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CERTIFICATES OF INSURANCE (2) ..... . ==~=~==~===~I=== ACORDN "CERT/FICAT'f"OF'.C/AB/L/TY."NSURA .., CECSR"'iiB"""'.'", "''''(M''"""" .... ...... .... .... .... . ..... .... ... . ..... ... ..... .. ... ..... .. ... ..... ..... ...1"'AJ'l".i. / / ....-:>-:-:-:-:-:-:::::>.-::-:>.>::-::':>-:-:-:::::::>:::.. .::-:>>:>-:>::>-:-:>>>>-:..-:.:.:.,...:.::..-::.:.....:.......-:."'-:'.'>.'.-:-:. ..-:....-:....... . .;..:. -:-:-:.:.:-:. J.2 J.2 00 PRODUCER . THIS CERTIFICATE IS IS~ED AS A MATTER OF INFORMATION ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lupfer-Frakes :Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 Church Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Kissimmee FL 3474J. COMPANIES AFFORDING COVERAGE COMPANY 407-847-284J. A Firemans Fund Child Care Phone No. Fax No. INSURED COMPANY B Head Start Child Development COMPANY &: Family Services, :Inc. C 6698 68th Ave. COMPANY Pinellas Park FL 3378J.-5063 0 CP%RAGI5S .............. . ...... . . . . . . . . . . ........... . ............ . " . ........ . '" . . . ........ . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........ . ............ . ............. . ........ . ........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '" . . . . . . . . . . .............. . '" . .......... . ......... . .... . ... . ....... " ............ . ......... . ........ . .. . ... . ........,............ . .......... . ........ . ......... . .............. . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELDW 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 SHDWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DDIYY) DATE (MM/DDIYY) ~NERAL lIABiLITY GENERAL AGGREGATE $ 2000000 A X COMMERCIAL GENERAL LIABILITY TBA OJ./OJ./OJ. 0J./0J./02 PRODUCTS_ COMP/OP AGG $ 2000000 1<:: I CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ J.OOOOOO f-- OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ J.OOOOOO ~ Multicover FIRE DAMAGE (Anyone fire) $ J.OOOOO MED EXP (Anyone person) $ *5000 ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500000 A ~ ANY AUTO TBA 01/01/01 01/01/02 f-- All OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) f-- f-- HIRED AUTOS BODILY INJURY $ NON "OWNED AUTOS (Per accident) f-- , PROPERTY DAMAGE $ - ~RAGE LIABILITY AUTO DNL Y . EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: >:> f-- f-- EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ R' UMBRELLA FORM AGGREGATE $ DTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND TWC STATU- 1 10TH- .... fORY LIMITS ER EMPLOYERS' LIABILITY .."...REE' ..EL EACHACCIDEm .$-" ."'..-.- ---_.- I '. ---- ----.-- R'~~~' r L....- .~;".it ~ ----.--...--------- '.- ---" u. '. ----- THE PROPRIETOR! EL DISEASE - POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL -- " ~~ .- EL DISEASE - EA EMPLOYEE $ DTHER VCL- r :, t:UlITf CITY CLEF Kr RECEIVED DESCRIPTION DF OPERA TIONS/LOCA TIONSNEHICLES/SPECIAL ITEMS DEe Additional :Insured Endorsement applies in favor of City of Clearwater for 1 5 2000 the following location: 701 N. M1ssouri, Clearwater, FL ** 10 days for Non-pavment of Premium RISK MANAGEMEN . CEfrriFlcAie: f1dL(jER.. ......... . :::::.:::.:.:::.:.:.::::::"::::.:.:::::::::..::.:.:.:.:.:.:::..:: >.:.::: > CANCEUj\'nbN:: .................... . .......................... . ........ . ................... . .......................... . ........... . .................... . ................... . '" . . . . . . . . . . . . .................... . ........... . ....................................................... . C:ITYOFC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRATIDN DATE THEREOF, THE ISSUING COMPANY Will ENDEAVOR TO. MAil City of Clearwater ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAilURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Risk Management Department OF ANY KIND UPON THE COMPANY, ITS AG,ENTS OR REPRESENTATIVES. P. O. Box 4748 Clearwater FL 34618-4748 AUTHORIZED REPRESENTATIVE .,.,.,Yi~4~~,,,,,. :AcqRI) ~5;.:sm~.s). " . ........... . , . ....................................... . ................ . " . ......... . . . . . . . . . . . . . . . . . ..................................................... . '" . .......... . ................ . ..................................................... . ee- I ~ b~f l~ -- - ~ ACORD.. .C'...'.'E......R..+ .F......I..C>:1\:+Fi: .O>....>p...-: .t..>:t..A.>.-:.B......I...t-:-:.I..T..v>I...N.-:....S.....:i:::I.....~::d:~,C.......E..'...>:.>>>>:,>>:.> DATE (MMlDDIYY) :..:....:::::::.:.::.:.:: ..,:....,::..:.h::'::,... ,:.:.::::,,::: ...:.::::::::....::...:::::::.::T~I~:~ERT;FI(;~EI~S:t~:is.:~~1!~F INFOR~;I~~2 / 0 0 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 ~ODUCER Lupfer-Frakes Insurance 222 Church Street Kissimmee FL 34741 Phone No" 407 - 847 - 2 841 Fax No" INSURED COMPANY A Firemans Fund Child Care COMPANY B Head Start Child Development & Family Services, Inc. 6698 68th Ave. Pine11as Park FL 33781-5063 COMPANY C COMPANY o :COVERAGES:::::::::::::: . . ...... ................. . ................. . .....".. . ........... . ............. . ............. . ......... . ........ . ........ . ........ . ......... . ......... . ........ . ........ . 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 (MMlDDIYY) DATE (MM/DDIYY) LIMITS GENERAL LIABILITY - A X COMMERCIAL GENERAL LIABILITY TBA :-:: I CLAIMS MADE [!] OCCUR '.'.. OWNER'S & CONTRACTOR'S PROT - X Mu1ticover - AUTOMOBILE LIABILITY - A X ANY AUTO TBA - 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 -- ..-~.-._- '~"-R-'- THE PROPRIETOR! IN PARTNERS/EXECUTIVE CL OFFICERS ARE: EXCL OTHER GENERAL AGGREGATE $ 2000000 01/01/01 01/01/02 PRODUCTS - COMP/OP AGG $ 2000000 PERSONAL & ADV INJURY $ 1000000 EACH OCCURRENCE $1000000 FIRE DAMAGE (Anyone fire) $ 100000 MED EXP (Anyone person) $ *5000 01/01/01 01/01/02 COMBINED SINGLE LIMIT $ 500000 BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ $ I WC STATU- I 10TH. TORY LIMITS ER - 1-- ._'.._-~.... . - --, ------- EL EACI-:l ACCIDENT $ '. EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ ~ ~re1~DW~ r- DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS j Additional Insured Endorsement applies in favor of City of C1earwa f~EC I 5 ~ the following location: U ~ City of Clearwater, 701 N. Missouri, Clearwater, FL ~ ** 10 days for Non-Pavment of Premium ~;;~;, : CEFrtiF1C;i\TE fiOl(jE~: :.:.:.:.:.:.:.:.:.:::::::::::::::::::::::.' ...........................................:.:::::::::::: CANCELLATION::::::::::::::::::::::: :::::: :P.IJBlIC :WORKSiiiJM;NISr:RArjri~::::': CITYOFC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE City of Clearwater Attn: Earl Barrett Engineering Dept. P. O. Box 4748 Clearwater FL 34618-4748 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 3 0 * 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, ITsV.GENTS OR REPRESENTATIVES" '"'"0'." "",,"'^: ..........Ll~~~~,ggg..... '- AC()R[);25~(t/95L . . ~ -', ~ :.;.:.:.:.;.:.:.:.:.;.:.:.:.:.:.:.:.:.:.: 1:11:II_i~!II~IIIIRI!I:11111111!!I~III~II.:::111111 li"_~l:'::::: - ::::HHDA~~> THIS CERTIFICATE IS ISSUED 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 ACORD. PRODUCER Lupfer-Frakes Insurance 222 Church S~ree~ Ki..immee FL 34741 Phone No, 407-847-2841 Fax No. INSURED CCMPINf A Fireman. Fund Child Care COMPINf B Head S~ar~ Child Developmen~ & Family Services, Inc. 6698 68~h Ave. Pinellas Park FL 33781-5063 COMPINf C COMPINf 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 Nff CONTRACT OR OTHER DOCUMENTWITH 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTlVE POLICY EXPIRATION LIMITS LTR DATE (MMIDONY) DATE (MMIDOIYY) GENERAL LIABILITY GENERAL AGGREGATE S 2000000 A COMMERCIAL GENERAL LIABILITY TBA 01/01/00 01/01/01 PRODUCTS. COMP/OP AGG S 2000000 CLAIMS MADE [!J OCCUR PERSONAL & ADV INJURY S 1000000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE S 1000000 X Mul~icover FIRE DAMAGE (Anyone fire) S 100000 MED EXP (Anyone person> S *5000 AUTOMOBILE LIABILITY S 500000 01/01/00 01/01/01 COMBINED SINGLE LIMIT A X ANY AUTO TBA ALL OWNED AUTOS BODlL Y INJURY S SCHEDULED AUTOS (pet person) HIRED AUTOS BODILY INJURY (pet accldenQ S NON-OWNED AUTOS PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S INf AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY S THE PROPRIErORr" --'--- ---- --- _. --- ---,---- --.-----,------ ---- S PARTNERSlEXECUTlVE INCL OFFICERS ARE: EXCL S OTHER "~"I DESCRIPTION OF OPERATIONS/LOCATlONSIVEHlCLESISPEClAL ITEMS Addi~ional Insured Endorsemen~ applies in favor of Ci~y of Clearwa~.r the following loca~ion: #4. Ci~y of Clearwa~er, 701 H. 1Ii..ouri, Clearwater 10 cia s for Hon-Pa n~ of Premium CITYOFC SHOULD INf 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 MAlL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF INf KIND UPON THE COMPINf, ITS AGENTS AUTHORlZED REPRE E Ci~y of Clearwa~er A~~n: Earl Barre~~ Engineering Dep~. P. o. Box 4748 Clearwater FL 34618-4748 PRODUCER . ..... . . .. ......... ......... ......... .... ............... .... .. ... ........ ..... ............ .............. ... ..... ... ..... ..... ACQ'D'O.. ......,..:.::,.,...~,...;...,.,;.:,;,....;...,tz.............'..,..'..:,1:1..'...........,..::....1.:..,...:.;....,....,....I........,Iz...:.........:...I.....:..n;..:..;,:.,....;../,(A>::~.:.....:.;....::.:.:::.....,.......... .....':lx..:,..,.::,....:::..:.......:...,Iz..::...::...':":".:.::..:.::.::.'.:.'.:.:::::::.i:::':.:::::.I:? ^.';.;....:..::b::..:....:....:...J.......:.::...:.,:::...:.i:::...:.::....:.I......mxL...:..:..:................:....:.:.:..:..:....:.:...:.'..:.'..:::......:.'....1"",:.ft:",":,:..:,:..:I"....~.."..'.:....:.',):......,:::.:..:..,:1........0::...,.:.........,:::..1\....:;.<:..:.:"'.'nltfC'''S''R:~ 1M OIYY) no \;;i ~ rx E VM?1 \iZ E Ii: me li:1):I? l'lOUrxr\ .,::,:..:\;;i:.,:.:.:.:.,::.,..,:.:,.:..:...::.:E;,.....,..,.,..".,:...,.:,..:,.,~,.:.:::~.'~.:.~..::.'....:...~....:.....;..\.:.:.:.'..:.:.:....,..:.:,:..':,.:,.:,:.,::,.:............... DA1TE2/ lM1DO/ 99 :;:;::.. ., .-:: ... "; ::::::.:.:~\</}:){\:/:::::::::/::}\}\:~?:::::......,: ~:~::::.:,:::/:.:tt~~~~~~::::::::::::::::::~~?::::::::::,:/::::::,:,:,:::,:::,::::::::::::::::;": x:::::::" ::, .:::::.. :::.... .<;::.........:::. .;:::::.. ..::::::. ,:,. , ,_ ~ :4: THIS CERTIFICATE IS ISSUED 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 Art Alston Phone No. 407-947-2841 Fax No, INSURED COMPANY A Firemans Fund Chi1d Care COMPANY B Head start Chi1d Dev.,& Fami1y Services, Inc. 6699 68th Ave. Pinne11as Park FL 33781-5063 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 CONOITION 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. LTR "'iYPE-oF'INSURANCl!! ' ... ,...., f>eU6VffUMBER- POLICY EFFECTIVE p,OLICYexPIRATlON -LIMITS,.., DATE (MM/DOIYV) DATE (MMIOOIVY)' GENERAL AGGREGATE $2000000 01/01/99 01/01/00 PR~.OOMProPAGG $ 2000000 PERSONAL & ADV INJURY $ 1000000 EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Any on. lire) $ 100000 MED EXP (Anyone person) $ 5000 01/01/99 01/01/00 COMBINED SINGLE LIMIT $ 500000 BODILY INJURY $ (per person) BODlL Y INJURY $ (Per accident) PROPERTY DAMAGE $ RECEI ED AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: DEe 2 1 1998 EACH ACCIDENT $ AGGREGATE $ RISK MANA EMENT EACH OCCURRENCE $ AGGREGATE $ $ $ EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ GENERAL LIABILITY A COMMERCIAL GENERAL LIABILITY 815MXG80719394 CLAIMS MADE ~ OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY A X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NONoOWNED AUTOS 815MXG90719394 GARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR! PARTNERSlEXECUTlVE OFFICERS ARE: OTHER INCL EXCL DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLESlSPEClAL ITEMS Additiona1 Insured Endorsement app1ies in favor of City of C1earwater for the fo11owing 1ocation: #4. City of C1earwater, 701 N. Nissouri, C1earwater ** 10 da s for Non-Pa nt CITYOFC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 * D S WRITTEN NOTICE TO THE CERTlFI NAMED TO THE LEFT, LL I OBLIGATION OR LIABILITY City of C1earwater Risk Management Department P. O. Box 4748 C1earwater FL 34618-4748 c! c: C t-\--u.. D \ g~-SlL-