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CERTIFICATE OF LIABILITY INSURANCE (10)- ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID A8 DATE(MM/DD/YYYY) COMMU7-9 07 08 09 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 J INSURER A: Arch Insurance Company 11150 INSURER B: Community Pride Child Care, Inc. INSURER C: 1235 Holt Ave. Cl t FL 33755 INSURER D: earwa er 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 18-SUBJECT-TO-ALL THE-TERMS, EXCLUSIONS AND-CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY POLICY MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE _ $ 1 0 0 0000 A X X COMMERCIAL GENERAL LIABILITY NCPKG0068801 06/30/09 06/30/10 PREMISES(Eaoccurence) _ _ _ $ 100000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: _ PRODUCTS - COMP/OP AGG _ $1000000 X POLICY PR° LOC Emp Ben. 1M/ 1M._._......---- - AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT A ANY AUTO NCAUT0068801 06/30/09 06/30/10 (Ea accident) $ 1000000 ALL OWNED AUTOS BODILY INJURY ? u SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO r ?? EA ACC 07HER THAN . $ AUTO ONLY! AGG T _ _ $ EXCESS/UMBRELLA LIABILITY - EACH OCCURRENCE $ ICLAIMS MADE OCCUR F 1 1 1 AGGREGATE $ 3 3 $ R DEDUCTIBLE $ RETENTION $ [ 1? $ WORKERS COMPENSATION AND ' lly) ? - TORY LIMITS ER EMPLOYERS LIABILITY FN - a ---••-- ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE .n..._- $ If yes, describe under - -°- °° SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER A Crime NCPKGO068801 06/30/09 06/30/10 Aggregate 20000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Cer_t.ificate._Ho1de3-is listed as an Additional Insured as respects General Liability only and only as respects the Named Insured. CERTIFICATE HOLDER CANCELLATION City of Clearwater(Property) Real Estate Services Manager ATTN: Earl Barrett P O BOX 4748 Clearwater FL 33758-4748 CITYC - 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI, DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. A[;.UKU Z5 (200110$) © ACORD CORPORATION 1988 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. m.Vnu Fa Jew 11VO)