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CERTIFICATE OF LIABILITY INSURANCE (4)ACOR1J CERTIFICATE ')F LIABILITY INSURANC' PRODUCER Commonwealth Insurance Of Florida 510 E. DRUID ROAD. SUITE D CLEARWATER, FL. 33756 797- 581 -6400 INSURED CLEARWATER ANGLER, LLC. ADDITIONAL INSURED: CITY OF CLEARWATER COVERAGES DATE f MM /DD./YYYY) c/29/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: MOUNT VERNON FIRE INSURANCE CO. NAIL # INSURER B: INSURER C: INSURER D: INSURER E: THE ANY MAY POLICIES. POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM /DD /YYYY) POLICY EXPIRATION DATE(MM /DD/YYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CP2573809A 06/01/13 06/01/14 EACH OCCURRENCE $ 1 0 0 0 0 0 y DAMAGE AO REN FED PREMISES (Ea occurence) .0 $ CLAIMS MADE I x I OCCUR MED EXP (Any one person) 1.00 , 000 $ 5,000 PERSONAL &ADVINJURY $ 1,000,000 $ 2,000,000 X T.TQTTOR LTABTT,I AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE GEN'L PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY PRO- n I LOC JECT I [ 1 AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS r--,,r, - .....z.- ( 7 f,l z , ") COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ _ BODILY INJURY (Per accident) $ — PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANYAUTO ECEIVED . :✓ , AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY CITY OR' JUN RISK MANA CLEARW ATER 0 3 2013 EMENT EACH OCCURRENCE $ IOCCUR I CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS AND EMPLOYERS' ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER (Mandatory If yes, describe SPECIAL COMPENSATION LIABILITY YIN 9173 WC STATU- OTH- TORY LIMITS ER EXCLUDED? E.L. EACH ACCIDENT $ in NH) under PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER PROPERTY CP2573809A 06/01/13 06/01/14 TOTAL PROPERTY LIMIT: $62,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RETAIL BAIT SHOP 1 -45 CAUSEWAY BOULEVARD, CLEARWATER, FL. 33767 WIND /HAIL EXCLUSION APPLIES TO POLICY CATE HOLDER CANCELLATION CITY OF CLEARWATER 100 S. MYRTLE AVENUE CLEARWATER, FL. 33756 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED ACORD25(2009 /01) © 1988-2009 AC The ACORD name and logo are registered marks of ACORD F2 CdRPORATION. All rights reserved.