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CERTIFICATE OF LIABILITY INSURANCE (2)
Client#: 7813 DDRC DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 10/12/2012 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 endorsement(s). PRODUCER CONTACT NAME: L. Price Team PHONE 312 595-6200 FAX A/C,No,Ext: (A/C,No): Mesirow Insurance Services E-MAIL ADDRESS: 353 N. Clark Street INSURER(S)AFFORDING COVERAGE NAIC# Chicago, IL 60654 INSURERA: Federal Insurance Company 20281 INSURED INSURER B: Hartford Casualty Insurance 29424 DDR Corp. INSURERC: Hartford Fire Insurance Company 19682 3300 Enterprise Parkway INSURER D P.O. Box 228042 INSURER E Beachwood, OH 44122-7249 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 CONTRACTOR 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.ADDLSUBR LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MM/DD/YYYY) A GENERAL LIABILITY 74996159 12/31/2011 12/31/2012 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE To RENTED rrence $1,000,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $Excluded • TRIA PERSONAL&ADV INJURY $1,000,000 • Mold Excluded GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY M PRO X LOC $ JECT MID B AUTOMOBILE LIABILITY 83UENIU4882-AOS 12/31/2011 12/31/2012-(CEO,acc S iden INGLE LIMIT $1,000,000 C X ANY AUTO 83MCPNY5238-MA 12/31/2011 12/31/2012 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS (Any Auto BODILY INJURY(Per accident) $ X X HIRED AUTOS X applies lies to AOS PROPERTY DAMAGE $ AUTOS pp Per accident $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 71737209 12/31/2011 12/31/2012 X TyORY LMITS EERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? N] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Re: Clearwater Collection Shopping Center. The certificate holder is an additional insured on the general liability policy if required by written contract with a named insured. CERTIFICATE HOLDER CANCELLATION City of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Municipal Services Building ACCORDANCE WITH THE POLICY PROVISIONS. 100 South Myrtle Avenue Clearwater, FL 33756 AUTHORIZED REPRESENTATIVE s ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1217039/M1058786 TZS