchase Loan. Whether or not a default by Lessee or Future Lessee exists under the Lease(s), Lessor may cause the Loan to be fully paid off and satisfied or Lessor may purchase, for full value, the Loan and Loan Documents from Lender at anytime and Lessor shall thereupon succeed to the rights of Lender. 3.5 Lender's Enforcement of Mortgage Rights Against Leasehold. Lender covenants and agrees with Lessor that Lender shall not conclude any foreclosure action by effecting a judicial sale of the Lessee's leasehold interest in the Property to occur until the expiration of 120 days from the date on which Lender gives written notice to Lessor of Lessee's default under the Loan Documents, specifying what actions are required to cure such default. During the 120 day grace period Lessor may at any time, at its option, cure Lessee's default and/or provide to Lender a "Substitute Lessee" acceptable to Lender. A "Substitute Lessee" acceptable to Lender shall be a person or entity skilled and experienced in owning and operating golf courses and country club operations who has adequate financial strength and capital to undertake the obligations of Lessee. Substitute Lessee shall be required to a) cure the default of Lessee and pay all amounts due to Lender including delinquent principal, accrued interest, late charges, court costs and attorneys fees and all other outstanding charges due to Lender, b) assume all obligations of Lessee under the Loan Documents and agree to pay the balance of the loan obligation in accordance with its terms, and c) execute and deliver to Lender any and all documents, including a loan assumption agreement, reasonably required by Lender to memorialize the obligations described in sub-paragraphs a) and b) above. The assumption by Substitute Lessee shall not serve to release or relieve Lessee from any liability and obligations owed to Lender under the Loan Documents. Unless the default of Lessee is cured, or unless Substitute Lessee has completed to the reasonable satisfaction of Lender all of the obligations required of Substitute Lessee, within the 120 day cure period provided, then upon the expiration of the 120 day cure period, Lender shall be permitted to effect the judicial sale of Lessee's leasehold interest in the Property in accordance with applicable Florida law. 3.6 Waiver. No course of dealing or delay or omission on the part of either Lessor or Lender in exercising or enforcing any of their respective rights or remedies under the Loan or hereunder shall impair or be prejudicial to the rights and remedies of such party hereunder and the enforcement hereof Except as otherwise set forth in this Agreement, the parties waive notice of acceptance of this Agreement, notice ofthe occurrence of any default under their respective instruments or hereunder, and presentments, demands, protests and notices of any and all action at any time taken or omitted by the other party in connection with its loan or Lease described or this Agreement. 8 .,~ .~ ARTICLE FOUR - MISCELLANEOUS PROVISIONS 4.1 Amounts Due. Any party hereto, within six (6) days upon request in person or within ten (10) days upon request by mail, will furnish a written statement duly acknowledged of the amount due to such party on its applicable loan or lease hereunder and whether any offsets or defenses exist against the debt for such loan or lease(s). 4.2 Notices. Any written notice, demand or request that is required to be made hereunder shall be served in person or by registered or certified mail, return receipt requested, addressed to the parry to be served at its address set forth below: Lessee: Clearwater County Club, Inc. 525 Betty Lane North Clearwater, FL 33755 Future Lessee: Clearwater Country Club Management, Inc. 525 Betty Lane North Clearwater, FL 33755 Lessor: City of Clearwater P.O. Box 4748 Clearwater, FL 33758-4748 Lender: First National Bank of Florida 1150 Cleveland Street Clearwater, FL 33755 The above addresses may be changed as to the applicable party by providing the other party with notice of such address change in the same manner provided above; provided, however, so long as Lessee or Future Lessee is the owner of all or any part of the leasehold interest in the Property the address of the Lessee or Future Lessee must be located within the State of Florida. In the event that written notice, demand or request is made as provided in this paragraph 4.2, then in the event that such notice is returned to the sender by the U.S. Postal System because of insufficient address or because the party has moved or otherwise other than for insufficient postage, such writing shall be deemed to have been received by the party to whom it was addressed on the date that such writing was initially placed in the U.S. Postal System by the Sender. 4.3 Severability. Wherever possible, each provision of this Agreement shall be interpreted in such manner as to be effective and valid under applicable law, but if any provision hereof shall be prohibited or invalid under applicable law, such provision shall be ineffective to the extent of such prohibition or invalidity only, without invalidating the remainder of such provisions or of the remaining provision so this Agreement. 9 _____ _&. ~~ ~&_ '-......._6.1.....1..... 11_1....._........__ _.... ...~~...T..cIo"""''''''.I .....1"0.........- .....__ _""1 ...J.. I'" J I 4.4 Gender. Whenever the context of this Agreement so admits or requires, the terms Lessor, Lender, Lessee and Future Lessee shall include the heirs, personal representatives, successors and/or assigns of the respective parties hereto; the use of the singular nwnber shall include the plural, and the plural the singular, and the use of any gender shall include all genders. 4.5 Attorneys' Fees and Costs. In connection with any litigation arising out of this Agreement, the prevailing party shall be entitled to recover against the other parties all costs and expenses incurred, including reasonable attorneys' fees. 4.6 Assignment. This Agreement may be assigned by either Lessor or Lender without the written consent of but with prior notice to the other parties. Any permitted assignment will not relieve any of the parties hereto of the obligations, responsibilities and liabilities hereunder. Lessee and Future Lessee may not assign their obligations, responsibilities and liabilities hereunder, except Lessee may merge into Future Lessee so long as Future Lessee acquires all of the assets of Lessee and assumes all of the obligations, responsibilities and liabilities of Lessee from the date of merger forward. 4.7 Recordation. This Agreement shall be recorded in the public records of Pine lias County, Florida. Upon payment in full of the Note and satisfaction of the record of the Loan Documents, this Agreement shall terminate and be of no further force and effect. 4.8 Modification. There are no other agreements, promises or undertakings between the parties except as specifically set forth herein. No alterations, changes, modifications or amendments shall be made to this Agreement, except in writing and signed or initialed by the parties hereto. 4.9 Binding Effect. Except as limited by the paragraph dealing with assignment as set forth herein (paragraph 4.6), this Agreement shall be binding upon and inure to the benefit of the respective successors and assigns and as applicable, the heirs and legal representatives of the parties hereto. 4.10 Florida Contract. This Agreement shall be deemed a Florida contract and construed according to the laws of such state, regardless whether this Agreement is being executed by any of the parties hereto in other states or otherwise. 4.11 Counteq>arts. This Agreement may be executed in several counterparts, each of which shall be deemed an original. 4.12 Effective Date. This Agreement shall have an effective date of the day and year first above written. This Agreement shall have no force and effect whatsoever unless all parties hereto have duly executed this Agreement. 4.13 Survival. All warranties, representations and agreements contained herein shall survive the closing of the loan transaction contemplated by this Agreement. 10 .1 i 4.14 Compliance Dates. In the event that any date specified in this Agreement shall be on a Saturday, Sunday or a nationally declared holiday, then the date so specified shall be deemed to be the next business day following such date, and compliance by such business day hereunder shall not be deemed a default by any of the parties under this Agreement. 4.15 Compliance With Leases. For purposes of the Leases, execution of this Agreement by all parties shall suffice as proper notice to the Lessor of the security interest of the Lender effecting the Leases. 4.16 Intended Third Party Beneficiary. Lessor, Lessee and Future Lessee acknowledge and agree that the provisions of this Agreement are included for purposes of inducing Lender to finance the Property, Lessee's Property and improvements to be located on Lessee's Property; and such provisions are intended for the benefit of Lender and may be relied upon and enforced by Lender or any successor or assign of Lender as a third party beneficiary of such provisions. 4.17 Lessee and Future Lessee Bankruptcy. Should the Lessee or Future Lessee become bankrupt the Lessor shall be required to enter into a new Lease with the Lender or Lender's assigns in the event ofa successful rejection of the Lease by the Lessee's or Future Lessee's trustee, and if the Lessor should become bankrupt and the Lease is rejected by the Lessor's trustee, the Lessee or Future Lessee shall have the right (subject to the approval of the Lender or its assigns) to terminate the Lease or to remain in possession and to exercise its other rights under ~365(h) of the Bankruptcy Code. Any new lease required hereunder shall contain identical business terms to the Lease rejected in bankruptcy. IN WITNESS WHEREOF, the parties hereto have executed this Agreement, and shall be deemed to have executed such, on the day and year first above written. LESSOR: CITY OF CLEARWATER BY:~~~ WILLIAM HORNE, City Manager 13- --J/F) ~ J. AUNG ayor-Com issioner 11 J ATTEST: ~ ~ - , ~!/,'", .- Vft.Ic TRIA E. GOl! AU, ..... n- City Clerk --A~ t ~jv.vv ~'~A~ · t. ~;lt~:;n:-rll1 As to Cle r Country Club Management, Inc. '"-'- I Approved as to Form: ~~ By: , CARASSAS, Assistant City Attorney LESSEE: CLEARWATER COUNTRY CLUB, INC. a Florida n for profi:zoration By: ~ tJC7~ Its: fI?E<;/J E)/f FUTURE LESSEE: CLEARWATER COUNTRY CLUB MANAGEMENT, INC., a Florida not for profit C07 ~ By: C t Its: (J1t6$(1) 6d7 LENDER By: Name: Title: FIRST NA TIO 12 J I STATE OF FLORIDA COUNTY OF PINELLAS I HEREBY CERTIFY that on this day personally appeared before me, an officer duly authorized to take acknowledgments, William Home, City Manager, of the CITY OF CLEAR WATER, a political subdivision of the State of Florida, who is personally known to me or who has produced as identification, and he is the person described in and who executed the foregoing Lessors' Agreement, and he acknowledged then and there before me that he executed the same as such officer on behalf of said political subdivision for the purposes therein expressed; and that the said Lessor's Agreement is the act and deed of said political subdivision. WITNESS my hand and official seal this 1- day of ~2000. ~)(j~~ otary Public D~/SO . 'I SD My Commission Expires: ~ / la/2..oo t./ '''''''''' Denise A. Wilson l,~I'r~~ MYCOMM, ISSION# CC914107 EXPIRES [:( .~~ June 18, 2004 \NC. ':~':';::.... 'Pi SON OED THRU TROY PAIH IHIURAHCE. ,', ''''irll~'i\ . STATE OF FLORIDA COUNTY OF PINELLAS I HEREBY CERTIFY that on this day persOl}ally appeared before me, an officer duly authorized to take acknowledgments, ~(~ f( ~oItM.t as ~~\1~ofCLEARWATER COUNTRY CLUB, INC., a Florida not for profit corporation, who is personally known to rneor who has produced as identification, and he is the person described in and who executed the foregoing Lessors' Agreement, and he acknowledged then and there before me that he executed the same as such officer on behalf of said corporation for the purposes therein expressed; and that the said Lessors' Agreement is the act and deed of said Corporation. WITNESS my hand and official seal thi~ ~ay of Nov~~, 2000. ~l~~ . Notary Public t'l.AA.t A- T ~ t\o b-P-l"dV c"l. My Commission Expires: ';"~f.y:'f~O;',, Maria T. Rodriguez :~?D..-.~;~ MY COMMISSION # CC653162 EXPIRES ~:.~.~f June 5, 2001 '-7/,'1'0; ,;.~~~' BONDED THRU TROY FAIN INSURANCE, INC, "'''tl'' 13 , , I I STATE OF FLORIDA COUNTY OF PINELLAS I HEREBY CERTIFY that 0 th' day peTS?nally al)l1eare~\be~ me, an officer duly authorized to take acknowledgments, C as ~'4Q\-\~ of CLEARWATER COUNTRY CLUB MANAGEMENT, C., a Florida n for profit corporation, who is personally ~wn to me or who has produced as identification, and he is the person described in and who executed the foregoing Lessors' Agreement, and he acknowledged then and there before me that he executed the same as such officer on behalf of said corporation for the purposes therein expressed; and that the said Lessors' Agreement is the act and deed of said corporation. WITNESS my hand and official seal thi~day of N\JtU..u..l.eA. , 2000. STATE OF FLORIDA COUNTY OF PINELLAS ~{~cl.u~ Notary Public ^^ Mu,'^- .. . ~ Uit-f .CHI~ My Commission Expires: "-;'I"'if,i'~j;;;~., Maria T. Rodriguez ' f:/ d MY COMMISSION 1/ CC653162 EXPIRES \;;" ,,"N June 5, 2001 "{,9f.,i~.'of.." BONDED TH~U T~OY fAIN INSURANCE, INC, I HEREBY CERTIFY that on is day. personally appeared before ms:, an officer duly authorized to take acknowledgments, .', as ~ 1j.tQ. t' '( ej of FIRST NATIONAL BANK OF FLORIDA, a atio I Bing ssociation, who is personally known to me or who has produced as identification, and be is the person described in and who executed the foregoing Lessors' Agreement, and he acknowledged then and there before me that he executed the same as such officer on behalf of said association for the purposes therein expressed; and that the said Lessors' Agreement is the act and deed of said association. WITNESS my hand and official seal this ~day of jJ(\~A ,2000. ~ Z AcL..'~ Notary Public My Commission Expires: };1~\:'!-.~i', Maria T. Rodriguez f;/" 1:;.' ):~ MY COMMISSION 1/ CC653162 EXPIRES \;;;-A,.p" June 5, 2001 ".f.,9f.,i~1--" BONDED THRu TROY fAIN INSURANCE, INC. 14 I LXIII lilT ^ I Tile lIorLIII:;\:;L 1//1 o[ the ~ollthe;l:;t .1.//1 o[ 'Sectiou .lO, TuwlI;.llip 29 SUIILh, 1(;II\l;e 15 1::<I:;L, le:;:; Lht: IJest 5 feet, le:;s Lhe IlorLh 15 fccL, lc::;s Lhe ri1VCllll~l\t nnd Cllru of Hiq.]e Strect nlld Ilillcre::t f)rJvt: lyll\g I/Hldll L1le SouLh JO feet o[ tile E;i:;t JO ft:eL ;111(1 lc:;:; the SCill1O;Jrd SYGLt:1II Hililroiltl right-o[-wilY' TOI~cLlll.:r wllll LII e S ouLI, e iI :; t .l / I, 0 [ t II e SOli L11 e iI :; t J / I, 0 [ :;;il d S I.: C tJ 0 II 1 0, 1 e;. s th e S () II L II J 209 [eel 11I.0.1. o[ L1le E/lst JO [eet, Je:;s tile !'<Jvemellt Ulld clIrlJ of lIil.lcre::l lJrIve' ly11'l', wIL11i1l Llle liorth 120 [eet of the I::,,:;t JO feet, Je::s the SO\lth JJ [ecL, :IIIU les:1 tile IJe::t 17 feet. Together w1th tllC NorLlIIJe;.t 1//1 of the ~;ollLlll/e:;L 1/1, u[ SccLjol1 .1.1, TU\.IlIslllp 29 SO\llh, Hnllge 15 ElISt, less the East J2J1, [cet 11\.0.1. of lllc ~;uuth JU fcet, lcss the 1',1VI.:IIICllt illl(1 cllrh o[ ~l.1l'le Strect Jylllt.; \.Ij lllll1 LIII.: He:;t 90 [cet of the SOllth JO [eet, Jess L1le Eil:;t 50 [eet, lr.:::1 Lllc Ilonll 15 [eel, ;11\(1 less thc Seaboard Systcm Hnilroild right-of-wilY. /.C:;S <J1\l1 cxcept 1I1l1crest Auultiou SulJuivlslon as recorued in Plut Uouk JIi, 1',l[;t: IICJ, of L1lc 1'1Iullc Records of Pincllos County, Floridn. I.e:;s UIIU cxccpt tile following uescribeu tr;lct: commcnce at the Northe;1:;t corncr o[ Lot 11 of s/lld lIillcrest Aduitionj thcncl~ rlln \..lent IJlollil tile Harth lllle of :;{I1d Ili11crc~t ^ddltion 20 feet to tile poillt of be~illninGj tllence COIlt.lIlIlC '..IcSl, i1long :;;dcl lionh line 100 feet; thellce 1'\111 North, nlong a lille p;iJ"idlel La tile En:;t llllC o[ sail! J1111crest Addition, 250.5 [eet; Lllellcc r\lll lJorLlleil::terly, 15/,.92 feet, to a poillt all il lille 3(jO [cet Nortl1 of i1l1d P;II',lllel to ll,e IlorLI111lle of s<Jld J1111crest ^cluitioll; thence 1'\111 Ei:1:rt, ololl/j :;;IIc1 line 09 [ect, to till! l.Jcst rl~l1t-of-way line of 1I1~hlilnd Avenue; thence r\ln SOlllll, <JlonG S..lu IJr.:::t rlght-of-wny l1ue, 300 [eet to the poln~ of lJeg1nnillg. Le:;s llllt! CXCt~l't Lllc [ollo\.liug uesc1'ilJecl trnct: beGin at.the SOUtll\.lCSt curner of 1.0 t 4 0 f sul d IlllLcres t Addi tion; thence run lJorlh Dloll!; tile IJes t ,line of sa i rJ Ilillcrest AdcllLlon, 1,02.5 feet; thence run Soutllwcsterly, 7"1.1 feet, to 11 pulnt on 11 .lille (j/,7 feet \Jest o[ ond r<Jr<Jllel to the IJest line of silid 111l1cre:;t Addillon; tllence run South, <Jlon/j suidlllle, 1,1 feet to tile Ilurch rl/jht-o[-\.lay 1ille of ~Iaple Street; the'nce run Enst, nlo(l(; said North 'dt.;llt-O[-\.lllY ,line, 6/17 feet to tllc point of heGinning. Les:; UllcI except lilt! [ullOldll/j descrlbed tri1ct: commence ut the intersectJ.oll o[ Lile cClllcrline of tile SClluollrd System RnilronrJ rigl,t-o[-\.l<JY and the cellterline of llctty LUllc, ilS ~ilo"'n on the Plnt of Cqulltry 'Cluu Addition, os recorded In l'lot IJook 7, l'ilUe J6, of tile 'Public Records of Pincllns COlJnty, Florlunj thellce run nlollG snlu centerllne of the Senboord System Itoilrond right-of-\'lilY llllU <J curve to tile left, chord bearlnG.N Uo043'J7" E,' 3J9.12 [eet; thence contln\le ill 0 II t.; S /I 1 d c ell t c rJ i 11 e, II 7 7 · J 5 I 57" E, 03. 1,1, [e c t , to the po in t of be /j 1 III d nl', ; lhellce r\ln S (i"JJ'/t].. E, 5J7.(j0 feet; thcnce run S 51.0/,(j'2J" E, Id1.51 [cct; tllencc rUII II 05"U5'57" E, Jl1.JO,feet; L1lcllce run N 2l02U'/,0" E 610.59 [eet to lllc celllcrllllC o[ salu SCilboaru Systcln H<Ji1.ro;ll! rlGht-o[-\.lilY; thence run ',110I1g :; ill tI c e n L e dlll C i111 d a cur vet 0 tll e r:l Gilt I c h 0 r d b C il rJ n G S 7 (j 0 25 ' 5 7" 1./, 1 J (I . U J , [ e e t i LIt e II c e c u n t.lll U e ala n G sa 1 u c e n t'e r 1 i n e S 7 7 0 J 5 I 5 7" \J, 4 n 2 ,I, 0 [ e e t t 0 tll e point o[ beglnrt1IIt.;, less the Senbouru Syslem Ituilronu ri~ht-of-w<JY. TogeLller the [cllltJlJlng rights Dnd casements, ll<Jlnely: A rlglll-of-\.IDY in CClIlIlIlOII wltl1 lllc !,<lny of the [ir:;t pnrt for rood or street purposes to Dnu-J:rOIl\ :;;dd parcel cOllv<.:yed over (Inti Dlol1~ <J ;,t1'ip of lill1u forty feet wide rUI1I1II11: parollel La IInu immediately south o[ ti,e rJght-of-\.IlIY of the Sel1bonrd Sy:;lelll /(0111ro<lcl, cxtelld111L; [rolll Iletty Laue 011 the Ih:st La tile /IlJOve de5crlhed trilct 011 L lie E,,:. t. . ... I I / I. - '- ,-' EXI( I 13 IT 13 nEGIf~ at the intersection of the ccnter linc of Scauo,no ^irlinc Hailway Co., and 13ctty Lane as sho\m on plat of COUNTHY CLU13 ^DOlTION as rcconleo in rlat 1300k 7, page 36, rinellas County I\ccords and run thcnce along said Seaboilrd Mrlinc I~ailway Co., center line and iI curve to thc left, chord bearing N 8do 43' 37'1 E, 339.12 ft.; TIIENCE along saitl ccnter lille N 770 351 57" E, 83.114 ft. for 1'.0.13. TIIENCE S 6033' 43" E, 537.60 ft.; THENCE S 51046123" E, 48.51 ft.; TIIENCE N 65005157" E, 311.38 fL; TIIENCE N 210 20' 48" E, 610.59 ft., to centcr linc of said Scnboard ^irlinc Railway Co., TIIENCE along curvc to right and silid center linc, chord bearing S 760 25' 57" \'1, 136.83 ft.; 1llENCE S 770 25' 57" \~ along said ccnter line 482.48 ft. to r.o.n., lcss Seaboard ^irlinc l\i1ilHny Co., right-of-wilY. "' I I I EXHIBIT "e" 1. Taxes for the year 2000 and subsequent years which are not yet due and payable. wp 7lbankll stnatlee<:lubl1ease :.',',....--." -..........'-...--.. > ACORD '" N PRODUCER Stahl Ross & Associates, Inc. 33937 US 19, North Palm Harbor FL 34684 ;~,I~!!'j!~!~~!!'jII;I!I~;t~f!!'j~I~~lfJ;...' ~~it~~~~i.. . O~~7~~%~ THIS CERTIFICATE IS IS::;UED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Phone No, 727-784-8554 FaxNo 727-789-2823 INSURED COMPANY A Hanover COMPANY B Fairway Underwriters Clearwater Country Club, Inc. Jack Dinnsen 525 North Betty Lane Clearwater FL 33755 COMPANY C Auto Owners Insurance Company 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, COMPANY D Zenith Insurance Company CO LTR - -rYPEUFTNSURANCE: POClCYNUIVlBER< POLlCY-EFEECTIVE_ POLICY EXI'!RATIQN DATE (MM/DD/YY) DATE (MM/DDIYY) L1MffS----- - A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ~ OCCUR OWNER'S & CONTRACTOR'S PROT ZDZ5598299-00 01/01/00 01/01/01 GENERAL AGGREGATE $ 2 , 000, 000 PRODUCTS - COMP/OP AGG $ 1, 000 , 000 PERSONAL & ADV INJURY $ 1, 000 , 000 EACH OCCURRENCE $ 1, 0 0 0 , 0 0 0 FIRE DAMAGE (Anyone fire) $ 50 , 000 MED EXP (Anyone person) $ 5, 000 C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS 9562406000 01/01/00 01/01/01 COMBINED SINGLE LIMIT $ 1000000 BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO i EXCESS LIABILITY B X UMBRELLA FORM UHZ5598300-00 01/01/00 AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ 2 , 0 0 0 , 0 0 0 01/01/01 AGGREGATE $2,000,000 O'FIiER':THRNUMBRELL?, FORM-- D THE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL 62357 01/01/00 . -"'-- '--- ,--- - WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTH- ER 01/01/01 $ 500000 EL DISEASE - POLICY LIMIT $ 500000 EL DISEASE - EA EMPLOYEE $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Certificate Holder is listed as Additional Insured. ECErV'E JAN 2 1 2000 City of Clearwater Parks & Recreation Dept. City, Clerk, Cynthia E Goudeau PO Box 4748 Clearwater FL 33758 CLEARWA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATI .. ~ Nor1heast UnderwrIt8rs, Inc. POBox 7508 4790 1st Street Nor1h Sl Petersburg A. 33734-7506 DATE (MMOO YYi 06f22I99 THIS CERT1fICATE IS JSSm;:D AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHlS UPON THE CERTlRCATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR At TER THE COVERAGE AFFORDED BY THE POUCIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER COMPANY A MassachusetIs Bay Ins Co INSURED CountrysIde Golf Practice & Learning Center 2987 UcUuIIen BooIh Road CJearw.... A. 33761 COMPANY B COMPANY C COMPANY D ~. THIS IS TO CERTIFY THAT T IES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF AIiY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUClES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAlD ClAIMS. co Lm TYPE OF INSURANCE A GENERAl UABlUTY X COMMERCIAL GENERAl UABIUTY CLAIMS MADE m OCCUR OWNER'S & CONTRACTOR'S PROT POlICY NUIIIER POUCV EFFECT1VE DAlE (M1ot.OOIYY) 06/23/99 POlICY EXPIlAT10N DAlE (MMiOOI'YY) 06/23/00 lIIIlTS ZDZ5496938.00 GENERAl AGGREGATE $ PRODUCTS. COMPIOP AGG $ PERSONAl & AOV INJURY $ EAOi OCCURRENCE $ FIRE DAMAGE (Any one fil8) $ MED EXP (Any one persoo) $ 2,000,000 1 ,000,000 i 1,000,000 1,000,000 50,000 5,000 COMBINED SINGLE UMIT BODILY INJURY (Per pelSOIl) BODILY INJURY (Per aa:idenI) ~;:,' ~~~~ (" , . ' '~:~<'/r~ 1. PROPERlY DAMAGE $ GARAGE LIABIl./TY ANY AUTO :..-;. :':1: :~' , ,', i ,- AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EAOiACCIOENT AGGREGATE EAOi OCCURRENCE AGGREGATE S $ $ JUN 1999 EXCESS LlABlUTY UUBREUA FORM OTHER THAN UMBREUA FORM WORKERS COMPENSATION AND EMPlOYERS' lIAllIUTY ~.:S~;:,r i(\".~ THE PROPRIETORt PARTNERsaECUTIVE OFFICERS ARE: OTHER INCl EXCl EL EACH ACCIDENT EL DISEASE - POLICY lIMIT EL DtSEASE - EA EIotPLOYEE W~lrl~~~~T~~~ ~AN f.OOlTIGlAl INSlml IN RESPECTS TO GENERAL LIABILITY. 6/22/99 SN ~~:r:'i'r-:;t-J.''-J:.:;-;..I~~~'~~~~~~;;~:~~.:~;~ -:""'_ .::,:!.~ ^...~-'~ -. ;.'1 ..:;wJ.'- t ...~. .'~. .;~,,-~!7"::;W-:.~7~'~"~-,,~~~~~~~E~~ "..~., ~~_.: SHOW) ANY OF THE ABOVE DESCRIBED POUClES BE CANCEllED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WIll. ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGA TION OR UABIlITY OF ANY KIND UPON THE COtIE'ANY, ITS AGENTS OR REPRESENTATIVES. ~SENTA~ ~ - -i'"__.----........, ~,'., 'lo'_ft-<;;;r&"'lf~'-'T"'.'\f''''4''.'."''--'~'''-''''-'';:~~~'.~. _. .,,- ~._~~~~:i.'i.~'-'."- -- "\AII'IU'.:~;\ ,tNt" \~,~', '.~," " I' ~ - -. . '.: ", ~~~~'V:!t'-.'1" (~1';- .': . -('"~,~!~. ,~, .-t_.< ~~~':iT,;~.-(:~-:-~~\~i~~.i'lt~.t._. '~_ _ ,,-.,.: ,,:"~~J~n\JN::t888'- ,~:.. NIv of CIearwaI8r Ai: Ream WIlson PO BOX 4748 Clearwater A. 34818 Stahl ~~8S & Associates, Inc. 33937 US 19, North Pal~ Harbor PL 34684 CC: /Lt s ~ IlI\ /, .\III~I~III~ljl~\~!II!~!~I;'~~;~..IIJIIl:~; OA~~~~ THIS CERTIFICATE IS IS~iJED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE .,{!; Cle/'k- j Pt1oneNo, 813-784-8554 Fax No, 813-789-2823 INSURED COMPANY A North American Specialty COMPANY B Clearwater Country Club, Inc. 525 North Betty Lane Clearwater FL 33755 COMPANY C COMPANY D 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, co LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLlC't'EXPtAA1'tON- DATE (MM/DDIYY) DATE (MM/DDIYY) LIMITS GENERAL LIABILITY A COMMERCIAL GENERAL LIABILITY 2 5CO 0 0 0 0 04 CLAIMS MADE [!] OCCUR OWNER'S & CONTRACTOR'S PROT 10/01/98 GENERAL AGGREGATE $ 2, 000, 000 10/01/99 PRODUCTS-COMP/OPAGG $ 1,000,000 PERSONAL & ADV INJURY $ 1, 0 0 0 , 0 0 0 EACH OCCURRENCE $ 1, 0 0 0 , 0 0 0 FIRE DAMAGE (Anyone fire) $ 50 , 000 MED EXP (Anyone person) $ 5, 000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO INCL EXCL AUTO ONLY- EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE EXCESS LIABILITY . UMBRELLA fORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE; OTHER $ EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/SPECIAL ITEMS Certificate Holder is listed as Additional Insured. City of Clearwater Parks & Recreation Dept. Attn: Debbie Richter P.O. Box 4748 Clearwater FL 33758 CITYOFC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL -1L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND THE COMPANY, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED RE R ENTflTIVE, L_ . Cr~.~~ . ""':-:. t-; IIIOlII:ER , ,', "., ,,' d,:"""", 188218 .CERnFICATEpF iNSURA~~~l' ~' I~Z?~ ISSIE ~TE mIS CERTIFICATE IS ISSUED A5 A MATTER IF IIFClUlATIOI OIlY NIl CORFERS 10 RIGHTS UPON THE CERTIFICATE 1IIUlER. mIS CERTIFICATE DOES lOT NEil). EXTEfI) OR AI.. TER TIE COVERAGE AFFORDED BY THE POlICIES BELOW. STAHL ROSS & ASSOCIATES, INC. 33937 US Highway 19, North Palm Harbor, FL 34684 813 784-8554 COMPANIES AFFORDING COVERAGE IIISUlED Clearwater Country Club, Inc. S25 North Betty Lane Clearwater, FL 34615 ClH'ANY A North American Specialty LEmR Insurance Com an ClH'AHY B LmER ClH'AHY C LETTER ClM'AHY D LETTER ClM'AHY E LETIER iO~CES THIS IS TO CERTIFY THAT THE POLICIES O~ INSURANCE LISTEG BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREM(NT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTifiCATE MAY BE ISSUED OR MAY P~RTAIN, THE INSURANCE AFFORED BY THE POLICIES DESCRIBED HEREIN IS SUBJ~CT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE IF IIlSlIlAII:E POLICY .... PlLICY EFFEanE PlLICY EXPIRATIIIl L MTE MTE A liEIIER.'lL LlABlLm 25C0000004-02 10/1197 10/1/98 x aH1ERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR. OWNeR'S & CONTRACTOR'S PROTo LIIlITS NrrlIIIIlLI LlABlLm AHYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY GENERAL AGGREGATE PRDOOCTS-ta1P/OP AGG. PERSONAL & AnV. INJURY EAOI OCCURRENCE FIRE DAMAGE{Any one fire) MED.EXPENSE(Any one person) $ 2,000,000 1 000 000 1 000 000 1,000,000 50 000 5000 CtJ1IlINED SINGLE LIMIT BOOIL Y INJURY (Per person) BOOIL Y INJURY (Per accident) PROPERTY DAMAGE EJU:ESS LIABILITY III1IlRELLA FORM OTHER THAN UMBRELLA FORH EACIl OCCURRENCE AGGRE GATE lIIIlER's CDI'EIlSATIIIl MIl EJIILOYERS' LlMlLm INCL THE PROPRIETOR/PARTNERSI EXCL EXECUTIVE OFFICERS ARE 0TlD STATUTCRY LIMITS EACH ACCIDENT DISEASE-POLICY LIMIT DISEASE-EACIl EMPLOYEE DESalIPTlOl IF lJlERATIlIIS/lOCATIlIlS/VEIIIClIS/SPEtIAt I1BiS Certificateholder is listed as Additional Insured. Q~1"IFJPA."f:....()L[)Ea...' CANCELLATION> .._-.. ,. ----- .... --.., ---.-.. City of Cieanvater Parks and Recreation Department Attention: Ream Wilson, Director FAX: 562-4825 P.O. Box 4748 Cleanvater, FL 33758 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIAB1LITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AIfTlIIIIZm IlIPIlESEIITIVE L) , ! ~, -I '-* ex CtH'11IDlK Agefti:j AutDut10n 40414~55(Jg >t . .."...r.... -_.~ .. I U9'Ii ;~9;;';~]O!rSSUE 'ilAr!: iMiiiooCjvi) ,?q5, H!.2~'.o15.j ----" . i 1/29/97 THIS CERTIFICAlf IS ISSUEO AS ^ "fAlTEr< OF INFOR~TIOH ONLY AND COHFERS 110 IUGJ4TS UPON -rHE CERTIFiCATE' HOLDER. THIS CERTIFICATE DOES NOT AMENO, EXTEND OR AllIR THE COVERAGf AFFORDED BY THE, POLICIES BElow. COMPANIES AFFORDING COVERAGE 1 -29- '1997 3: 30P~1 r-'~ -- i FROM STAHL ROSS 813 789 2823 ""'."."."",.b ',"',',,',,', ,',' CeATI'FICA't:eOF'JiN,SU,R.llNCe. I PIIlJJUC EA ."""-'-'.~~~~~~-;~~~~;,:.:....:.:.:..,;.:;.....;;,;..;,;'. STAHl. ROSS & ASSOt:JATES, INC. 339: 7 · i,I,j Highway 19, North Pal12 I lurbor, FL 34684 fm18,.H5S4 I I I I i I '-". ...-._______ _ on". . .........".._..._......,..,..,..... I COMPANY A North American S....,.ialty l.lTtR ..-~ . l__.._..,.. 1".s,qJ:II.Ju;t:.(;~m~oy I , COMPANY '---1 LETTER B r-'--" --- --.... I ~~~I C !' . ......-.....-..-.- , fi;~~~v 0 ~._--_..__.. ! Cor,PA~Y E i L(~-tR P.l .J I I I I I -'--'llg~~~.~.hATI~~....,.___,..,. .."...., '."._..".... .. ......,',~_....I :"",.',.,'1 SHOULD AMY, or fHE ABOVE OESCRIBED, POLICIES BE C;\NCEllEO ar,rORE TfIt ! t F.XPIRATl')N OA'TE THEREOF, IHE ISSUING COMPANY WIll ENDEAVOR TO ! Cit)llj C)~arwater I MAIl.!!LOAYS WRnTEN NOTICE TO T~E CERTlFlCATE HOlDER NAMED TO THE' i ParKlj ,l/1d Recreation Department 1\1 LErr, aUT FAIllRE TO MAlt StiCH NOTlCE SHALL INPOSE NO OBUGA1l0N ~ i AttEnt 1'1): .Ream Will)()Q, Diredor FAX: 562-4825 I LIABILITY OF ANY KIND UPON THt CO,"'lPANY. ITS AGENTS OR REPRlSENTA!IVES. ! /,P.o. Ill~" ~74H '!~UfDREiiiiESElj'fI~E ' D'J) ',. ...,..... ...'...........__....'...__..__'.._____1 ~::;: :;:: FL~=I_~:~~~~~_=~__-~~J.L;~;~;~ ~i,,.;;,fd*4 ct~_.... ..... I IISIJRf II Cleu'\' atl!r Cuuntry Club, Inc, S2S \'I,.tlt Hetty Lane Clet.I'" ;lu:r, "'L 34615 ..,,'.. .-......---.-......- IliH 1(JllIlE LIABILITY I ~'. ,\1 l O.'NE 0 AUTOS !I:HEOUlED AUTOS r L : ((IM8;~ED SINGLE ill HIT I.. !BOOILY IN,.JURY : (PI" person:, ,._, .. [ eOOll Y I ~JU~\ ilp.,r o~c;~~n!.) i ! PR()P~~TY CAi'tA.E ,M AVTO II It'. 0 AIJTOS '!.!N.~EO AUTOS ,!\:IM, llA~ll.lrV ,- f.fXCI:::llllR:~:l::H I'll ,li'lt rNAN UM8R.l u\ F CRM ! .+ I(AC~ OCCVRR(~Cr: fAGG'ii~:A~'.~ o. r" ... ,-, -... -, ... . I,ORKER'S ~IISATI()II fJI~ O1PI.OYERS' llABILITf 1....,...j~~~:,lmJRI L I'll IS iE.~r;4 ,~:q O~NT ,OI$lA5E.POllCf llMlY ic))'SEAS[:fllCH ',MPlOYC~ (nm i/ i I I I -. I OUl'R ,:",/ '(IN Of' OPEllATIOIIS/lOCATIOlIS/YEHlClES/SPECJAl. 1T1!115 Cer ti",'atl!I'(lldt!l" is listed as Additional Insured. cenT FICATet1Q1,;QER...,. .:."" ...~,.,-. _. .. u _..____..___.___..._~_. I .-.... -.......--....'-..-.....'1 I ! is I f' II ..".,.,...-1-, i ;i , r~ 11 t "1_ . .(1, i .i i ..-...."-,-........-...-. .....1 I I i .,., [ I I --I " r i , II '1\ I ----1-1 ............ ....,......~ i i .------1 O:T~05-1994 15:29 :::l1344?EI4E:l P.Ol I A<<H_.IIt. , '~\.U..'!n~>>I-;""<<'1o(. ROGER BOUCHARO INSURANCE 101 Star~rest Dr. PO Box 6090 CLEARWATER, FL 34618 ONLY AND CONFERS NO RIGHTS UPON ll-IE CERTIFICATE HOLDER. TI-US_ C9TIFICATE DOES NOT AME:ND, EXTEND OR ALTER TI-lE"COVERAGE AFFORDED BY THE POLICIES BElOW. COMPANI $ FFORDING CO AGE Clearwater Country Club 525 North Betty Lane Clearwater, Fl 34615 COW.ANY A T co'" A Iff B COIoFAHV C anee Co. ~',~",........ . ., , ,.......: ,.1k.' , ',. _ I'I<<"~" ,"...:$. THIS IS T OCERTIFY THA T THE POLICIES OF INSURANCE LISTED SELOWHA VEBEENISSLlED TOTHEIN$URED NAMEDAeOvEFORTHE POLICy PERIOD INDICA TED.NOT WITHST ANDINGANYREOUlREMENT. T E~ORCONDIT IONOF ANYCONTRACT ORQTHEflDoCUvlENT WITHRES~ECT TOWHICHTI-IlS CERTIFICATE MAY BEISSUEDORMAY PERT AlN, THE INSURANCE AF=FORDEOBV THE P01..ICIESDESCFlISED l-\EREINIS SUBJECT TO ALL THE TE~S. I:.XCUJSIONS AND CONDITIONS OF SUCH POLICIES. LMITS SHOWNMAY HAVE SEEN REDUCED BY PAID CLAMS, co POUOV l!rneTM: POlIOV ~.'lAT L T1I TYY'I! Of' ~AHelI! PClLIOV NU~ DA~ (WNIDD!vY) U~ (WloIIooIvY) I.l~rrs CEtERbL AGCRC\o\ IE' t 10/01/94 10/0 1/95 ~TS-CO"'(CP AOO t PalSON.&J.. L AC/V IIU.RY t EACH t'CO.fRla: t F IP(E !).UIJ.l)! (Any _ fir.) t lIa) E)lp (Any 0I'll! pet'Wl) t COI.f3IIffi $IIO.! LIMIT 10/01/94 '0/01/95 10000 0 OOOllV I~ (pflI' ~=>) OC()ILY I~Y (:'/lI aocid6nl) Pl'l\YER TV D"MACE 'O/01/gS AuTO Oil. v . EA ACCICE:N1 OTI-ER tHAN AUlO O~ V, ~ .cc1~Nt Ar;G1EOA T'E EAOi ~!O'i: AOCfleOA IE .; ~~ ~~~ i I~1f~ i~ ~~~ ~~; ;1i ;1~~; ~ [~i~ ~f ~ 10/01/94 2:000000 000000 Sl"TutCffi' L1l11lS \::i:\Hij:j)iHH'i:'/ 10/01/124 10/01/l2S EAa-t ACCI~Nr 100000 OI$l;ASE. POJCV LIMI1, 5 00 0ISeASE. EACif Elf.'LO'tfi . , 100 COO property. city, long term lelse. . .} '\' ,.~;ftk~~;.:..~i~ ;.'.:'1 ,:.~~~;;~ ~~~*~~~~, :.~ '.', ;':';W;,. ~~:~.,.:~" ;~;~~;1~Ht.;jit~~JiriitA~t;r$~~~~~~tM1i~~~~WE~i~;~ RlCIU.D ANY or nil! AAOYI:: Dl::*QRIII!'%I 1"Ol1<l~ III: o~ 1II!I'0IlI! nil:: R E eEl V E D D:PIRATIOH DATE n4~0l'. n"~ tssUNG 1;Q....IlHV WLL ~AYOfI HI loCAL e i t y 0 f c: I . a r Wit e r 30 DAn W1llTT'!:H HOTII::I! TO lMlllXRTPIOATr HOI.b!A 'lAliCJ) TO nf! lDT. Box 4746 MiAL~ TO MAL suctI HOTICf: SH AU. It.I"OSE: ~ <*-.lCATIOf4 OR L1A11LltY ~T~; RISK MNolAGEMENT OCT 0 7 1994 QII AN1 kNl ~ nil! OOHi'ANV. ITS He;N'fS CMl ~a:HTATl'Itt tA;;;:~~"..~....7= ft:,)&.f~ L) Ci:i;~ ROGER BOUCHARD INSURANCE 101 St.rerelt Dr, PO Box CLEARNATER, FL 34618 813-447-6481 I I CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE: COVERAGE AFFORDED BY THE POLICIES BELqW. ! COM'ANIES AFFORD~G COVERAGE I CI..rw.ter Country Club 525 North Betty L.ne CI..,w.ter COIFANY A LETTER .nee CO COIFANY B LETTER COIFANY C LETTER COIFANY 0 LETTER COIFANY I LETTER E ! ::::;i~,~i;'S';:T:;Q'c~~~~~~:~!:~i~:::~:~~:!gEI2~~ffi~~i!~!~~~~:iE~i~i~~:!~~it8W:~;0g!!~~~~:;~:~:j~;~:::fi8;:i!~!!1~~ff!~:~::~:l!~g!:;:8t~:;g:~!!~:~~i!gtr8~~f~;8g:: INDICATED. NOTWITHST ANDING ANY REOUlREMENT, TERM OR CONDITION OF ANY;CONTRACT OROTHER DOCUvlENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERT A IN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. ExCLUSIONS AND CONDITIONS OF SUCH POLICIES. LMITS SHOWNMAY HAVE BE' N REDUCED BY PAID CLAMS. 00 L FL 34615 TVPl! 01' INSURANCE I'ClLIOY NU.... I'ClLIOY!rROTM! I'ClLIOY IllPIRAT DATE (MM/[tllVY) DATE (MM/OO/VY) LINmI GENERAL L1ABLITY A X CCMv1ERCIAL GfNERAL LIABILITY YPSK660244K5952I ND93 ::::iHi CLAIMS MADE D OCCUR, OWNER'S & CONTRACTOR'S PROT. 10/01/93 10/01/84 GENERAL AGGREGA IE PRODUCTS-Cm.1P/OP AGG. PERSONAL & ADV. INJURY EACH OCCURRENCE fiRE DAMAGE IA MED. EXPENSE IA Cm.1BINED SINGLE LIMIT . 2000000 . 1000000 . 1000000 . 1000000 . 50000 . 5000 . 1000000 . A AUTOMOBU LIABLITY Atli AUTO X ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY YPSK660244K59521ND93 10/01/83 10/01/84 BODILY INJURY Ire, person! BODILY INJURY (Pe, ICcide1lll PROPERTY DAMAGE . EXOESS L1ABLITY A X !MBRELlA FOftv1 OTHER THAN !MBREllA fOftv1 ..., I!hFLOYDlS'L1ABLITY EACH OCCURRENCE AG6REGA IE . . 2000000 2000000 ~ n ~ ~H ~H ~ ~ j 1; 111~ 1;111 HH ~ H ~ 1 ~; ~;l ~ j j H i 1 j i j ~ ~ j n ~ ~ 1 ~; 111;; 1 ~ 1 j;l; ~ ~ 1 ~ H ~ 1 j i j j Wor~9'~ eo~.~S!!~ STATUTORY LIMITS UUH?:JJJJ) EACH ACCIDENT . DISEASE-POLICY LIMIT . DISEASE-EACH EMPLOYEE . OTHER MW IlI!SORPTION 01' ClPl!RATIONSILOOATIONSIVDlICLDIIPI!OIAL ITI!MS Certifie.te holder il .dditinul inlured .1 own.r o~ property. Property il le..ed to CI..rw.t.r Country Club by th~ eity, long t.rm le..e. , ! if!l EXPIRATlON:DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO !iI! MAIL 30 DAYSWRITTENNOTICETOTHECERTIFICATEHOLDERNAMEDTOTHE City of C lurw.ter rt LEFT. BUT FAIl~O MAIL SUCH NOTICE SHALL MPOSE NO OBLIGATION OR P. O. Box 4748 :::r: UABIUTYOF lANY/<tf.lDUP6NTHE COMPANY; ITS AGENTSOR REPRESENT ATlVES, tJ i / / .,' . , Cle.rw.ter, FL 33518 1~;'~~ I . I 1~.~.I.I.W_~~';~'~I;';E':'~.'~~.r.I~;~~."'~'!B:;'.I":~._~~';~~mm~D~~~~~ " ,,~~~~ i .. ....., .. .." .., " ;::I:~; ....'...._1]....... , "11: 'MllII' ,........,..........................,.................,... t~~.=,_ljtt::::::::::~:::,:::::::::\l:::{:::~::::t:::}::::::::{::::{::::::}::J::::::::4tt:::::::::~:~:::;::}tmth::.:J:,;::::::::.::::;:::::::::::::):::::;:::::~~:::::::::::::::::::::::::::::::::::::.:::,:::@tt:t:::t:If::::f:H:::::::ttt!ffff::f::::f::::!:f CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ROGER BOUCHARD INSURANCE 101 Starcrest Dr, PO Box 6090 CLEARWATER, FL 34618 COMPANIES AFFORDt4G COVERAGE 813-447-6481 COI.PANY A LETTER COI.PANY B LETTER COI.PANY C LETTER COloPANY 0 LETTER h Clearwater Country Club 525 North Betty Lane Clearwater FL 34615 COloPANY LETTER E :L~::,..:R~'t:tMt@f:!:ttMMMmMM@M@illitMm::!/tMMm@it::t::mmm@MitiMM:ttMiH@MiHMIKmmtMIiMi;iIiM:iI:iU:tII::::::::iii:E:Iit:::;t%::::::I:jj:: THIS IS TO CERTIFY THA T THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED. NOTWITHST ANDING ANY REOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUvlENT WITH RESPECT TO WHICH THIS CERTIFICA TE MA Y BE ISSUED OR MA Y PERT AIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS, co L TYPe:Of MUAANCE POLICY NUMBER POLIC Y EffECT lYE POL Ie Y EXP IR AT DATE (t.4M/OO/~ DATE (t.4t.4/00/VY) LIMITS GENERAL L1A8LITY AUTOhlO8LE L1A8LITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY GENERAL AGGREGA IE 10/01/92 10/01/93 PRoDUCTS-C().1P/oP AGG. PERSONAL & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE lA one firel MED. EXPENSE lA one erson $ C().1B I NE D SI NGLE LIMIT 2000000 1000000 1000000 1000000 50000 5000 A X CCM.1ERCIAl GENERAL LIABILITY VPSK660244K5952I ND92 <iii: CLAIMS MADE [i] OCCUR. OWNER'S & CONTRACTOR'S PRoT, BODilY INJURY (Per personl BODilY INJURY (Per accidenll PROPERTY DAMAGE EXCESS L1A8LITY A X !.MB RElLA F oPM OTHER THAN !.MBREllA FORM VSFCUP244K596492 10/01/92 10/01/93 WORKER'S COhlPENSATION /I#IlJ EMPLOYERS'LIA8LITY DISEASE-POLICY LIMIT DISEASE-EACH EMPLOYEE OTHER DESCRIPTION Of' OPERATIONSILOCATIONSlVEHICLESJSPECIAL ITEhlS Certificate holder is additinoal Property is leased to Clear o Sc a e ::S!!!!fflRt~!i::ft9!iA!,=!r::i:tf:{:tt::::i::::I::::::::?I::::Imttrt:::::::t::r::\:::fJ:::it::::t:::::::i:::\::::jtS~:2!9.iAmH.f:?:fttt:fff::f:::ffttt:::?:::::::::t::I:::::t:::m:I:{I:::Itf:t: "","",' ,}:(::::::: '" APR 0 2 1993iI! SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE it: EXPIRA nON DA TE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO Clry CUDII i{ MAIL ~ DAYSWRITTENNOTICETOTHECERTIFICATEHOLDERNAMEDTOTHE "" 1"'\:: LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL MPOSE NO OBlIGA TION OR }} LIABILITY ANY INDUPONTHECOMPANY,ITSAGENTSORREPRESENTATIVES as owner of property. Club by the city, lon9 term lease. City of Clearwater P.O. Box 4748 Clearwater, FL 33518