AGREEMENT FOR LOAN AND TEMPORARY DISPLAY OF ARTWORK (11)f
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AGREEMENT FOR LOAN AND TEMPORARY DISPLAY OF ARTWORK
THIS AGREEMENT FOR LOAN AND TEMPORARY DISPLAY OF ARTWORK
made and entered into this 12th day of December, 2011 by and between Hanna Jubran
(hereafter called the "ARTIST") whose address is 5828 Hi�y 33 East, Grimesland,
NC 27837 and the CITY OF CLEARWATER, FLORIDA, a municipal corporation of the
State of Florida, located at 112 South Osceola Avenue, Clearwater, FL 33756 (hereafter
called the "CITY")
WITNESSETH:
WHEREAS, the ARTIST is the sole owner and creator of the items of ARTWORK that
are valued and described more fully in EXHIBIT "A" attached hereto and made a part
hereof, which items are hereinafter referred to collectively as "ARTWORK"; and
WHEREAS, the CITY wishes to display the ARTWORK temporarily along Cleveland
Street between East Avenue and Osceola Avenue in Clearwater, Flarida; and
WHEREAS, the ARTIST wishes to temporarily loan for such exhibition, the
ARTWORK to the CITY for placement on certain public property along Cleveland Street
for a period of one year.
Now, THEREFORE, for good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged by the parties, it is hereby agreed by and between the
parties as follows:
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1. RECITALS
1.1 The foregoing recitals are incorporated into and made a part of this
AGREEMENT FOR LOAN AND TEMPORARY DISPLAY OF
ARTWORK, and the parties acknowledge and agree that such recitals are
true and correct.
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2.1 The ARTIST hereby agrees to loan and temporarily display the ARTWORK
described in EXHIBIT "A" to the CITY for outdoor placement along
Cleveland Street in Clearwate;r, FL, 33756 for a period of twelve (12) months
upon the terms herein provided. The period of installation and display shall
start on December 12, 2011. unless mutualiy agreed upon by both parties.
The period of display and su�bsequent de-installation shall end no later than
October 19, 2012 unless mutually agreed upon by both parties.
3. ARTIST RESPONSIBILITIES
31 The ARTIST, using the ARTIST'S own or hired personnel and equipment is
fully responsible for the cosr.s and handling involved in the delivery of the
ARTWORK to, and the pickup of the ARTWORK from, the placement site
along Cleveland Street. The ARTIST will agree to ARTWORK installation
and removal dates with the (�ITY that will be during regular business hours
unless specifically agreed to by the CITY. In addition, the ARTIST is
responsible for the oversight of the installation and the de-installation of the
ARTWORK by the CITY or the CITY'S agents. The ARTIST will provide
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the CITY with a condition report of the ARTWORK after installation and de-
installation, confirming pro:per installation and de-installation and other
details as may be reasonably warranted.
3.2 The ARTIST will prepare shuctural drawings detailing the ARTWORK and
its integration to the concrete base. The ARTWORK and the recommended
installation/de-installation pr�cess shall comply with, and the ARTIST in
performing under this AGREEMENT shall comply with all city, county, state
and federal regulations, laws, and ordinances.
3.3 Once approved by the CIT�", the ARTIST will modify the ARTWORK, if
necessary, with any required :hardware to attach the ARTWORK to the base.
3.4 The ARTIST represents that �the ARTWORK is made of durable material and
will withstand the usual we�ather and climate in the area. The ARTIST
assumes all responsibility and risk for any deterioration or weathering caused
to the ARTWORK.
3.5 The ARTIST will provide a description of all materials utilized in the
ARTWORK and the routine c;are, if any, required during the loan agreement.
3.6 During the installation and de;-installation periods as appropriate, the ARTIST
will be available for presentations, interviews, and ceremonies at the CITY' S
request.
3.7 The ARTIST will provide required insurance in the amounts and limits
specified in Section 8 INSUR.ANCE.
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3.8 The ARTIST represents that the ARTWORK does not utilize any protected
patent, trademark, or copyri;;ht and hereby indemnifies the CITY for any
claims related thereto.
4. CITY RESPONSIBILITIES
4.1 The CITY will determine a location for the exhibition of the ARTWORK on
Cleveland Street and will provide any information and relevant data, if any,
which is needed by the ARTIST in order to perform under this
AGREEMENT.
4.2 The CITY will prepare the site and construct a concrete base on which the
ARTWORK will be attached in accordance with the specifications detailed in
the approved structural drawings provided by the ARTIST.
4.3 Under supervision of the ARTIST, the CITY or the CITY'S agents will
install and de-install the artwork from its site on Cleveland Street.
4.4 The CITY will be responsible for compliance with all applicable laws and
regulations and will provide: required permits for the installation and de-
installation process.
4.5 The CITY will provide and install an identification plaque next to the
ARTWORK, prepared and designed by the CITY containing a credit to the
ARTIST.
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4.6 The CITY will pay the ARTI ST a$3,000.00 Exhibition Fee as consideration
for the services and performa.nce hereunder, including but not limited to, the
loan, delivery, installation an�i de-installation supervision, and removal of the
ARTWORK. The Exhibition Fee will be paid as follows: $2,000.00 upon
delivery and installation of the ARTWORK, as accepted by the CITY, and
$1,000.00 upon de-installati��n and removal of the ARTWORK, as more
particularly defined in Section 5.
5. HONORARIUM AMOUNT A1�fD SCHEDULE OF COMPENSATION:
51 HONORARIUM AMOLTNT: The total honorarium amount awarded to the
ARTIST is Three Thousand D��Ilars ($3,000.00) for all services under this
AGREEMENT, including, but n�t limited to, transportation of ARTWORK to
and from the display site, certification of ARTWORK by a licensed structural
engineer, ARTIST'S supervisio:n of artwork installation and de-installation,
ARTIST'S presence at publicity and public information sessions, and any other
performances and services required under this AGREEMENT.
a. No charges shall be incurred under this AGREEMENT nor shall any
payments become due to the ARTIST until all reports and services, or
both, required under this AGREEMENT are received from the
ARTIST and approved by the CITY as being in accordance with this
AGREEMENT. The final payment of the honorarium is due and
payable when the AR'TWORK is fully removed from the display site
and a final invoice is submitted by the ARTIST.
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b. In no event shall the CITY be liable for interest or late charges for any
late payments.
5.2 SCHEDULE OF COMPENS.ATION: The CITY agrees to make payments to
the ARTIST according to the schedule and conditions set forth below:
a. Initial dispersal �a�t: $2,000.00
ARTIST requirements for payment: Transportation of the ARTWORK,
and supervision of the installation of ARTWORK to the display site for
the duration of the period of display; ARTIST' S appearance at all pre-
arranged publicity and information sessions as requested by the CITY.
b. Final dispersal paymen�`: $1,000.00
ARTIST requirements for payment: Supervision of de-installation of, and
removal transportation of the ARTWORK from the display site following
the period of display, an�� appearance at all pre-arranged publicity and
information sessions as requested by the CITY.
6. DISPLAY OF ARTWORK, BARRIER AND SIGNAGE:
6.1 DISPLAY OF ARTWORK: During the period of the CITY'S display of the
ARTWORK pursuant hereto, the CITY shall make the ARTWORK available
for viewing by the public without charge at such location along Cleveland
Street as the CITY deems appropriate. The CITY shall not charge any
admission fee or similar fee as a condition of viewing the ARTWORK.
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6.2 BARRIER AND SIGNAGE:
a. At all times while the AIEZTWORK is on display the CITY may install
such physical barrier as the CITY, in its sole discretion from time to time,
deems appropriate in an attempt to prevent unauthorized persons from
touching the ARTWORK.; provided, however, that the CITY does not
warrant or guarantee in ,�ny manner that unauthorized touching of the
ARTWORK will not occur. Additionally, the CITY may post signage as
the CITY, in its sole discretion determines to be appropriate, indicating
that touching the ARTWO�RK is prohibited.
b. At times while the ARTW ORK is on display pursuant to the terms hereof,
the CITY will post an identification plaque next to the ARTWORK,
prepared and designed by the CITY, identifying the ARTIST and title of
the ARTWORK.
7. RISK OF LOSS
7.1 The ARTIST shall bear al:� risk of loss or damage to the ARTWORK
including, but not limited tc>, theft, vandalism or any other act by a third
party, and damage caused by acts of god, war, or natural conditions/disasters
including, but not limited to, floods, hurricanes, tornadoes, lightning, and any
loss occurring during the storage, transportation, delivery, installation, de-
installation, and removal of the artwork, regardless of where such loss occurs.
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8. INSURANCE:
8.1 REQUIRED INSURANCE: The ARTIST shall place and maintain for the
periods prior to, during, and a.fter the installation, de-installation, and removal
of the ARTWORK, and pay t:he cost thereof, the following insurance policies:
a. Worker's Compensation and Employer's Liabilitv Insurance: If the
ARTIST has employees, the ARTIST shall procure and maintain statutory
Worker's Compensation Insurance and Employer's Liability Insurance
with limits of no less than $300,000 per occurrence for the jurisdiction
where the work is being performed and provide a waiver of subrogation
against the CITY. If the ��RTIST has no employees as defined by Florida
Statues and Regulations the ARTIST shall submit a letter stating it is
exempt from this requir��ment, said letter to be incorporated into and
become a part of this Agr�°ement.
b. General Liabilitv Insurance: The ARTIST shall procure and maintain
General Liability Insuran��e, with limits of not less than $500,000 for per
occurrence, Combined �iingle Limit for Bodily Injury and Property
Damage, including Contractual Liability, Personal Injury, Products and
Completed Operations. 7'he ARTIST shall obtain such insurance prior to
transporting or installing 1:he ARTWORK at the display site.
c. Automobile Liabilitv Insurance: The ARTIST shall purchase and maintain
Automobile Liability Irisurance with limits of $500,000 including
coverage for owned, non -owned, and hired vehicles as applicable. Such
coverage shall remain in force for those times in which a vehicle is used
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for transportation, installation, modification, repair or removal of the
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8.2 CERTIFICATES OF INSU]�ANCE: The ARTIST shall, at the CITY'S
request, provide certificates of insurance evidencing Worker's Compensation,
Employer's Liability, General Liability, and Automobile Liability prior to the
installation of the ARTWORK. If any insurance policy is due to expire
during the period of installation, the ARTIST shall provide a certificate of
renewal evidencing the required insurance coverage to the CITY not less than
fifteen (15) days prior to the E:xpiration date.
9. INDEMNIFICATION AND NO�TICE:
9.1 INDEMNIFICATION: The ARTIST agrees to indemnify and hold free and
harmless, assume legal liability for and defend the CITY and its officers,
employees, agents, and serva�its, whether they are current or former, from and
against all actions, claims, li��bilities, assertions of liability, losses, costs, and
expenses, in law or in equity�, including but not limited to attorneys' fees at
trial and appellate levels, reasonable investigative and discovery costs, court
costs, or claims for bodily injury or death of persons and for loss or damage
to property, except as provided for herein, of every kind and nature
whatsoever, which in any rnanner directly or indirectly may arise or be
alleged to have arisen, from the installation, de-installation, or display of the
ARTWORK or as a result of the duties and obligations as required by this
AGREEMENT or that which has resulted or alleged to have resulted from the
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negligent acts or omissions or other wrongful conduct of, or the infringement
of any copyright by, the AR'TIST and/or its subcontractors, employees, and
agents in connection with the ARTIST'S performance pursuant to this
AGREEMENT.
a. This indemnification shall survive the termination or expiration of this
AGREEMENT.
9.2 NOTICE: Each party shall immediately notify the other of any written claim
regarding any matter resulting from or relating to the party's obligations
under this AGREEMENT. �?ach party shall cooperate with the other in the
defense or investigation of any such claim arising out of or relating to the
performance of this AGREEMENT.
10. WARRANTIES OF TITLE, QITALITY, AND CONDITION:
10.1: WARRANTY OF TITLE: The ARTIST represents and warrants that:
a. The ARTWORK is solely the result of the artistic effort of the ARTIST;
b. The ARTWORK is uniqlie and original and does not infringe upon any
copyright;
c. The ARTWORK is fre�� and clear of any liens from any source
whatsoever.
10.2 WARRANTY OF QUALITY AND CONDITION: The ARTIST represents
that all work has been and wiill be performed in accordance with professional
"workmanlike" standards an�d free from defective or inferior materials and
workmanship (including any defects consisting of "inherent vice" or qualities
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that cause or accelerate deterioration of the ARTWORK) for the duration of
the display or one (1) calendar year, whichever is longer.
a. The ARTIST represerits and warrants that the ARTWORK and the
materials used are not currently known to be harmful to public health
and safety;
b. The ARTIST represents and warrants that reasonable maintenance of
the ARTWORK will not require procedures substantially in excess of
those described in the maintenance recommendations submitted to the
CITY by the ARTIST;
c. If within the period of the display the CITY observes any breach of
warranty described in this Section 102 that is curable by the ARTIST,
the ARTIST shall, at the request of the CITY, cure the breach
promptly, satisfactoril.y, and consistent with professional conservation
standards, at no expense to the CITY. The ARTIST shall have the
right to first refusal to make or supervise such repairs or restorations.
Should the ARTIST be unavailable or unwilling to cure the breach
consistent with profe,ssional conservation standards the CITY may
terminate this AGREEMENT. The CITY shall give notice to the
ARTIST of any such ��reach with reasonable promptness.
d. If within the period of display the CITY observes a breach of warranty
described in this Section 10.2 that is not curable by the ARTIST, the
ARTIST is responsil�le for reimbursing the CITY for damages,
expenses, and loss incurred by the CITY as a result of the breach and
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shall remove the ARTWORK immediately if directed by the CITY,
should the CITY in it�; sole discretion deem said removal to be in the
best interest of the �iealth, safety, and welfare of the citizens of
Clearwater.
11. MAINTENANCE AND REPAD[tS:
11.1 As a condition to final approval of the CITY, the ARTIST shall provide the
CITY with a parts list and ��vritten description of the regular cleaning and
maintenance needs of the ARTWORK. Routine cleaning and maintenance of
the ARTWORK shall be the responsibility of the CITY. The ARTIST shall
be available for consuitation ��n maintenance and repair throughout the period
of display.
11.2 The ARTIST represents and warrants that general routine cleaning of the
ARTWORK and any associa��ed working parts will maintain the ARTWORK
within an acceptable standard of public display.
11.3 The ARTIST represents that foreseeable exposure to the elements and
general wear and tear will c��use the ARTWORK to experience only minor
repairable damages and will not cause the ARTWORK to fall below an
acceptable standard of public display.
11.4 With general routine clea��ing, and within the context of foreseeable
exposure to the elements and general wear and tear, the ARTWORK will not
experience irreparable conditions that do not fall within an acceptable
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standard of public display, including mold, rust, fracturing, staining,
chipping, tearing, abrading, a:nd peeling.
11.5 The CITY recognizes and agrees that it will not intentionally alter, modify or
change the artwork.
12. TITLE AND COPYRIGHT:
12.1 TITLE AND COPYRIGH7= The CITY recognizes that the title to the
ARTWORK shall remain wit:h the ARTIST, its successors or assigns. At no
time shall title pass to the i�ITY as a result of this AGREEMENT. The
ARTWORK shall remain the: sole property of the ARTIST, its successors or
assigns, including, but not limited to, copyrights under the Copyright Act of
I976, 17 U.S.C. §§ 101 et. ��eq.; as amended, or any and all rights provided
for by the Visual Artists' Ri.ghts Act of 1990 (Section 106A of the United
States Copyright Act; as amended) unless otherwise granted by the ARTIST
to any other party. All future decisions regarding the use and continued
ownership of such propert:� will be within the sole and unconditional
discretion of the ARTIST, its successors or assigns.
12.2 REPRODUCTION RIGHTS :
a. The ARTIST grants to the CITY and its assigns an irrevocable license to
make two-dimensional reproductions of the ARTWORK for non-
commercial purposes, including, but not limited to, reproduction used in
brochures, media public ity, and exhibition catalogues or other similar
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publications provided that these rights are exercised in a tasteful and
professional manner.
b. All reproductions by the (:ITY shall contain a credit to the ARTIST and a
copyright notice in su�stantially the following form: Copyright O
[ARTIST'S name, date c�f publication], if the ARTIST advises that the
ARTWORK is in fact r.opyrighted. Should the ARTIST not hold a
copyright on the ARTWORK, the ARTIST may, at the ARTIST'S own
expense, cause to be rf,gistered with the United States Register of
Copyrights, a copyright ir.� the ARTWORK in the ARTIST'S name.
c. If the CITY wishes to make a reproduction of the ARTWORK for
commercial purposes, thE; parties shall execute a separate agreement to
address the terms of the license granted by the ARTIST and the royalty
the ARTIST shall receive
d. The CITY is not respoiisible for any third party infringement of an
ARTIST'S copyright and is not responsible for protecting the intellectual
property rights of the AR"CIST.
e. The ARTIST shall not, during the performance of this AGREEMENT,
disseminate publicity or r.�ews releases regarding the ARTWORK without
prior written approval of the CITY.
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13. DEFAULT AND TERMINATION:
13.1 DEFAULT: Failure or refusal of the ARTIST to perform or do any act herein
required shall constitute a def ault. In the event of a default, in addition to any
other remedy available to the CITY, the CITY upon thirty (30) days written
notice may terminate this contract. Such termination does not waive any
other legal remedies available to the CITY.
13.2 TERMINATION:
a. Either party may terminate this AGREEMENT where performance is
rendered impossible or impractical for reasons beyond such party's
reasonable control such as, but not limited to, acts of nature; war or
warlike operations; governmental regulation or control; public
emergency; or strike or other labor disturbance. Notice of termination of
this AGREEMENT shall be given to the non-terminating party in writing
not less than thirty (30) d�iys prior to the effective date of termination.
b. The CITY may terminate: this agreement without cause upon thirty (30)
days written notice to the ARTIST. The CITY shall pay the ARTIST for
services performed consistent with the SCHEDULE OF
COMPENSATION set forth in Section 5.2 of this AGREEMENT.
c. If either party to this agreement shall willfully ar negligently fail to fulfill
in a timely and proper m�inner, ar otherwise violate any of the covenants,
agreements ar stipulation,� material to this AGREEMENT, the other party
shall thereupon have the right to terminate this AGREEMENT by giving
written notice to the defaulting party of its intent to terminate, specifying
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the grounds for termination. The defaulting party shall have thirty (30)
days after the effective d,�te of the notice to cure the default. If it is not
cured by that time, this A�3REEMENT shall terminate.
14. MISCELLANEOUS:
14.lENTIRETY OF AGREEME]�iT: This writing embodies the entire agreement
and understanding between the parties hereto, and there are no other
agreements and understandings, oral or written, with reference to the subject
matter hereof that are not merged herein and superseded hereby. No
alteration, change, or modification of the terms of the AGREEMENT shall be
valid unless made in writing ��nd signed by both parties hereto.
14.2 CAPTIONS: The captions of each paragraph and headings hereof are added
as a matter of convenience �ind shall be construed to be of no affect in the
construction of any provision or provisions hereof.
14.3 NOTICES: Any notices regarding this AGREEMENT given by either party
to the other must be in writing and shall be deemed to have been given,
delivered or made, as the cause may be (1) when delivered by personal
delivery, ar(ii) five (5) busir.�ess days after having been deposited in the U.S.
Mail, certified or registered, return receipt requested, with sufficient postage
affixed and prepaid or (iii) one (1) business day after having been deposited
with an expedited overnight courier service (such as by way of example but
not limited to: U.S. Express lvlail, Federal Express, or UPS), addressed to the
party to whom notice is intended to be given at the address set forth below:
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If to the CITY: City Manager
City of Clearwater
112 South Osceola Avenue
Clearwater, FL 33756
If to the ARTIST: Hanna Jubran
5828 Highway 33 East
Grimesland, NC
Any party may change the addres:; to which its notices are to be sent by giving the
other party written notice of any changes in the manner provided herein, but
notice of change of address if effective only upon actual receipt.
14.4 CITY' S AUTHORITY: The CITY warrants that it has all required authority
to enter into this AGRE]�MENT FOR LOAN AND TEMPORARY
DISPLAY OF ARTWORK and to be bound by the terms hereof.
14.5 ARTIST'S AUTHORITY: 'I'he ARTIST warrants that it has obtained all
necessary authority through official action of its officers and directors, if
necessary, to enter into this AGREEMENT FOR LOAN AND
TEMPORARY DISPLAY OF ARTWORK and to be bound by the terms
hereof.
14.6 SURVIVING COVENANT�>: The covenants and obligations set forth in this
AGREEMENT shall survive the delivery, installation, and removal of the
ARTWORK, unless otherwise provided for herein, and shall be binding upon
the parties, its heirs, legatees, executors, administrators, assigns, transferees,
and all its successors in intere:st.
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14.7 INTERPRETATION: This ��GREEMENT shall be interpreted under and in
accordance with the laws of the State of Florida.
14.8 CONSTRUCTION OF AG]ZEEMENT: This AGREEMENT shall not be
construed more strictly against one party than against another merely by
virtue of the fact that it may have been prepared by one of the parties, it being
acknowledged that both the ARTIST and the CITY have substantially and
materially contributed to the �>reparation thereof.
14.9 SEVERABILITY: If any provision of this AGREEMENT is contrary to,
prohibited by, or deemed invalid by applicable laws or regulations of any
jurisdiction in which it is sought to be enforced, then such provision shall be
deemed inapplicable and omitted, but such omissions shall not invalidate the
remaining provisions of this AGREEMENT.
14.10 FURTHER ASSURANCES: The parties shall promptly execute all
documents reasonably required and take such other steps in addition to the
execution of this AGREEMENT to effectuate the intent and purpose of this
AGREEMENT.
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IN WITNESS THEREOF, the parties hereto have caused this Agreement for Commission
of Public Artwork to be executed on the d.ate first above written.
Approved as to Form:
t.,,..-'"�
Laura Mahony
Assistant City Attorney
Witness:
���_,_,�� �
CITY OF CLEARWATER, FLORIDA
By: � �- ��9-t�l.c.2 �
William B. Horne II
City Manager
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Rosemarie Call
City Clerk
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December 26th , 2011
To:
City of Clearwater
Parks & Recreation Department
100 S. Myrtle Avenue
Clearwater, FL 33756
As the artist and sole installer of my sculpture, "Opposing Forces" I am
waiving the requirements of the Workers' Compensation insurance.
From:
J&H Studio Inc.
Hanna Jubran
5828 NC 33E
Grimesland, NC 27837
� �• .
'"'""' � CERTIFICATE OF LIi4BILITY INSURANCE DATE(MM/DD/YYYY)
�'�''�'�''u 12/26/2011
�''" -- -
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND COIJFERS 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 IP�SURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE
CERTIFICATE HOLDER.
IMPORTANT: If the certifcate holder is an ADDITIONAL INSURED, the policy(ies) m�st be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions
of the policy, certain policies may require an endorsemeni. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
----- -_ _----
PRODUCER CONTACTNAME:
Bankers Insurance PHONE Frvc
PO BOX 40 �ac, No, ($66) 229-4472 � pvc. No>: (866)818_7065 _
PORTSMOUTH, VA 23705 E-MAIL cicsc hanover.com
ADDRESS: @
PRODUCER
CUSTOMERID#
J&H STUDIO, INC.
5828 NC HIGHWAY 33 EAST
GRIMESLAND, NC 27837
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE= BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERtOD
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 HAVI= BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
GENERAL LIABILITY
� EACH OCCURRENCE $ 2,000,000
��COMMERCIAL GENERAL UABILITY'' � ' DAMAGE TO RENTED
� � �, PREMISES (Ea occurrence) I$ 300,000
� � �CLAIMS MADE � OCCUR ' -����� ��
_� i MED EXP (Any one person) $ 10,000
A i�� '� � �J ' OZR 9059456 3/1/2011 3/1/2012 '�i-
- - - -- -- ---...
GEN'L AGGREGATE _ PERSONAL ADV INJURY $ 2,000,000
---- _ t _ _-----
LIMIT APPLIES PER: � I ; 'I GENERAL AGGREGATE i$ 4,000,000
n POLICY ��; IE� 0 LOC i j PRODUCTS - COMP/OP AGG �$ 4,000,000
�. I �-_-
i COMBINED SINGLE LIMIT
i AUTOMOBILE LIABILITY i i �
� � (Ea accident) $ 2,000,000
I, BODILY INJURY (Per person) $
r�r� ANY AUTO I _ _ ____ __
n ALL OWNED SCHEDULED �'I I BODILY INJURY
%� —' AUTOS n AUTOS � � OZR9059456 3/1/2011 3!1/2012 �(Peracadent) $
� HIRED AUTOS � NON-OWNED I PROPERTY DAMAGE
AUTOS i (Per accident) $
$
--- - - ---
0 jUMBRELLA LIAB � 0;OCCUR I i EACH OCCURENCE $
� i
��;�, EXCESS LIAB � CtAIMS-MADE � �'i i �' AGGREGATE $
j� DED 0 RETENTION $ I �—
i WORKERS COMPENSATION � WC STATU- OTH
AND EMPLOYERS' LIABILITY ; I� � TORY LIMITS �-ER
ANY PROPRIETOR/ Y� N I
; PAR7NER/EXECUTNE E. L. E A C H A C C I D E N T $
�
', OFFICER/MEMBER EXCLUDED? N/A E.L.DISEASE — EA EMPLOYEE �
'I (Mandatory in NH) � $
If yes, describe under
i DESCRIPTION OF OPERATIONS below ; E.L. DISEASE - POLICY LIMIT i$
❑ l %� !
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DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES (Attach ACORD 101, /�dditional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER CANCELLATION
The City of Clearwater
Parks & Recreation Department
100 S. Myrtle Avenue
Clearwater, FL 33756
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
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