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CERTIFICATE OF LIABILITY INSURANCE (494)'°` °® CERTIFICATE OF LIABILITY INSURANCE I DAT0729201) 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 Aon Risk Services Central, Inc. Chicago IL Office 200 East Randolph Chicago IL 60601 USA CONTACT PHONE (866) 283 -7122 FAX (NC. No. Ext): I (ac. No.). (800) 363 -0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL # INSURED Sears Holdings Corporation dba Sears Home Improvement Products, Inc Attn: Risk Management E3 -219A 3333 Beverly Road Hoffman Estates IL 60179 USA INSURERA: ACE American Insurance Company 22667 INSURERS: ACE Fire Underwriters Insurance CO. 20702 INSURER C: 08/01/2015 INSURER D: $5,000,000 INSURER E: CLAIMS -MADE X INSURER F: DAMAGE TO RENTED PREMISES (Ea occurrence) UMBER: 570054720874 R 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD PO YMcco� POLICY EFF DD/YYYY1 POLICY EXP f MMIDD/YYW) LIMITS A X COMMERCIALGENERALIJABILITY HDOG273341 ( r ♦/` AUG 0 5 204 e r , ty�nGW�KyLYR,iJd OFF' RECOR f101 /2014 k° A N �I�lrYar 08/01/2015 EACH OCCURRENCE $5,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) S5,000,000 MED EXP (Any one person) EXCI uded PERSONAL INJURY $5,000,000 GEN X L AGGREGATE LIMIT APPLIES PER: PRO - POLICY ❑ JECT LOC OTHER: GENERAL AGGREGATE $5,000,006 PRODUCTS - COMP /OP AGG $5,000,000 A A A AUTOMOBILE _ X _ X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS - X SCHEDULED AUTOS NON -OWNED ISAHOB +�`• • E .1RVC ISAH0882101A ISAH08821021 2 14 08/01/2014 08/01/2014 08/01/2015 08/01/2015 08/01/2015 COMBINED SINGLE LIMIT (Ea accident) $5,000,000 BODILY INJURY( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident) ( ) UMBRELLA LIAB EXCESS LAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED I (RETENTION A A WORKERS DYERC' COMPENSATION AND ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below Y 1 N N N / A WCUC47888839 OH, WA, WV WLRC47888815 All Other States 08/01/2014 08/01/2014 08/01/2015 08/01/2015 X I STATUTE I 100TH E.L. EACH ACCIDENT S2,000,000 E.L. DISEASE -EA EMPLOYEE $2,000,000 E.L. DISEASE- POLICY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Alfred W. Nyman, Jr. License # CMC1249510, CGC012538, CCC1329316 located @ 1024 Florida Central Parkway, Longwood, FL 32750. Dell R. Hoyt License #CGC1517994 located @ 1024 Florida Central Parkway, Longwood, FL 32750. CERTIFICATE HOLDER CANCELLATION City of Clearwater 100 S. Myrtle Avenue Suite C -110 Clearwater FL 34616 -5520 USA 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 (2014/01) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Holder Identifier : 2267837 Certificate No ACC?//21:;• ® Vii' AGENCY CUSTOMER ID: 570000034159 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Central, Inc. NAMED INSURED Sears Holdings Corporation POLICY NUMBER See certificate Number: 570054720874 CARRIER See Certificate Number: 570054720874 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) LIMITS WORKERS COMPENSATION B N/A SCFC47888840 WI 08/01/2014 08/01/2015 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved.