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CERTIFICATE OF LIABILITY INSURANCE (18)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID SH DATE(MM/DD/YYYY) HEADS-2 12/19/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 17757 US Highway 19 N, Ste 660 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2456 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clearwater FL 33757-2456 Phone: 727-461-6044 Fax:727-442-7695 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Ace American Insurance Co 22667 INSURER B: Zenith Insurance Company 13269 Head Start Child Development & Family Services INSURER C: 2210 Tall Pines Dr. Ste 200 L r FL 33771 INSURER D: go a INSURER E: 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLI Y FE VE DATE MEX POLICY EXPIRATION DATE XM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 10 0 0 0 0 0 A X COMMERCIAL GENERAL LIABILITY G20400869 01/01/09 01/01/10 PREMISES(Eaoccurence) $ 100000 CLAIMS MADE X] OCCUR MED EXP (Any one person) $ 5000 PERSONAL $ ADYINJURY $ 1000000 X Prof/Sex Abuse GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 0 0 0 0 0 0 X POLICY JE!° LOC Emp Ben. 100/300 AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT A X ANY AUTO E08123032 01/01/09 01/01/10 (Ea accident) $ 500000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY - - EACH OCCURRENCE $ ICLAIMS MADE 1 OCCUR F AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ' X TORY LIMITS ER B AMY P LOYERS LIABILITY PROPRIETOR/PARTNER/EXECUTIVE AN 2070082701 01/01/09 01/01/10 E.L. EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? _. __. _.__ ____. f11RFARF - FA Ft,APJ„Q" _$_],D.Q QJ}Q- _ under y?IIBSC?ibe SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 5 0 0 0 0 0 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS C-/Z- c? = C . L O R iL G ? gt / ? a •l I l.J?'1 SIB II' ?_ , 1 tt_.r ??.43k ,.? I?l??4b.IVf?3=_i9?lG1JfE;NE C, - -?T CERTIFICATE HOLDER CA11CELCATf N CLEAR24 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Clearwater NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Housing & Urban Development 112 S. Osceola Avenue IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Clearwater FL 33758 REPRESENTATIVES. AUTHO D RESENT VE ACORD 25 (2001/08) v © ACORD CORPORATION 1988