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CERTIFICATE OF LIABILITY INSURANCE
r'� " CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 1/28/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. HOLDER. THIS BY THE POLICIES AUTHORIZED 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 Chris Coleman Agency 1255 Belcher Road Dunedin FL 34698 CONTACT NAME: PHONE 1 FAX INC. No. Extl: (727) 441-9911 I IA/C, No): ( 727) 441 -9566 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC µ INSURERA:Seneca Ins Co LIABILITY COMMERCIAL GENERAL LIABILITY INSURED Tampa Bay Community Development Corp 2139 N. E . Coachman Rd Clearwater FL 33765 nnvl=Deccc INSURER B :Evanston Insurance Company BAG- 1019121 . INSURERC:Capitol Specialty Ins Co 1/28/2015 INSURER D : $ 1,000,000 INSURER E : $ 100, 000 INSURER F : CERTIFICATE NUMBER• THIS INDICATED. CERTIFICATE EXCLUSIONS INSR • " - -- RCVIJIVIY IVUMCCK: IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADDL INSR_ SUBR WVD POLICY NUMBER (MM DDY/YYYY) IMM DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY BAG- 1019121 . 2014 t 1/28/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100, 000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY n E c F-- LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE X LIABILITY L r BAG- 10191K . . a , ` L. • , ' `'_ �/48y201A 1/28/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1 0 " •, ,000 , 0,,; ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS AUTOS NON -OWNED BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE XOVA549714 1/28/2014 1/28/2015 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED I RETENTON$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N I TORY LIMITS STATU- I I T ER ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED'? N/A E.L. EACH ACCIDENT $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ C Errors & Omissions Claims Made S000183204 Retro date 10/19/10 10/19/2013 10/19/2014 Each Occurrenace 1,000,000 Aggreagate 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Office. f`c DT1CIf• A •C uA• rtrrs ANCELLATION City of Clearwater 112 South Osceola Avenue Clearwater, FL 33756 ACORD 25 (2010/05) INS025 (201005).01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED i;v ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Jack Miller /JACK © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD