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NOTICE OF POLICY CHANGE1 SCOTTSDALE INSURANCE COMPANY 8877 N GAINEY CENTER DR PO BOX 4110 SCOTTSDALE AZ 85261 -4110 NOTICE OF POLICY CHANGE Named Insured & Mailing Address: Producer: 12739 CITY OF CLEARWATER EMERGENCY PO BOX 4748 CLEARWATER FL 33758 RISK PLACEMENT SERVICES TWO PIERCE PL 20 FL ITASCA IL 60143 Policy No.: XLS0084483 Type of Policy: EXCESS LIABILITY OCCURRENCE Date of Change: 10/01/2013; 12:01 A.M. Local Time at the mailing address of the Named Insured. This notice is to advise you of changes in this policy on the effective date shown above. The description of the change is as follows: SEE ATTACHED NOTICE TO POLICYHOLDER Named Insured XLS0084483 CITY OF CLEARWATER EMERGENCY PO BOX 4748 CLEARWATER FL 33758 FORM# CP9697FL51995 ODEN 3.0.13.04a Copy for Named Insured Date Mailed: 29th day of July, 2013 GARY MCAULIFFE FLCPI2ANY REAS 07292013CNNY Page 1 of 1 Jk. SCOTTSDALE INSURANCE COMPANY® National Casualty Company Scottsdale Indemnity Company SCOTTSDALE SURPLUS LINES INSURANCE COMPANY NOTICE TO POLICYHOLDER RE: CITY OF CLEARWATER EMERGENCY POLICY # XLS0084483 We would like the opportunity to quote the renewal of your Public Entity insurance policy. Please contact your local agent for an application. The following changes may take place in addition to any changes that you request on your application: RATE INCREASE: Based on expiring exposures, the rates may increase at renewal. WE WILL BE USING THE CX0001 ISO COMM EXCESS LIABILITY COVERAGE FORM. UPDATED EDI- TIONS OF FORMS WILL BE USED AND ALL FORMS MUST BE COMPATIBLE WITH CX0001. CERTIFIED ACTS OF TERRORISM COVERAGE: You may be required to elect or reject coverage for Certified Acts of Terrorism for your policy prior to binding coverage. An additional premium may be charged if coverage is provided. PLEASE NOTE: We will require complete applications and questionnaires for all lines of coverage requested to insure our underwriting /exposure information is complete for the renewal process. The insured's signature will be re- quired prior to binding. Please provide the following: • PE- APP- GEN -GA (10 -10) Public Entity Applicant Information Section • PE- APP -GL -GA (10 -04) General Liability Section • PE- APP- UMB -GA (10 -04) Umbrella /Excess Liability * ** *Applications, contact information and a submission checklist are found on the Scottsdale web portal at www.scottsdaleins.com * * ** We appreciate your business and look forward to working with you on this account! Af ?,LOR9 /i_nnN • i SCOTTSDALE INSURANCE COMPANY 8877 N GAINEY CENTER DR PO BOX 4110 SCOTTSDALE AZ 85261 -4110 NOTICE OF POLICY CHANGE Named Insured & Mailing Address: Producer: 12739 CITY OF CLEARWATER EMERGENCY PO BOX 4748 CLEARWATER FL 33758 RISK PLACEMENT SERVICES TWO PIERCE PL 20 FL ITASCA IL 60143 Policy No.: WLS0000438 Type of Policy: GENERAL LIABILITY OCCURRENCE Date of Change: 09/02/2013; 12:01 A.M. Local Time at the mailing address of the Named Insured. This notice is to advise you of changes in this policy on the effective date shown above. The description of the change is as follows: SEE ATTACHED NOTICE TO POLICYHOLDER Named Insured WLS0000438 CITY OF CLEARWATER EMERGENCY PO BOX 4748 CLEARWATER FL 33758 FORM# CP9697FL51995 ODEN 3.0.13.04a Copy for Named Insured Date Mailed: 30th day of July, 2013 FLCP15ANY REAS 07302013CNNY Page 1 of 1 ■ SCOTTSDALE INSURANCE COMPANY® National Casualty Company Scottsdale Indemnity Company SCOTTSDALE SURPLUS LINES INSURANCE COMPANY NOTICE TO POLICYHOLDER RE: CITY OF CLEARWATER EMERGENCY POLICY # WLS0000438 We would like the opportunity to quote the renewal of your Public Entity insurance policy. Please contact your local agent for an application. The following changes may take place in addition to any changes that you request on your application: RATE INCREASE: Based on expiring exposures, the rates may increase at renewal. GENERAL LIABILITY COVERAGE RESTRICTION: Your renewal will include a Hydraulic Fracturing exclusion, GLS -341s (8 -12). This excludes claims and loss adjustment expense associated with hydraulic fracturing. UPDATED EDITIONS OF FORMS WILL BE USED ON THE RENEWAL POLICY. CERTIFIED ACTS OF TERRORISM COVERAGE: You may be required to elect or reject coverage for Certified Acts of Terrorism for your policy prior to binding coverage. An additional premium may be charged if coverage is provided. PLEASE NOTE: We will require complete applications and questionnaires for all lines of coverage requested to insure our underwriting /exposure information is complete for the renewal process. The insured's signature will be re- quired prior to binding. Please provide the following: • PE- APP- GEN -GA (10 -10) Public Entity Applicant Information Section • PE- APP -GL -GA (10 -04) General Liability Section • PE- APP- UMB -GA (10 -04) Umbrella /Excess Liability * ** *Applications, contact information and a submission checklist are found on the Scottsdale web portal at www.scottsdaleins.com * * ** We appreciate your business and look forward to working with you on this account! ADM -982 (2 -06)