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CERTIFICATE OF LIABILITY INSURANCE (205)A� CERTIFICATE OF LIABILITY INSURANCE 07-07 -2013 THIS CERTIFICATEIS 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 ADDITIONALINSURED, the policy(ies) must be endorsed. If SUBROGATIONIS 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 BRIDGEPOINT INSURANCE GRP INC /PHS 427154 P: (866)467 -8730 F: (800)308 -5459 301 WOODS PARK DRIVE CLINTON NY 13323 CONTACT NAME: PHONNE ( 8 6 6 ) 467 -8730 I (A/c,No): (800) 308 -5459 A /CAIL E -M ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Hartford Casualty Ins Co IINSR LIABILITY COMMERCIAL GENERAL LIABILITY INSURED DAHER CAPITAL GROUP LLC 3460 FAIRLANE FARMS RD STE 9 WEST PALM BEACH FL 33414 INSURER B : 39 SBM ZG7758 INSURER C : 07/21/2014 INSURER D $1,000,000 INSURER E : DAMAGE TO REN fED PREMISES (Ea occurrence) INSURER F : TE 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 LTR TYPE OF INSURANCE FP/SR SUBR WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A GENERAL IINSR LIABILITY COMMERCIAL GENERAL LIABILITY 'XI I I 39 SBM ZG7758 07/21/2013 07/21/2014 EACH OCCURRENCE $1,000,000 DAMAGE TO REN fED PREMISES (Ea occurrence) $300,000 CLAIMS -MADE X I OCCUR MED EXP (Any one person) $10,000 X General Liab PERSONAL &ADVINJURY $ 1, 000, 000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2 , 000 , 000 POLICY X I jEc° I LOC $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED I I SCHEDULED AUTOS AUTOS u HIRED AUTOS I X I NON -OWNED AUTOS _ I I _ I I 39 SBM... ZG7758 07/21/2013 07/21/2014 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) $ X $ UMBRELLA LIAB EXCESS LIAB IOCCUR H I I I EACH OCCURRENCE S CLAIMS -MADE AGGREGATE $ DEDI RETENTION S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS Y / N /EXECUTIVEI II N / A � WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S below E.L. DISEASE - POLICY LIMIT 5 uu DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required) Those usual to the Insured's Operations. City of Clearwater are an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. 30 Day Notice of Cancellation applies in favor of City of Clearwater per form SS1220. CERTIFICATE HOLDER CANCELLATION City of Clearwater 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. AUTHORIZE PRESENTATIVE'�`J /442_, /at .---, ACORD 25 (2010/05) e 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BRIDGEPOINT INSURANCE GRP INC /PHS 301 WOODS PARK DRIVE CLINTON NY, 13323 02077 City of Clearwater PO BOX 4748 CLEARWATER, FL 33758 58 02078• Additional Certholder Text The applicant shall defend, indemnify, save and hold the City harmless from any and all claims, suits, judgments and liability for death, personal injury, bodily injury, or property damage arising directly or indirectly from the performance by the applicant, its employees, subcontractors, or assigns, including legal fees, court costs, or other legal expenses. Applicant acknowledges that it is solely responsible for complying with the terms of this RFP. In addition, the applicant shall, at its expense, secure and provide to the City, prior to beginning performance under this RFP, insurance coverage as required in this RFP. MMffi a MNM M▪ EE mm m▪ m MN- M MMM MMM ACORD 25 (2010/05)