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CERTIFICATE OF LIABILITY INSURANCE (16)1CORP, CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD1YYYY) PRODt"ER (663)742-1616 FAX (603) 749-6884 Wells Fargo Special Risks, Inc. 34 Dover Point Road 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. Dover, NH 03820-9145 INSURERS AFFORDING COVERAGE NAIC # INSURED Global Spectrum Inc. INSURER A: Great American Assurance Co. Global Spectrum Facility Management, LP INSURERS: St. Paul Fire & Marine Insurance Co. 3601 South Broad Street INSURERc: Great American Insurance Company of NY Philadelphia, PA 19148-5290 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. DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDDIYY) LIMITS GENERAL LIABILITY GLO8635256 06/30/2009 06/30/2010 EACH OCCURRENCE $ 1,000,000 r X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 CLAIMS MADE 7 OCCUR S10.000 DEDUCTIBLE MED EXP (Any one person) $ Excluded A X Liquor Liability: APPLIES PER OCCURRENCE PERSONAL & ADV INJURY $ 11000,000 $1M/$2M -Aggregate GENERAL AGGREGATE ... S.. Non GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO LOG JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS nId CE#VE BODILY INJURY SCHEDULED AUTOS Q (Per person) $ HIRED AUTOS j 2OD J BODILY INJURY NON-OWNED AUTOS (Per accident) $ RDS D L RECO PROPERTY DAMAGE OFFIC D Fq (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY UMBRELLA: QK06502311 06/30/2009 06/30/2010 EACH OCCURRENCE $ 51000,000 X OCCUR ? CLAIMS MADE SIR APPLIES TO ABOVE) AGGREGATE $ S10001000 B $ DEDUCTIBLE ST EXCESS: Q106500848 06/30/2009 06/30/2010 Each Loss Limit $ 20,000 00 X RETENTION $ 10,00 (NO SIR ON ABOVE) Aggregate $ 20,000 00 WORKERS COMPENSATION AND WC 3TATU- OTH- EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT $ OFFICEWMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPEGIAL PROVISIONS b.IM DISF.9SE.-.PO1ICY_LIMLT S__ - E CESS LIABILITY EXC9634317 06/30/2009 06/30/2010 Each Occurrence: $25,000,000 C rvD EX Aggregate: $25,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS he certificate holder is only an additional insured with respect to liability caused by the negligence f the named insured as per form CG2011 - Additional Insured - Managers or Lessors of Premises ut only with respect to Harborview Center, 300 Cleveland St., Clearwater, FL 34618. Except 10-days non-payment of premium rFRTIFIreTF 41A1 I11:1? rANrFI I ATIrIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Clearwater BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 112 S. Osceola Ave. OF ANY KIN N THE URER, ITS GENTS OR REPRESENTATIVES. Clearwater, FL 34618 AUTHORIZED PRE EN E -7 ACORD 25 (2001108) Lor ©ACORD CORPORATION 1988 I IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The .Certificate of Insurance on the-reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2007108)