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CERTIFICATE OF LIABILITY INSURANCE (433)JUSTD -1 OP ID: TM "'� —""-' CERTIFICATE OF LIABILITY INSURANCE DATE 11/20/2013 11 /20/2013 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 MORROW INSURANCE GROUP LENORA C. OLNEY /A196064 18936 NORTH DALE MABRY HIGHWAY TAMPA, FL 33548 GEORGE SALTSMAN NAME: GEORGE SALTSMAN (ND, No, Ext):813- 963 -1669 jv , No): 813 - 961 -3743 E-MAIL SS: TEREASA @MORROWINSURANCE.NET INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: UNITED SPECIALTY INSURANCE X INSURED JUST DESSERTS INC 14202 CARLSON CIRCLE TAMPA, FL 33626 INSURER B:AMERICAN STATES INS CO 19704 INSURERC:TORUS SPECIALTY INSURANCE CO 44776 INSURER D : $ 1,000,000 INSURER E : $ 100,000 INSURER F : • 1 \L V ..71 1.111 I\VIIIIGIGfl. 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 (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) , LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X USA - 4031298 Ge n ic--aa{' 01 CI41845 �dsi 1 2113 �l �VECCYa Ami cr1' P i°i1 i v L .3 V W 2013 p 3 AND /� 3 11/15/2014 12/21/2014 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 X AGGREGATE POLICY LIMIT APPLIES PRO- JECT PER: LOC PRODUCTS - COMP /OP AGG $ 2,000,000 COMBINED SINGLE LIMIT (Ea accident) $ $ 500,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY Per erson (Per person) ) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (PER ACCIDENT) $ $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 86873H130ALI 11/15/2013 11/15/2014 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED X RETENTION $ 0 $ 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) REF:CONCESSION THE CITY OF CLEARWATER, PO BOX 4748, CLEARWATER, FL 33758 AND COACHMAN PARK ARE NAMED AS ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY PER FORM CG2033 0704 DER CANCELLATION CITYCLW THE CITY OF CLEARWATER P 0 BOX 4748 CLEARWATER, FL 33758 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