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CERTIFICATE OF LIABILITY INSURANCE (5)OP ID: SU CERTIFICATE OF LIABILITY INSURANCE nAr Y> 121 03/25/11 0 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 endorsements . PRODUCER 727.797-0441 CONTACT NAME: Connelly, Carlisle, Fields & 727 669 0673 PHONE FAX - NIC11015 A/C No Ext : A1C No ; P.O. BOX 1027 E-MAIL ADDRESS: Clearwater, FL 33757 House Account PRODUCER WINNI-1 CUSTOMER ID INSURER(S) AFFORDING COVERAGE NAIC 0 INSURED Winning Inning Inc J INSURERA:Zenlth Insurance Company 13269 Randy Holland INSURER E: Starr Indemnity & Liability Co PO Box 15953 INSURER C Clearwater, FL 33766 INSURER O : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR A U8 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMAD/yYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 B X COMMERCIAL GENERAL LIABILITY X P2G L10000003 01/01111 01101/12 WMPo3 N PREMISES Ea ceurcence $ 300,00 1 7X 5 00 CLAIMS-MADE OCCUR MED EXP (Any one person) , :6 PERSONAL & ADV IN,.UR'Y $ 1,000,00 GENERALAOGRE,ATF., $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,00 PRO- LI-L01- POLICY Ll $ AUT - OMOBILE LIABILITY FCEP R , _ COMBINED SINGLE LIMIT (Ea acrid0nl) $ ANY AUTO P f .? -_-? BODILYIN JJRY (F'ar parson) $ qLL OVVN ED AI!TQ? • ^ __.-.__........,..Y_..._._...._.?._-_.. EODIL Y' P1JURY fPer accident) .__...._._._.........._......... $ SCHEDULED AUTOS f? MAR l? rJ PR5 ERTY DAMAG HIREDAUTOS (Per accident) $ NON-OWNED AI ITOS ?p p ` 'LI `1 IS j L A? lilrCO kFG • Fes, """` UMBRELLA LIAR OCCUR ' s'?-' - .-. EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE DEDUCTIBLE RE7ENTI0r4 $ $ WORKERS COMPENSATION WC STATLI- OTH- AND EMPLOYERS' LIABILITY TORY IMIT, R A ANY PROPRIETORJP.ARTNFRIEXE'-'JTIVE Y / N ? N / A 067810706 11/05110 11105111 E.L EACH ACCIDENT $ 100,000 OFPCERRdEMEER EXCLIJDED? (Mandatory in NH) E I. DISEASE- EA EMPLOYEE $ 100,00 If yes. describe w". DESCRIPTION OF OFERATIOIIS below E.L. DISEASE- POLICY LIMIT :p 500,00 I DESCRIPTION OF OPERATIONS f LOCATIONS /VEHICLES (Attach ACORD 1D1, Additional Remarks Schedule, if more space is required) City of Clearwater Is listed as Additional Insured with respects to General Liability. CERTIFICATE HOLDER CANCELLATION CITY005 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Clearwater ACCORDANCE WITH THE POLICY PROVISIONS. 100 S. Myrtle Ave. Clearwater, FL 33758 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD ?' C' " " " Q"'