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CERTIFICATE OF LIABILITY INSURANCEA °' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1/24/2014 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)251 -4900 Fax: (813)253 -2676 Professional Insurance Center, Inc. 2003 West Kennedy Blvd Tampa, Florida 33606 CONTACT Professional Insurance Center Inc NAME: (A/C. No Ext): (A/C No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : American Southern Insurance Company 10235 INSURED Yellow Cab of Tampa, Inc. 4413 N. Hesperides Street Tampa, FL 33614 INSURER B : INSURER C : INSURER D : $ INSURER E : $ INSURER F : ERTIFICATE 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 (MMIDD/YYYY1 POLICY EXP (MMIDDIYYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENII AGGREGATE POLICY LIMIT APPLIES JFST PER. LOC PRODUCTS - COMP /OP AGG $ $ A AUTOMOBILE _ LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS ✓ SCHEDULED AUTOS NON-OWNED t/ BA727754 �°� 4 JAN "� JI1 i, 1 .,,., Z,Q14 i— " rL 1/23/2015 COMBINED SINGLE LIMIT (Ea accdent) $ BODILY INJURY (Per person) $ 125'000 BODILY INJURY (Per accident) $ 300 000 (PerOPEclRdentDAMAGE $ 50 000 $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE (� yy �L��°°�' �p 1os or :cl.AL RE,�4�aPDS LECMATWE Sara AN �'?r EACH OCCURRENCE $ AGGREGATE $ DED 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- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED - SEE ATTAHCED VEHICLE SCHEDULE ICATE HOLDER CANCELLATION Holder's Nature of Interest : Certificate Holder CITY OF CLEARWATER; 100 OUTH MYRTLE AVENUE CLEARWATER, FL 34697 -1348 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CCORDANCE WITH THE POLICY PROVISIONS. ORIZED REPRESENTATIVE ©1988 010 A O D C P A ION. All ' hts reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks tsf ACORD