CERTIFICATE OF LIABILITY INSURANCE (3)Client#: 7813 DDRC
DATE (MM/DD/YYYY)
ACORDTM CERTIFICATE OF LIABILITY INSURANCE 12/27/2012
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 F'°X
A/C, No, Ext : (A/C, No):
Mesirow Insurance Services E-MAIL
ADDRESS:
353 N. Clark Street Suite 1200
INSURER(S) AFFORDING COVERAGE NAIC #
Chicago, IL 60654 iNSURERA: Federal Insurance Company 20281
INSURED INSURERB: HBCtfOCCI C8SU8It�/ IIlSUC811C@ 29424
DDR Corp. iNSUReRC: Hartford Fire Insurance Company 19682
3300 Enterprise Parkway
INSURER D :
P.O. Box 228042
INSURER E :
Beachwood, OH 44122-7249 ._._..___ _
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.
LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS
(MM/DD/YYYY) (MM/DD/YYYY)
A GENERALLIABILITY 74996159 12/31/2012 12/31/201 EACHOCCURRENCE �1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES�Ea occu ence $1,000,000
CLAIMS-MADE � OCCUR MED EXP (Any one person) � Excluded
X TRIA PERSONAL & ADV INJURY $ ��OOO�OOO
X Mold Excluded GENERALAGGREGATE $Z�OOO�OOO
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $Z�OOO�OOO
POLICY PR� X LOC �
JECT
B AUTOMOBILE LIABILITY 83UENIU4882-AOS 12/31/2012 12/31/201 Ee aBcldeD SINGLE LIMIT �,�'000'000
C X ANYAUTO 83MCPNY5238-MA 12/31/2012 12/31/201 B�DILYINJURY(Perperson) �
ALLOWNED SCHEDULED BODILYINJURY(Peraccident) $
auTOS X auTOS (Any Auto
X HIREDAUTOS X NON-OWNED a lies to AOS PROPERTYDAMAGE �
AUTOS pp � Per accident
$
UMBRELLA LIAB pCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION $ $
A WORKERSCOMPENSATION 71737209 12/31/2012 12/31/201 X TvORY LMITS E�RH
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTNE Y� N E.L EACH ACCIDENT $BOO�OOO
OFFICER/MEMBER EXCLUDED? � N / A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $rJ������
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $rJOO�OOO
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
Clt 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 ��
�"�o � y�y7�l�,a���s�m ��.�
OO 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S1269821/M1258677 TZS
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