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CERTIFICATE OF INSURANCE (232) ACORDN CERTIFICATE OF LIABILITY INSURANC~~t~~ D DA~~7;;;;;3 THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFr:::ATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLr:::lES BELOvv. PRODUCER Bouchard-Starcrest 101 Starcrest Drive POBox 6090 Clearwater FL 33758-6090 Phone:727-447-6481 Fax: 727-449-1267 ,INSURERS AFFORDING COVERAGE INSURED UPARC Inc 1501 North Belcher Road Clearwater FL 33765-1302 INSURER A: INSURER B: INSURER C: INSURER 0: INSURER E: FIREMAN'S FUND INSURANCE CO BRIDGE FIELD CASUALTY INS CO AMERICAN INTL SPECIALTY LINES 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. II~fl: TYPE OF INSURANCE POLICY NUMBER DATEVIMMIDDIVYI DAre '/MMIDDJYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 ~ 12/01/04 A ~ 3MMERCIAL GENERAL LIABILITY MZG80807667 12/01/03 FIRE DAMAGE (Anyone fire) $ 1000000 CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000 I-- PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $ 3000000 h ,nPRO- n Emp Ben. 1000000 POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 '-- A ~ ANY AUTO MZA80235112 12/01/03 12/01/04 (Ea accident) ALL OWNED AUTOS (...-~....__..--" " ......7"<' .......---_....-. < - r!'. , !r.('''\ BODILY INJURY $ SCHEDULED AUTOS \ (Per person) - , -.!. HIRED AUTOS BODILY INJURY (Per accident) $ -.!. NON-OWNED AUTOS .1.1, L ~.1!_:.'-'! , '.< -~ ...... -- - " PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY , AUTO ONLY - EA ACCIDENT $ ==l ANY AUTO Il:,o-~_,..'$''''''''''",,"''''''''_'~ .--~ ,- ",-",<"-'.- ,.... "-,......-.....,,.\ EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ 1000000 C ~ OCCUR 0 CLAIMS MADE 9745501 12/01/03 12/01/04 AGGREGATE $ 1000000 $ ~ DEDUCTIBLE $ X RETENTION $0 $ WORKERS COMPENSATION AND X I TORY LIMITS I lOW B EMPLOYERS' LIABILITY 19603019 04/01/03 04/01/04 E,L. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE $ 1000000 E.L. DISEASE - POLICY LIMIT $ 1000000 OTHER dd/asst DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS SUBROGATION AGAINST CITY OF CLEARWATER SHALL BE WAIVED AS RESPECTS WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE EXCEPT IN MATTERS SHOWN BY FINAL JUDGEMENT TO HAVE BEEN CAUSED BY SOLE NEGLIGENCE OF CITY OF CLEARWATER. , CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION XCI TYOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ...3L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL CITY OF CLEARWATER * IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 100 S MYRTLE AVE CLEARWATER FL 33756-5520 REPRESENTATIVES, AUTHOm~ I ACORD 25-S (7/97) @ACORDCORPORATION 1988 ACORD", CERTIFICATE OF LIABILITY INSURANC~~t~~ D DA~E~;~;~~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTSUPON THE CERTIFCATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLCIES BELOW. PRODUCER Bouchard-Starcrest 101 Starcrest Drive POBox 6090 Clearwater FL 33758-6090 Phone: 727-447-6481 Fax: 727-449-1267 INSURERS AFFORDING COVERAGE INSURED UPARC Inc 1501 North Belcher Road Clearwater FL 33765-1302 INSURER A: FIREMAN'S FUND INSURANCE CO INSURER B: BRIDGEFIELD CASUALTY INS CO INSURER C: AMERICAN INTL SPECIALTY LINES INSURER 0: 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. I~fi: TYPE OF INSURANCE POLICY NUMBER &~-wfi'MMJDDM1' DATEIMMID~ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 - A X COMMERCIAL GENERAL LIABILITY MZG80807667 12/01/03 12/01/04 FIRE DAMAGE (Anyone fire) $ 1000000 I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000 - PERSONAL & ADV INJURY $ 1000000 ~ GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3000000 h nPRO- n Emp Ben. 1000000 POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ~ $ 1000000 A ~ ANY AUTO MZA80235112 12/01/03 12/01/04 (Ea accident) 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 $ q ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ 1000000 C ~ OCCUR '0 CLAIMS MADE 9745501 12/01/03 12/01/04 AGGREGATE $ 1000000 $ ~ DEDUCTIBLE $ X RETENTION $0 $ WORKERS COMPENSATION AND X I TORY L1MrrS I 10m- B EMPLOYERS' LIABILITY 19603019 04/01/03 04/01/04 $ 1000000 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ 1000000 E.L. DISEASE - POLICY LIMIT $ 1000000 OTHER dd/asst H"';'( '~IH~n DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS I -- ATTN: MARK ABDO t DEe 0 5 2003 PARKS & RECREATION CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION THE CENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN THE CENTER FOUNDATION NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL INC 1501 N BELCHER RD IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR CLEARWATER FL 33765 REPRESENI.ATlVES. I AUTHOR\!y?:::Z ACORD 25-5 (7/97) @ACORDCORPORATION 1988 ACORDN CERTIFICATE OF LIABILITY INSURANC~~t~~ D DA~~;:D70~ THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER Bouchard-Starcrest 101 Starcrest Drive POBox 6090 Clearwater FL 33758-6090 Phone: 727-447-6481 Fax: 727-449-1267 INSURERS AFFORDING COVERAGE INSURED UPARC Inc 1501 North Belcher Road Clearwater FL 33765~1302 INSURER A: FIREMAN'S FUND INSURANCE CO INSURER B: BRIDGE FIELD CASUALTY INS CO INSURER C: AMERICAN INTL SPECIALTY LINES INSURER D: 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. ,IEf: TYPE OF INSURANCE POLICY NUMBER DATEfMMIDDIYY1 DATE 'fMMIDDlvY1 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 I-- A ~ COMMERCIAL GENERAL LIABILITY MZG80807667 12/01/03 12/01/04 FIRE DAMAGE (Anyone fire) $ 1000000 tJ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000 I--- PERSONAL & ADV INJURY $ 1000000 '-- GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $ 3000000 I n PRO- nLOC Emp Ben. 1000000 POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 1000000 A ~ ANY AUTO MZA80235112 12/01/03 12/01/04 (Ea accident) - ALL OWNED AUTOS "'-..,." BODILY INJURY $ SCHEDULED AUTOS '-~'~~j:,~~~~~..- ~'T,) (Per person) - 1 ~ HIRED AUTOS BODILY INJURY $ ~ NON-QWNED AUTOS , (Per accident) - lJ ,,' ! PROPERTY DAMAGE $ , .... (Per accident) !- ", '" j ~RAGE LIABILITY ;, ,', AUTO ONLY - EA ACCIDENT $ ANY AUTO l {-'AH: 1;;0, / OTHER THAN EA ACC $ .._~-- ",..~.. '---......-....-.... 'J'- AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ 1000000 C ~ OCCUR D CLAIMS MADE 9745501 12/01/03 12/01/04 AGGREGATE $ 1000000 $ ~ DEDUCTIBLE $ X RETENTION $ 0 $ WORKERS COMPENSATION AND X I fcrR~IOMYTSI IUF1H- ER B EMPLOYERS' LIABILITY 19603019 04/01/03 04/01/04 $ 1000000 E.L. EACH ACCIDENT E.L, DISEASE - EA EMPLOYEE $ 1000000 E.L. DISEASE - POLICY LIMIT $ 1000000 OTHER dd/asst DESCRIPTION OF OPERATlONSlLOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS kh/asst CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION XCI TYOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE'THE EXPIRATlm DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ....3..0.- DAYS WRmEN CITY OF CLEARWATER NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL PARKS AND RECREATION DEPT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 100 S MYRTLE AVE #C-ll0 CLEARWATER FL 33756-5520 REPRESENIA TIVES. I AUTHOR\!y~ ACORD 25-5 (7/97) @ACORD CORPORATION 1988 ACORD.. CERTIFICATE OF LIABILITY INSURANC~Pit~~ D DA~E~~~~D;;3 THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION ONLY AND CONFERS NO RIGHTSUPON THE CERTIFK::ATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFIORDED BY THE POLK::IES BELOW. PRODUCER Bouchard-Starcrest 101 Starcrest Drive POBox 6090 Clearwater FL 33758-6090 Phone:727-447-6481 Fax:727-449-1267 INSURERS AFFORDING COVERAGE INSURED UPARC Inc 1501 North Belcher Road Clearwater FL 33765-1302 INSURER A: FIREMAN'S FUND INSURANCE CO INSURER B: BRIDGE FIELD CASUALTY INSCO INSURER C: AMERICAN INTL SPECIALTY LINES INSURER 0: 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, ~ TYPE OF INSURANCE POLICY NUMBER ~~'fi:C~MIDDivYi ' DATE "MMIDDiYVi LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 - A X COMMERCIAL GENERAL LIABILITY MZG80807667 12/01/03 12/01/04 FIRE DAMAGE (Anyone fire) $ 1000000 I CLAIMS MADE [R] OCCUR MED EXP (Anyone person) $ 10000 PERSONAL & ADV INJURY $ 1000000 - GENERAL AGGREGATE $ 3000000 I-- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $ 3000000 hn PRO- n Emp Ben. 1000000 POLICY JECT LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 A ~ ANY AUTO MZA802351'\.2 12/01/03 12/01/04 (Ea accident) .H::., .. ALL OWNED AUTOS ~,..., "~(\ BODILY INJURY - ~). $ SCHEDULED AUTOS , (Per person) - .. ~ HIRED AUTOS i BODILY INJURY $ ~ NON-OWNED AUTOS UEt... ,f)03 I (Per accident) , .. ; I PROPERTY DAMAGE , i : I (Per accident) $ , .., n ,~_'" .. .- w. : j GARAGE LIABILITY '').-'" ,"' . i<:{ .'~~{:,~'~'}C;tJ / AUTO ONLY - EA ACCIDENT $ i ,'-! 1.',",-" b =J ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ 1000000 C ~ OCCUR D CLAIMS MADE 9745501 12/01/03 12/01/04 AGGREGATE $ 1000000 $ ~ DEDUCTIBLE $ X RETENTION $ 0 $ WORKERS COMPENSATION AND X I TORY LIMITS I lOW B EMPLOYERS' LIABILITY 19603019 04/01/03 04/01/04 E.L. EACH ACCIDENT $ 1000000 E..L.. DISEASE - EA EMPLOYEE $ 1000000 E.L. DISEASE - POLICY LIMIT $1000000 OTHER dd/asst DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER IS ADDITIONAL INSURED IN REGARDS TO WORK PERFORMED BY INSURED FOR THE CITY OF CLEARWATER. CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION XCITYOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA TlO~ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN CITY OF CLEARWATER EMPLOYEES NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL AND VOLUNTEERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 100 S MYRTLE AVE CLEARWATER FL 33756-5520 REPRESEN1ATlVES. I AUTHO\!y~ ACORD 25-S (7/97) @ACORD CORPORATION 1988