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EVIDENCE OF PROPERTY INSURANCEAC RY?� EVIDENCE OF PROPERTY INSURANCE OP ID: R4 DATE (MM /DD/YYYY) 07/01/2013 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY PHONE 727- 461 -6044 (A/C No Ext): Brown & Brown of Florida, Inc. 83 Park Place Blvd., Ste 101 P.O. Box 2456 (33757 -2456) Clearwater, FL 33759 William Hancock FAX No) :727 -442 -7695 E -MAIL ADDRESS: CODE: SUB CODE: AGENCY CLEARI7 CUSTOMER ID #: INSURED COMPANY Scottsdale Insurance Co. 8877 N Gainey Center Drive Scottsdale, AZ 85258 Clearwater Golf Associates Inc 1875 Airport Drive Clearwater, FL 33765 LOAN NUMBER POLICY NUMBER CPS1819518 EFFECTIVE DATE 06/17/13 EXPIRATION DATE 06/17/14 CONTINUED UNTIL TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION LOCATION/DESCRIPTION 1875 Airport Drive Clearwater, FL 33765 Clubhouse 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION COVERAGE / PERILS / FORMS AMOUNT OF INSURANCE DEDUCTIBLE Premise 001 Building 001 ADDITIONAL INSURED X BUILDING X WIND 267900 2500 CONTENTS X WIND 131250 2500 Premise 001 Building 002 BUILDING X WIND 97400 2500 CONTENTS X WIND 15750 2500 Premise 001 Building 003 BUILDING XWIND 214300 2500 CONTENTS XWIND 15000 2500 Premise 001 Building 004 PUMP X WIND 5000 2500 IRRIG COMPUTE XWIND 25000 2500 Recplacement Cost; 80% Coinsurance im. 73 REMARKS (Including Special Conditions) 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. ADDITIONAL INTEREST NAME AND ADDRESS City of Clearwater P 0 BOX 4748 Clearwater, FL 33758 MORTGAGEE LOSS PAYEE ADDITIONAL INSURED X _ LOAN # AUTHORIZED REPRESENTATIVE r�y 1n ACORD 27 (2009/12) © 1993-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EVIDENCE OF PROPERTY INSURANCE PROPERTY SCHEDULE T i rtv 07/01/2013 PAGE 2 PROPERTY INFORMATION LOCATION /DESCRIPTION 1875 Airport Drive Clearwater, FL 33765 Storage facility PROPERTY INFORMATION LOCATION /DESCRIPTION 1875 Airport Drive Clearwater, FL 33765 Golf Cart Storage Building PROPERTY INFORMATION LOCATION /DESCRIPTION 1875 Airport Drive Clearwater, FL 33765 Machinery for irrigation system PROPERTY INFORMATION LOCATION /DESCRIPTION PROPERTY INFORMATION LOCATION/DESCRIPTION PROPERTY INFORMATION LOCATION /DESCRIPTION PROPERTY INFORMATION LOCATION /DESCRIPTION PROPERTY INFORMATION LOCATION /DESCRIPTION ATTACH TO EVIDENCE OF PROPERTY APPLICATION