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CERTIFICATE OF LIABILITY INSURANCE (2) OP ID:GF CERTIFICATE OF LIABILITY INSU RANCE F DATE(MMtDDIYYYY) 06116/13 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 727-447-6481 CONTACT Bouchard-Clearwater "aME: 101 Starcrest Drive 727-449-1267 o E:t: arc N® P O Box 6090 E-MAIL Clearwater,FL 33758-6090 PR Du ER Bouchard Insurance CUSTOMER ID,:INTER26 INSURER$ AFFORDING COVERAGE NAIC# INSURED Intercultural Advocacy INSURER A:Guarantee Insurance Company 11398 Institute,Inc. 14155 58th Street No Suite 200 INSURER e:Arch Insurance Company 11150 Clearwater,FL 33760-3725 INSURER C: INSURER D: INSURER E: 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 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 I ADDL BR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE iNqp vfvn POLICY NUMBER MM/DDfYYYY I (MM/DD/YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 B X COMMERCIAL GENERAL LIABILITY X NCPKGO128103 03/15113 03/15/14 PREMISES Ea occurrence $ 100,00 CLAIMS-MADE ®OCCUR MED EXP(Any one person) $ 20,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 3,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 3,000,00 7X POLICY LOC Emp Ben. $ 1 M/1 M AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 B ANY AUTO NCAUT012 103 03/15/13 03/15/14 (Ea accident} BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS $ $ X UMBRELLA LIAR I X OCCUR - EXCESS LiAB EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE AGGREGATE $ 1,000,00 B NCFXS0128100 03115713 03/15114 ' DEDUCTIBLE $ X RETENTION $ 10,000 $ WORKERS COMPENSATION WC TA STU- OTH- AND EMPLOYERS'LIABILITY X T RY LIMITR A ANY PROPRIETORIPARTNER/EXECUTIVE YIN GWIC301002213113 01/01/13 01/01114 E.L.EACH ACCIDENT $ 100,00 OFFICER/MEMBER EXCLUDED? _ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,00 if yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more apace to required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF CLEARWATER THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O.BOX 4748 ACCORDANCE WITH THE POLICY PROVISIONS. CLEARWATER,FL 33758-4748 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATIO N. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD