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CERTIFICATE OF LIABILITY INSURANCE (380)BAYMA -1 OP ID: J4 '4��`zO' CERTIFICATE OF LIABILITY INSURANCE DATE 02(20 /20141) 02/20/2014 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 Phone: 813 - 226 -1300 Brown & Brown of Florida, Inc. Fax: 813 - 226 -1313 P. O. Box 173086 Tampa, FL 33672 Steve Ayers NAME: CONTACT Bernadette Perreault PHONE 813 -472 -7022 FAX (A/C. No. Extl: (A/, No): 813- 226 -1313 ADDRESS: bperreault @bbtampa.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: AUTO OWNERS INSURANCE 18988 INSURED Bay Manufactured Homes Inc 10916 N Nebraska Avenue Tampa, FL 33612 INSURER B : Southern Owners Insurance Co. 10190 INSURER C : SOUTHERN-OWNERS INS CO 10190 INSURER D : OWNERS INSURANCE COMPANY 32700 INSURER E : 50 000 $ , INSURER F : GES C • 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 POLICY EFF /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS B GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 20405813 FR 2 4 2014 /^p 9 Otin\s9t ��- g© � 561 W L- SRVCS DM 02/15/2014 �� 02/15/2015 EACH OCCURRENCE $ 500,000 DAMAGE TO RENTED PREMISES (Ea occurrence) 50 000 $ , CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 500,000 X ExtendedGarageLia GENERAL AGGREGATE $ 500,000 GEN'L X AGGREGATE POLICY LIMIT APPLIES JFi T PER: LOC PRODUCTS - COMP /OP AGG $ 500,000 $ D AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS PIP 10,000 X SCHEDULED AUTOS NON -OWNED AUTOS 96405813 -06 02/15/2014 02/15/2015 COMBINED SINGLE LIMIT (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 9640581305 02/15/2014 02/15/2015 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED X RETENT ON $ 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below YIN Y N I A 20626628 01/01/2014 01/01/2015 X WC STATU- TORY LIMITS TH O- ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 B B Garage Liability Garg. PD Comp /Coll 96405813 -04 96405813 -04 02/15/2014 02/15/2015 CSL $500K Ded $250 $500K DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule if more space is required) CERTIFICATE HOLDER 1 CITYOFC City of Clearwater 100 South Myrtle Street 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 'T61— ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BAYMA -1 OP ID: B8 A� °RO' CERTIFICATE OF LIABILITY INSURANCE DATE 02(28 /2014 Y) 02/28!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 Phone: 813 - 226 -1300 Brown & Brown of Florida, Inc. Fax: 813 - 226 -1313 P. O. Box 173086 Tampa, FL 33672 Steve Ayers NAME: Bernadette Perreault PHONE g13 -472 -7022 FAX (A/C. No. Extl: (A/C, No): 813- 226 -1313 E-MAIL bperreault@bbtampa.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: AUTO OWNERS INSURANCE 18988 INSURED Bay Manufactured Homes Inc 10916 N Nebraska Avenue Tampa, FL 33612 INSURER B :Southern Owners Insurance Co. 10190 INSURER C : SOUTHERN-OWNERS INS CO 10190 INSURER D : OWNERS INSURANCE COMPANY 32700 INSURER E : $ 50,000 INSURER F : COVERAGES CERTIFICATE 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 wvn POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS B GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY r ; 204 t'�ti , ` A� ej A (':t. is C. ', s ).r : ,' .,. 02/15/2014 02/15/2015 EACH OCCURRENCE $ 500,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 500,000 X ExtendedGarageLia GENERAL AGGREGATE $ 500,000 GEN'L AGGREGATE LIMIT APPLIES f PRO- X POLICY JFCIT PER: LOC PRODUCTS - COMP /OP AGG $ 500,000 $ D AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS PIP 10,000 X SCHEDULED AUTOS NON -OWNED AUTOS 150,9—Al aY "L S':--VCS I i - 96405813 -06 02/15/2014 02/15/2015 COMBINED SINGLE LIMIT (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 9640581305 02/15/2014 02/15/2015 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED X RETENT ON $ 10,000 $ A 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 Y N / A 20626628 01/01/2014 01/01/2015 X TWC TATIU- S OR - E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 B B Garage Liability Garg. PD Comp /Coll 96405813 -04 96405813 -04 02/15/2014 02/15/2015 CSL $500K Ded $250 $500K DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) CERTIFICATE HOLDER NCELLA CITYOFC City of Clearwater 100 South Myrtle Street 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