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CERTIFICATES OF INSURANCE ACORD. THIS CERTIFICATE IS ISS 'D AS A MA ITER 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 PRODUCER Lupfer-Frakes Insurance 222 Church street Kissimmee FL 34741 Phone No. 407-847-2841 Fax No. INSURED COMPANY A Firemans Fund Child Care COMPANY B Head start Child Development & Family Services, Inc. 630 Chestnut Street Clearwater FL 34617-2456 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 AAY 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 AAD CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MMIODIYY) DATE (MMIODIYV) GENERAL LIABILITY GENERAL AGGREGATE $ 2000000 A COMMERCIAL GENERAL LIABILITY 815MXG80690850 01/01/98 01/01/99 PRODUCTS - COMP/OP AGG $ 2000000 CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1000000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Anyone fire) $50000 MED EXP (Anyone person) $ 1000 AUTOMOBILE LIABILITY 815MXG80690850 01/01/98 01/01/99 COMBINED SINGLE LIMIT $ A X ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $500,000 HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM RI ' WORKERS COMPENSATION AND .EMPLOYERS'LlABILITY --------.- -- -- THE PROPRIETOR! INCL EL DISEASE - POLICY LIMIT $ PARTNERs/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlSPECIAL ITEMS Additional Insured Endorsement applies in favor of City of Clearwater for the following location: #4. City of Clearwater, 701 N. Missouri, Clearwater ** 10 da s for Non-Pa CITYOFC SHOULD 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 HE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTI SHALL IMPOSE NO OBLIGATION OR LIABILITY , ITS AGENTS OR REPRESENTATIVES. City of Clearwater Risk Management Department P. O. Box 4748 Clearwater FL 34618-4748 I WW)~' bE-v" (.'AHi:;iJj:iri... '/SCDTI cl...nATc..."'.ci....ITAB......'.;...I'i?ITVil'i.S............IID.........ilni:bi~jiCiii.. DATE (MM/DD/YV) ........."............,.".....................",...,...........~..,,~e9~L~~l'!t~(e.......~.~........~.....~..,............~)~W!f.......!J1........)~m.., ,..'.~!..~.~HWSfl......../ 03/05/97 PRODUCER THIS CERTIFICATE IS ',:3SUED 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 Lupfer-Frakes Insurance 222 Church Street Kissimmee FL 34741 Phone No. 407 - 847 -2841 Fex No. INSURED COMPANY A Firemans Fund Child Care COMPANY B Firemans Fund Child Care HEAD START CHILD DEVELOPMENT & FAMILY SERVICES, INC. 6698 - 68th Avenue, North, #D Pinellas Park FL 34665-5063 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 POLICY EXPIRATION DATE (MMIDDIVY) DATE (MMIDDIVYI LIMITS GENERAL LIABILITY A COMMERCIAL GENERAL LIABILITY MXG 80664755 CLAIMS MADE [i] OCCUR OWNER'S & CONTRACTOR'S PROT 01/01/97 01/01/98 GENERAL AGGREGATE PRODUCTS - COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) MED EXP (Anyone pereon) $2000000 $2000000 $1000000 $ 1000000 $50000 $5000 $500000 AUTOMOBILE LIABILITY A X ANY AUTO MXG 80664755 01/01/97 01/01/98 COMBINED SINGLE LIMIT ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO AUTO ONLY. EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE $ THE PROPRIETOR! PARTNERSIEXECUTIVE OFFICERS ARE: OTHER INCL EXCL ---~-'~----~~~ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY EL DISEASE" POLICY LIMIT EL DISEASE" EA EMPLOYEE DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Additional Insured Endorsement applies in favor of City of Clearwater for the following location: #4. City of Clearwater, 701 N. Missouri, Clearwater ** 10 da s for Non-Pa ent of Premium CITYOFC SHOULD ANY OF TIE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIlATION DATE TIEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTFICATE HOLDER NAMED TO THE LEFT. City of Clearwater D~;b_ v~ n'2"_~_g ~ "-k2n ~'.~N~.~T. P. O. Box 4748~. Clearwater FL 34618-4748 J7tt. / ,..>@~ACOFU..).....CORP.QRAf.ONj988/.. ...,....... .'...................,.... ...... ......." ........"...................,. . - , .. .A.CORD25~S..Ilj95F...'.'.../>......'........'.'".''''' . ...............,.......................... 02-0'/-1':::1:::15 11: l1jHI'1 I-' f.,:uI'1 LUf+ l:Y-I hHI.~~=, IU 1::)1...J4b.2t~ I"::':' I f.. <..11 ,~!!!~~~1_~''''j.lB.flt.irl'~I....~~7;;;~ .. :.;,:. :~::., .',:.' '.:~. :!;~;; "RODUCER" - ,'" THIS CERTIFICATE IS IS '~AS A MATTER OF:INFORMATION . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lupfer-Prakes rnsurance HOLDER. TIiIS CERTIFICATE DOES Nor AMENDl EXTEND OR 222 Church Strlilet ALTER THe :COVERAGE AFFORDED BY THE POLICIES BELOW. K:Lssimmee FL 3474J. COMPANIES AFFORDING COVERAGE COMPANY 407 -847 -2841 A Firemans Fund Child C.rel i INSURED COMPAIW B - , I HEAD S'l'AR'1' CHrLD DEVELOPMImT &: COMPANY I FAMILY SERvrCES, INC c . 12351 ~ 134 th Avenue, North \ COMPANY Largo, FL 34644 -1611 0 ! THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEeN ISSUED ,0 THE INSURED NAMED ASOVE FOR THE LlCY PEA;IOD INDICATED, NOTWITHSTANDING ANY FiEOUIREMENT, TERM OR CONOI'rION OF ANY CONTRACT OR OTk!!R DOCUMENT WITH RESPECT 10 WI'UCH THIS CERTIFICATE MAY BE ISSl,JE;D 01'1 MAY PERTAIN, THE INSURANce AF"ORDED BY THE POLICIES DeSCRIBED HEREIN IS SUBJECT TO ALL THIS TERMS, EXCLUSIONS AND CONDITIONS Oi= SUCH POLlCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. " CO TYPE OF INSURANCE POLICY NUMIlEA POUCY EFFECTIVE POUC\' ~P1RATION LIlVIrTS LoR DATE (MMIDD/VY1 OATE lMM/tIDNYI GENEI'lAI.. ....AijlLITY GENERAL AGGllliGA'rll : $ :2 , 000 , 000 01/01/95 01/01/96 r--"~ I 2 000, 000 A X COMMERCIAL GENERAL L1ABI,ITY MXG80609982 Pl'lODUCTS COM PlOP AGG $ I CLAIMS MAOE [!] OCCUR PERSONAL &ADV INJIJIlV: $ 1.. 000 , 000 OWNER'S 8< CONTRACTOR'S PROT ~CH OCCURRENCE $ 1, 000 , 000 f-- 50 000 FIRE DAMAGE (Any """ fir" 9 , , 5 000 MoD EXP (Any one person'; $ I AUTOMOllllE L1ASILtiV i '-- ....-... -------. COMBINED SINGLE I.IMIT I 6 c- AAY AIJTO ! ALL OWNED AUl 7671, I # pages t I BDDll Y INJURY - Post.lt'. b.h"and fa~ trapsmittal memo 01 (Per person) $ SCHEOULEO AI.tl !-- "t:f.~JI ~ to J I..J) FromA1 o..z. /J tOo .I();I '; I I-- HIRa> AUTOS BODILY INJUrw ,,, (Per .~d9nt) $ NON-OWNEO AIJ ccr:-' 0 CO. - , - Depl. Phone#,-fcf'11-.ffL PROPERTY DAMAGE i $ I i GARA~E LIABILITY Fa/11..:i ) ljJ~-2 _ ~ 1.1'7 FllX . AlJTO ONLY- EA ACCIDENT $ - AAY AUTO \ .7 OTHER THAN AIJTO ONWi - EACH ACCIDENT ~ - A<;GR5GAT.I; . EXC~ LWlILlTY EACH OCCURRENCE i $ RUMBRELLA FORM AGGREGATE i 6 OTH"A rHAN UMBRELLA FORM i $ WORKEIl$ COMP9J&ATIOIII AND !6TArllTORY LIMITS I '~if!:ij!i~;~:~m~i~~Hi~!!:i;~!~!t~!~i~~1~j~f~:~~i1~@!( , EM~Yms' L1A1lIUTY ACCIDENT $ EACH THE PRDPRIETORI R'NCl. DISEASE. POLlCY LIMIT $ PARTNERS/EXECUTIVE OFFICEF\S ARE: EXCL DISEAse. eACH EMPLOYEE $ OTHS! OE$CIllPrION Of OPERATIONSIlOCATIONS,vl'HIClS$/sPECIAl ITEMS Addi~ional Insured fndorsement applies in favor of City of Clearwater for the jOllowing locar on: 4. City of C earwater, 701 N. Missouri , Clearwater .. 10 days for Non-Payment of Premium @@;TIRG~'t~;:ap.tRl;~);:?\~;:;;e:,;~,:::;:':'@"::;i:':%i:l)t::::~:;;ttH~:::::;\'::;- :>:p::{:tm:::@j?:;:::.i::':9Af.i!P,~(~:i;::\;:;::[:i:{'::}:::::itU:::8:.;i}::);lH;%}?t1:n:;:ll:~;:~;:@;!:::!:t:!:~1@ts~~/~:~~:nn~i;!:;:'f%IMg'j CrTYOFC SHOULD ANY OF THE ABOVE DU;CRlflSl POUCIES Be CANCElJ.i;D IlEFORE 'tH~ EXPIRATION DATE THI!llEOF. THE I$$UIIlICJ COMPANY WILL !J\/OEAVOII yo MAIL City of Clearwater 30* DAYS wRITTEN NOTICE TO THE CERTlACATE HOLDS! ~aJ TO THE LB'T. RiSk Management DQpartm@:mt BI1T FAILURE TO MAIL w;t~ICE SHAlL IMPOSE: NO OBUGA'nON OR P 0 BOx 4748 UAIIIUTY . . OF ANY iND UPoN THE C PANY, ItS AGI;NTS 011 RI!I'AESENTATIVES. Clearwater J'L 34618-4748 AI1TH~D REP~S~Z. " ~l!l;1l!lft'Wl1%iiilt*l!i1'~@&:i!tt!iilt,,%j;i'qt0{;1!WCii;m#;;t~~~">ii~tt~';;;''''m!l!!!1!ll!i!li&~mQ;( ) (1(1' ;lr/; , ;II ~" ). ,..................................... ) A...tlllt.. PRODUCER , THIS CERTIFICATE IS ISS'JED 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 Lupfer-Frakes Insurance 222 Church Street Kissimmee FL 34741 407-847-2841 INSURED COMPANY A Firemans Fund Child Care COMPANY B HEAD START CHILD DEVELOPMENT & FAMILY SERVICES, INC. 12351 - 134th Avenue, North Largo, FL 34644-1811 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 INDICA TED, 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 POLICY EXPIRATION DATE (MM/DDIYY) DATE IMMIDDIYYI LIMITS GENERAL LIABILITY A COMMERCIAL GENERAL LIABILITY MXG8 0 6 0 9 9 8 2 CLAIMS MADE [!] OCCUR OWNER'S & CONTRACTOR'S PROT THE PROPRIETOR/ PARTNERSIEXECUTIVE OFFICERS ARE: OTHER INCL EXCL GENERAL AGGREGATE $2,000,000 01/01/95 01/01/96 PRODUCTS. COMP/OP AGG $2,000,000 PERSONAL & ADV INJURY $1,000,000 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Anyone firs) 50,000 MED EXP (Anyone psrsonl 5,000 COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE AUTO ONLY" EA ACCIDENT OTHER THAN AUTO ONLY: FEB 1 0 995 EACH ACCIDENT AGGREGATE EACH OCCURRENCE R~C' { MANA Ii""!'!" !'!"'ffi' ,"'1"1II AGGREGATE ".' '(' ",' '." II 'u.., 1'1 tJ. ,,"" ", :...... III ~"..f"a'\OI: STATUTORY LIMITS EACH ACCIDENT DISEASE - POLICY LIMIT $ DISEASE - EACH EMPLOYEE AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS Additional Insured Endorsement applies in favor of City of Clearwater for the following location: #4. City of Clearwater, 701 N. Missouri, Clearwater ** 10 da s for Non-Pa ent CITYOFC SHOULD 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, City of Clearwater Risk Management Department P. O. Box 4748 Clearwater FL 34618-4748 PANY, ITS AGENTS OR REPRESENTATIVES. ACORD25~Sj3193i>' .,............".......................... .... .. fA~,ijpcql=WQMtIPN1$.:i3n