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CERTIFICATE OF LIABILITY INSURANCE (240)a A o CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/26/2013 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 1001 Hoord 1001 Haxall Point, Suite 800 VA 23219 CONTACT NAME: a/c ° °. Ne. Ext):804- 780 -0611 (A//C. Ne):804- 788 -8944 E-MAIL , rfRichmond n sS:Cer es Ruheoord.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Arch Insurance Company INSURER B :National Union Fire Ins Co Pittsbur 11150 19445 INSURED Fire & Life Safety America, Inc. 2280 Old Lake Mary Road Sanford FL 32771 INSURER C : INSURER D : 9/30/2013 INSURER E : EACH OCCURRENCE INSURER F : DAMAGE TO PREMISES (Ea RENTED COVERAGES CERTIFICATE NUMBER: 1599928063 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 TYPE OF INSURANCE INSSR y VD POLICY NUMBER (MM/DD/YYYY) IMMMIDPOLICY /YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 31PKG8910803 9/30/2013 3/30/2014 EACH OCCURRENCE $3,000,000 DAMAGE TO PREMISES (Ea RENTED $100,000 MED EXP (Any one person) $5,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $3,000,000 $6,000,000 GENERAL AGGREGATE PRODUCTS - COMP/OP AGG $6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [ I JECOT- 7 LOC $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED NON -OWNED AUTOS 31PKG8910803 9/30/2013 3/30/2014 (e accident) SINGLE-LW' E $1,000,000 $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE BE61406631 9/30/2013 9/30/2014 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 $ DED RETENTION $ A WORKERS COMPENSATION AND ND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE Y OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 31 WCI8910703 9/30/2013 3/30/2014 - X TORY TAM US lx OTH- ER E.L. EACH ACCIDENT $1,000,000 EL. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $1,000_000__ $1,000,000 A Hired Car Physical Damage 31PKG8910803 9/30/2013 3/30/2014 Limit: $50,000 Ded: $1,000 Comp & Coll DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space Is required) CERTIFICATE HOLDER CANCELLATION City of Clearwater 100 South Myrtle Avenue Clearwater FL 33756 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 ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD / 1 e A �' CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 9/26/2013 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 Rutherfoord 1001 Haxall Point, Suite 800 Richmond VA 23219 CONTACT NAME: PHONE (A/C. No. Ext1:804- 780 -0611 FAX No):804- 788 -8944 E-MAIL ADDRESs :Certificates @Rutherfoord.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Arch Insurance Company INSURER B :National Union Fire Ins Co Pittsbur 19445 25674 INSURED Fire & Life Safety America, Inc. 2280 Old Lake Mary Road Sanford FL 32771 INSURER C :Travelers Prop & Casualty Co of Ame INSURER D: 9/30/2013 INSURER E : EACH OCCURRENCE INSURER F : DAMAGE TO RENTED PREMISES (Ea occurrence) TIFICATE NUMBER: 74350323 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 INSR SUBR WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 31PKG8910803 - _ 9/30/2013 9/30/2014 EACH OCCURRENCE $3,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000 MED EXP (Any one person) $5,000 $3,000,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY GENERAL AGGREGATE $6,000,000 PRODUCTS - COMP/OP AGG $6,000,000 GEN'L AGGREGATE POLICY X LIMIT APPLIES PER: ECOT- n LOC $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED NON -OWNED AUTOS 31 PKG8910803 9/30/2013 8/3012014 WMBINtU ORAL LIMI I (Ea accident) $1,000,000 $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE BE61406631 9/30/2013 /30/2014 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 $ DED RETENT ON $ q WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE N N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 31 WCI8910703 9/30/2013 /30/2014 X WC STATU- TORY LIMITS x OTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C Contractors Equipment Leased /Rented Equipment Installation QT6601031A264TIL13 9/30/2013 3/30/2014 Limit: $503,448 Ded: $1,000 Limit: $200,000 Ded: $1,000 Limit: $100,000 Ded: $1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) CERTIFICATE HOLDER CANCELLATION City of Clearwater Municipal Services Bldg; P 0 Box 4748 Clearwater FL 33759 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 ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD