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CERTIFICATE OF LIABILITY INSURANCE (118)DATE(MM/DD/YYW) A� °� CERTIFICATE OF LIABILITY INSURANCE ,,,ztizo„ 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 certiflcate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to � I the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certiTicate doss not confer rights to the � certificate holder In lieu of such endorsement(s). � m PRODUCER CN�EACT .� aon Risk Services, Inc of Florida PH NE �g66) 283-7122 F� (847) 953-5390 m 7650 Courtney Campbell causeway (ac.r�o.E=ry: cac.rw.: sui te 1000 e-n�,v� � ADDRESS: � Tampa F� 33607 USA = INSURED Saint Leo University University Campus - MC2246 PO Box 6665 Saint �eo FL 33574-6665 USA INSURER(S) AFPORDING COVERAGE NAIC # INSURERA: FICURMA, Inc. Self-Insured Fund 0259AL INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570044449286 -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. Limks shown are as requested LTR TYFE OF INSURANCE INSR NND POLICY NUMBER MM/DD MMIDD LIMRS A GENERALLIABILITY se -znsure FUfI EACHOCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occunence $1, OOO, OOO CIAIMS-MADE X❑ OCCUR MED EXP (Any one person) $ lO , OOO PERSONAL&ADVINJURY $1,000,000 � GENERALAGGREGATE $Z,OOO,OOO � GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 1, OOO , OOO � X POLICY PRo- LOC n AUTOMOBILE LIABILRY COMBINED SINGLE LIMIT � nt ANY AUTO BODILY INJURY ( Per person) Z ALL OWNED SCHEDULED BODILY INJURY (Per accident) y AUTOS AUTOS .. HIRED AUTOS NON-OWNED . � _� _�s PROPERTY DAMAGE � AUTOS o : Per accident � Y m UMBRELLA LIAB OCCUR EACH OCCURRENCE V r '- - E%CESS LIAB CLAIMS-MADE � AGGREGATE DED � RETENTION WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LWBILITY y� N TORY LIMITS ANY PROPRIETOR / PARTNER / EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? ❑ N I A (Mandatory In NiQ E.L. DISEASE-EA EMPLOYEE Hye s, dascribo under DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICV LIMIT � DESCRIPTION OF OPERA710NS I LOCATIONS / VEHICLES (Attaeh ACORD 101, Additfonal Remarks Sehedule, if more spaee is requlred) � CONFIRMATION OF COVERAGE. � � � Z CERTIFICATE HOLDER CANCELLATION � ti- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WlTH THE POLICY PROVISIONS. CLEARWATER POLICE DEPARTMENT AUTHpRIZED REPRESENTATNE 645 PIERCE STREET L CLEARWATER FL 34616 USA � t�/�I_ _ �S�/�� 7�n e.�rd�e �01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD