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CERTIFICATE OF LIABILITY INSURANCE (4)ACORD DATE (MM/DD/YYYY) TM. CERTIFICATE OF LIABILITY INSURANCE 0711712009 PRODUCER Phone (727) 446-5721 Fax (727) 298.9850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ALL LINES INSURANCE GROUP INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1345 S MISSOURI AVE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CLEARWATER FL 33756 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED . INSURER A: Scottsdale .._..._......__...... Insurance Company 688 Skate Shop II INSURER B. 1426 S MLK Jr Ave INSURER C Clearwater FL -? -..._.._ ..._.. ._ . INSURER D: INSURER E: COVERAGES IHE PULICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOU INUICAIEU, NUIWIIHSIANUINIU 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 INSR! ApD'4 TYPE OF INSURANCE ! POLICY NUMBER ' POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSR DATE MM/DD/1"1' DATE MM/DD/YY i i GENERAL LIABILITY , CLS1486424 07/14/09 07/14110 EACH OCCURRENCE $ 1,000,001 X COMMERCIAL GENERAL LIABILITY ; DAMAGE TO RENTED -° 10000( $ .I . .., CLAIMS MADE [Xl OCCUR Ma occur rce7- PREMIS (Any one p erson) MED. EXP , $ 5100( INJURY $ 1,000,00( - - GENERAL AGGREGATE $ 2.000,00( 'I GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS-COMP/OP AGG. $ 2,000,00( - .. r- - PRO- X I P I .,.,... ................... ----- OLICY LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea ac cidenq $ ' ALL OWNED AUTOS 20n BODILY INJURY L..i SCHEDULED AUTOS , (Per person) $ j HIRED AUTOS ( OFFICIAL RECORDS j WD (BODILY INJURY $ NON-OWNED AUTOS LEGISLATIVE SRVC (Per acGidBnU S EPT ...... PROPERTY DAMAGE (Per accident) ' I GARAGE LIABILITY $ ONLY - EA ACCIDENT AUTO ANY AUTO I OTHER THAN EA ACC $ ? - AUTO ONLY V $ AGG LIABILITY EACH OCCURRENCE CLAIMS MADE " AGGREGATE _ $ $ DEDUCTIBLE ... RETENTION $ WORKERS COMPENSATION AND WC STATU• OTHER TORY LIMITS . EN!FLOY€RS' LJAe!LtTY i , ANY PROPRIETOR/PARTNER/EXECUTIVE El EACH ACCIDENT .__.__.--_... $ I OFFICER/MEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYEE $ It yes, describe under SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ OTHER: I I DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER ADDED AS ADDITIONAL INSURED ONLY AS THEIR INTERESTS MAY APPEAR. PROPERTY LOCATIONS: 6635 Martin L King Jr St, St. Petersburg, FL 33702 1426 Martin L King Jr Ave, Clearwater, FL 33756 CERTIFICATE HOLDER CANCELLATION CITY OF CLEARWATER SHOULD ANY OF THE ABOVE DESCRIBED POLICJES BE CANCELLED BEFORE THE 1426 MARTIN LUTHER KING JR AVE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS CLEARWATER, FL 33756 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, IT'S AGENTS OR REPRESENTATIVES Attention: ACORD 25 (200n1/08) 0 Certificate # 105466 J Clarkson © ACORD CORPORATION 1988