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CERTIFICATE OF LIABILITY INSURANCE (156)P5260025nn2 t ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDIYYYY) 06/10/2013 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. 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 1- 303 -534 -4567 INA, Inc. - Colorado Division 1550 17th Street Suite 600 Denver, Co 80202 INSURED Tuff Shed, Inc. 1777 S. Harrison St. #600 Denver, CO 80210 CONTACT NAME: PHONE FAX (A/C No E:t): INC, No): E-MAIL ADDRESS: denpanilimacorp.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: TWIN CITY FIRE INS CO (Hartford) 29459 INSURERB: HARTFORD CAS INS CO 29424 INSURER C: TWIN CITY FIRE INS CO CO (Hartford) 29459 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 34080733 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 LTR TYPE OF INSURANCE ADDL SUBR INSR WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MMIDDIYYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X OCCUR 34DUNN06192 07/01/13 07/01/14 EACH OCCURRENCE RENTED PREMISES (Ea occu occurrence) MED EXP (Any one person) PERSONAL &ADV INJURY $ 1,000,000 $ 300, 000 $ 10, 000 $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I JECT I X LOC A AUTOMOBILE LIABILITY X ANY AUTO - ALL OWNED AUTOS X HIRED AUTOS - X X $500 Comp. X SCHEDULED AUTOS NON -OWNED AUTOS $500 Coll. 34DENNJ8730 07/01/13 07/01/14 COMBINED Dtj SINGLE LIMIT BODILY INJURY (Per person) $ 1,000,000 $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS LIAB DED I X RETENT X OCCUR CLAIMS -MADE ON $ 10,000 34RHUP06515 07/01/13 07/01/14 EACH OCCURRENCE AGGREGATE $ 1,000,000 $ 1,000,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) Ryes, describe under DESCRIPTION OF OPERATIONS below YIN N I N I A 34WBBR2964 2 07/01/12 07/01/14 WC STATU- X TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 $ 1,000,000 *ALL States included in Workers Compensation StatesExciuded ND OH WA Wy WV *AR,AZ,CA,CO,FL,GA,ID,IL,IN *RS, KY, LA, NI, MN, NO, NS,MT,NE *NM,NV, OK, OR,TX,UT i /7 r— -,_, DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ,mil .... .tea E .. CERTIFICATE HOLDER CANCELLATION City of Clearwater 112 South Osceola Street Clearwater, FL 33756 ACORD 25 (2010105) SDZN 34080733 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE USA ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ENV 10004 P520(0128002 iMA, Inc. - Colorado Division 1550 17th Street Suite 600 Denver, CO 80202 2013116113323 Electronic Service Requested 3 -DIGIT 337 10004 0.5234 AT 0.381 Iuu • 111uiuIIi1u11111.11• 11111111111 .11111111111.1.III.111111. City of Clearwater 44 112 SOUTH OSCEOLA STREET CLEARWATER, FL 33756 -5106 EBIX BPO If you have questions regarding the content of this document, please contact - the Producer /Agent listed on the certificate of insurance.- cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600