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CERTIFICATE OF LIABILITY INSURANCE (160)NELSTEN -01 AYOUNG ACORO. `... --- CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 6/21/2013 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 tights to the certificate holder in lieu of such endorsement(s). PRODUCER Morse Insurance Agency, Inc 1000 Wekiva Springs Road Longwood, FL 32779 9 NAME: Deidra Malley PHONE 407 869 -4200 278 FAx (ac, No, Est): ( ) (A/C, No): (407) 862 -7656 EMAIL dmalle morsea enc com ADDRESS: YG� 9 Y• INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hartford Fire Insurance Company LIABILITY COMMERCIAL GENERAL LIABILITY INSURED Nelson's Tents and Events, Inc. 1153 Ocoee Apopka Road Apopka, FL 32703 INSURER B : Mapfre Ins. Co. of Florida '-` r 21 CES OFS�`9^4 ± r '' ‘'., - " ... -) 14._J`"" INSURER C : Commerce & Industry Ins Co 6/14/2014 INSURER D : Zenith Insurance Company 13269 INSURER E : Essex Insurance Co $ 300,000 INSURER F : $ 10,000 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 POI ICY 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 INSR SUBR WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM/DD/YYYY)_ LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X '-` r 21 CES OFS�`9^4 ± r '' ‘'., - " ... -) 14._J`"" 6/14/2013 6/14/2014 EACH OCCURRENCE $ 1,000,000 pREM SES Ea occurrence) $ 300,000 MED EXP (Any one person) $ 10,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GENII AGGREGATE 7 POLICY LIMIT APPLIES JECT PER: LOC $ B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X X SCHEDULED AUTOS NON -OWNED 4150130001488 • 6/13/2013 6/13/2014 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per accident) DAMAGE $ $ X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE BE012155062 6/14/2013 6/14/2014 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 $ DED X RETENT ON $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A Z0712563023 2/7/2013 2/7/2014 X TWMIU- S 0R - E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 E Equipment Floater IMS28310 6/14/2013 6/14/2014 Scheduled 111,005 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is listed as an Additional Insured with respects to the General Liability coverage. ANCELLATION City of Clearwater ty PO Box 4748 Clearwater, FL 33758 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 AU ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD