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CERTIFICATE OF LIABILITY INSURANCE (265)WELLS -1 OP ID: TM ACORCY �URANCE DATE (MM /DDIYYYY) 12/27/2013 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 MORROW INSURANCE GROUP LENORA C. OLNEY /A196064 18936 NORTH DALE MARRY HIGHWAY TAMPA, FL 33548 Steven Mitzel NAME: Steven Mitzel PHONE FAX 813- 963 -1669 (NC, No, Ext): (A/C, No): 813- 961 -3743 ADDRESS: tereasa @morrowinsurance.net INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:OHIO SECURITY 24082 INSURED WELLS LAND DEVELOPMENT, INC. 12885 62ND ST STE 300 LARGO, FL 33773 INSURER B : OHIO CASUALTY INSURANCE COMPAN 24074 INSURERC:SUMMIT /BRIDGEFIELD EMP INS CO 10701 INSURER D : $ 1,000,000 INSURER E : $ 100,000 INSURER F : $ 10,000 • 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 WVD VD W POLICY NUMBER (MMIDDIYYYY) (MM/DD //YYYY) LIMITS B GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X BK054635707 01/01/2014 01/01/2015 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occurrence) RENTED DAMAGES ( $ 100,000 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 GEN'L'AGGREGATE POLICY X LIMIT APPLIES El: PER ; LOC $ A AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS FL PIP X X SCHEDULED AUTOS NON -OWNED AUTOS STATUTORY BAS54635707 01/01/2014 01/01/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PER AC DENMAGE $ BASIC PIP $ 10,000 B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE US054635707 01/01/2014 01/01/2015 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 $ DED X RETENTION $ 10000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE YIN OFFICER /MEMBER EXCLUDED? I (Mandatory in NH) L_J If yes, describe under DESCRIPTION OF OPERATIONS below N I A 0830 -46969 OFFICERS INCLUDED 01/01/2014 01/01/2015 X WC STATU- TORY LIMITS 0TH - ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 B EQUIPMENT FLOATER LEASED /OWNED /RENT BMO54635707 01/01/2014 01/01/2015 SCHL EQPT 458,000 LEASED EQ 150,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CITY OF CLEARWATER IS NAMED AS ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY PER FORM CG8810 0413 CITY OF CLEARWATER 100 S MYRTLE AVE CLEARWATER, FL 22756 I CITYCL3 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 ATITIVE ,/ ■ ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD