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CERTIFICATE OF LIABILITY INSURANCE AND EVIDENCE OF PROPERTY INSURANCEACORD. EVIDENCE OF PROPERTY INSURANCE 10;29;2 8' THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE OF PROPERTY INSURANCE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. AGENCY PHONE 727)461-3704 COMPANY No Ex Lancaster Insurance Inc. Underwriters at Lloyds London 1210 S. Myrtle Ave. P 0 Box 2856 Clearwater, FL 33757 FAX, N,I(727)441-3298 I AE-MAJL DDRESS: CODE: 09019 SUB CODE: AGEnY NCY - ie• 00004970 RACD INSURED Mt Carmel Community Development Corp. 1751 Kings Highway Clearwater, FL 33755 '08 0C T 30 Pm3:001 LOAN NUMBER POLICY NUMBER EBGFK-T EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL 10/24/2008 01/24/2009 n TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: rKUrr KI T I rvrVK1V1/% I IVIY LOCATION/DESCRIPTION 1 Loc 00001 Bldg 00001 1007 La Salle St. Clearwater, FL 33755-3232 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 EVIDENCE OF PROPERTY INSURANCE 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. VERAGE INFORMATION CO COVERAGE I PERILS I FORMS AMOUNT OF INSURANCE DEDUCTIBLE 1 Building, ACV, Basic form 114,000 500 REMARKS (including Special Conditions 2008 0M,-VA RECORDS Aa !r,? LEGISLATIVE SRVLS, DEPT r., CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE ADDITIONAL INTEREST NAMED BELOW, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGAT OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. DDITIONAI I NAME AND ADDRESS MORTGAGEE X ADDITIONAL INSURED LOSS PAYEE X Certi fi cate hol der City Of Clearwater -Housing Division Terri LOAN# ola Ave 112 S O . , sce Clearwater, FL 33756 AUTHORIZED REPRESENTATIVE ACORD 27 (2006/07) V AUUKU t:UKI'UKAI IUN -Iyas-LUDO. All ng"Lb reserves. The ACORD name and logo are registered marks of ACORD r A.CORLCM CERTIFICATE OF LIABILITY INSURANCE .. 10/15/2 8 PRODUCER (727)461-3704 FAX (727)441-3298 THIS CERTIFICATE IS ISSUED AS A MATTSR OF INFORMATION Lancaster Insurance Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1210 S. Myrtle Ave. ALTER THE COVERAGE AFFORDED BY TAE POLICIES BELOW. P 0 Box 2856 - Clearwater, FL 33757 INSURERS AFFORDING COVERAGE _ NAIC # INSURED Mt Carmel Community Development Corp INSURERA: Scottsdale Insurance 908 Palm Bluffs Street INSURER B: ' Clearwater, FL 33755 08 O INSURER C: CT 17 Pm INSURER D: f INSURER E: L.VVC %2M0 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICP E MAY BE ISSUED OR ANY REQUIREMENT , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN , POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AL DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE FM POLICY EXPIRATION DATE I LIMITS GENERAL LIABILITY CPS0948630 09/26/2008 09/26/2009 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PRFMI.RF.% (Fa rB $ S0,000 CLAIMS MADE a OCCUR MED EXP (Any one parson) $ 1,000 A PERSONAL & ADV ILJURY $ 1,000,000 GENERAL AGGREG.1. E $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP OP AGG $ Excluded POLICY PROECT LOC J AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAG = $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA AC =ENT $ ANY AUTO OTHER THAN _F_A ACC $ AUTO ONLY: . AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENC:: $ OCCUR F ]CLAIMS MADE AGGREGATE $ DEDUCTIBLE a $ RETENTION $ $ _ TH- WC STATU- O WORKERS COMPENSATION AND TORY LIMITS I ER EMPLOYERS' LIABILITY E.L. EACH ACCIDEN = $ ANY PROPRIETOR/PARTNER/EXECUTIVE ICER/MEMBER-EXCLUDED3 E.L. DISEASE - EA E'A_?LOYP $- ,. -. - -- _ If yes, describe under DISE L •. LIA?IT• E L SPECIAL PROVISIONS below . . , OTHER NOV ? 2008 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS OFF( _'(jq PECOR®S A,lArD L EG1 )LA.1-ji/F S? VC ? Tf? 941 s, he Certificate Holder is an additional insured as respects General Liability subject to onditions, and exclusions of the policy. fem.. Alf?Cl 1 ATIAAI V 1 rlV 1 v n - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES-BE : 4,NCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE H,) :.DER NAMED TO THE LEFT, City of Clearwater BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NC C BLIGATION OR LIABILITY 100 S Myrtle Ave OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPI,MNTATIVES. Clearwater, FL 33756 AUTHORIZED REP ACORD 25 (2001/08) ©ACORD CORPORATION 1988