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CERTIFICATE OF LIABILITY INSURANCE (297)A� �® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD /YYYY) 6/5/2014 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 Lassiter -Ware Insurance of Tampa Bay 4401 West Kennedy Blvd Suite 2 0 0 Tampa FL 33609 CONTACT Joan Randolph NAME: P IA/CONN EYt): (800) 845 -8437 I InC.Nol: (888) 883 -8680 ADDRESS:JoanR ®lassi ter -ware .com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Certain Underwriters at Lloyds LIABILITY COMMERCIAL GENERAL LIABILITY INSURED Reuben Clarson Consulting, Inc. 750 94th Avenue North Suite 213 St. Petersburg FL 33702 INSURER B : rr� rr' f :�. ..a -� W y ^. nk. 4f INSURERC: INSURERD: $ INSURERE: $ INSURERF: $ COVERAGES CERTIFICATE NUMBER:14 -15 Cert 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 SUER W VD - POLICY NUMBER POLICY EFF IMM/DD/YYYY) POLICY EXP IMM /DD/YYYYI LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY rr� rr' f :�. ..a -� W y ^. nk. 4f d R, EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED E XP (Any one person) $ CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG n GEN'L AGGREGATE LIMIT APPLIES PER: POLICY pi FR- T1 LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS ( t t , „� -� ry..:b�i E -i , ! /� j b;CV ,t 6' y ° ; 1,(i r : f COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I - RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A WC STATU- OTH- I TORY I IMITS I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A PROFESSIONAL LIABILITY CLAIMS MADE PGIARK0107303 6/5/2014 6/5/2015 EACH CLAIM $1,000,000 AGGREGATE $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CELLATION City of Clearwater Attention: City Clerk P.O. BOX 4748 Clearwater, FL 33758 I -4748 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 P Schmaltz /JOANR - ACORD 25 (2010/05) INS025 (201005).01 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD