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CERTIFICATE OF PROPERTY INSURANCE
`'' °' ° CERTIFICATE OF PROPERTY INSURANCE DATE(M2013YYY) .- 3/1/2013 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. If this certificate is being prepared for a party who has an insurable interest in the property,do not use this form. Use ACORD 27 or ACORD 28. PRODUCER CONTACT NAME: JERRY WAHL STATEWIDE COMMERCIAL INSURANCE, INC PHONE FAX 1425 20TH STREET A/C No Ext: (772) 567-1700 A/C,No:(772) 562-7100 E-MAIL ADDRESS: COIQSTATEWIDECONDO.COM VERO BEACH FL 32960 PRODUCER CUSTOMER ID: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: E&O HOUSTON CASUALTY COMPANY Fowler Associates, Architects, Inc. INSURER B: 1421 CLEARWATER STREET, SUITE D INSURER C7 CLEARWATER FL 33756 INSURER D7 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:Cert ID 20076 REVISION NUMBER: LOCATION OF PREMISES/DESCRIPTION OF PROPERTY (Attach ACORD 101,Additional Remarks Schedule,if more space is required) 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS LTR DATE(MM/DD/YYYY) DATE(MM/DD/YYYY) PROPERTY BUILDING $ CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY $ BASIC BUILDING BUSINESS INCOME $ BROAD CONTENTS EXTRA EXPENSE $ SPECIAL RENTAL VALUE $ EARTHQUAKE BLANKET BUILDING $ WIND BLANKET PERS PROP $ FLOOD BLANKET BLDG&PP $ INLAND MARINE TYPE OF POLICY $ CAUSES OF LOSS $ NAMED PERILS POLICY NUMBER $ CRIME TYPE OF POLICY $ BOILER&MACHINERY/ $ EQUIPMENT BREAKDOWN A PROFESSIONAL LIABILI H712-15918 2/5/2013 2/5/2014 X GL OCCR $ 11000,000 X GL AGGREG $ 1,000,000 SPECIAL CONDITIONS/OTHER COVERAGES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) ARCHITECT OF RECORD AGREEMENT 14-11 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF CLEARWATER PO BOX 4748 AUTHORIZED REPRESENTATIVE CLEARWATER FL 33758-4748 ©1995-2009 ACORD CORPORATION. All rights reserved. ACORD 24(2009/09) The ACORD name and logo are registered marks of ACORD Page 1 of 1