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CERTIFICATE OF LIABILITY INSURANCE (532)AC RO® CERTIFICATE OF LIABILITY INSURANCE 10/1/2014 DIYYYY) 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 Rutherfoord 1001 Haxall Point, Suite 800 Richmond VA 23219 CONTACT NAME: PHONE FAX (A/C. No. F�rt►:804- 780 -0611 (A/C, No):804- 788 -8944 E-MAIL ss:Certificates Rutherfoord.com � INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :United Specialty Insurance Company 12537 INSURED Fire & Life Safety America, Inc. 2280 Old Lake Mary Road Sanford FL 32771 INSURER B :Axis Surplus Insurance Co 26620 11150 INSURER C :Arch Insurance Company INSURER D :National Union Fire Ins Co Pittsbur 19445 INSURER E :Travelers Property Casualty Co. of 25674 INSURER F : COVERAGES CERTIFICATE NUMBER: 1186023039 REVISION NUMBER: THIS lS 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 IMM/DD/YYYYI LIMITS A B GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY BT01417199 ELU78341 OCT A �C� Qy4- Firm( RFcORDS 0 D9130/2014 i! tl HHH���t 6 2014 prvee� [4t4 9/30/2014 AND AND 9/30/2015 9/30/2015 EACH OCCURRENCE $5,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $50,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $5,000 %( XCU Included PERSONAL & ADV INJURY $5,000,000 GENERAL AGGREGATE $6,000,000 GEN'L AGGREGATE 7 POLICY X LIMIT APPLIES PER: PF n LOC PRODUCTS - COMP /OP AGG $6,000,000 $ C AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X _ SCHEDULED AUTOS NON -OWNED AUTOS 31CP�pasAAn®�r(E 9;v s Y r9klQC�014 Lr°�jj�9 t tl ► Y L� i 9/30/2015 (Ea COMBINED SINGLEtIM1T $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PPReOPPEERd Y DAMAGE $ $ D X UMBRELLA UAB EXCESS LIAB X OCCUR CLAIMS -MADE BE060600452 9/30/2014 3/30/2015 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LUIBILITY Y / N ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A 31 WCI8910704 9/30/2014 3/30/2015 X I TORY LIMITS x 0TH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 E Contractors Equipment Leased /Rented Equipment Installation QT6601031A264TIL14 9/30/2014 9/30/2015 Limit: $395,178 Ded: $1,000 Limit: $200,000 Ded: $1,000 Limit: $200,000 Ded: $1,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) *Schedule of Named Insureds attached* CERTIFICATE HOLDER CANCELLATION City of Clearwater Municipal Services Bldg; P 0 Box 4748 Clearwater FL 33759 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 The following are all additional named insureds on all policies except where noted otherwise: Named insured(s) Entity (FEIN) FLSA Holdings, Inc. Fire & Life Safety America, Inc. — FKA East Coast Fire Protection, Inc. AFP, LLC Affordable Fire Protection Southwest Fire Protection, LLC Universal Sprinkler Corporation Texas Southwest Fire Protection Firewatch Services, Inc. East Coast Fire Protection, Inc. Southeast Fire Protection Parent Company N/A FLSA Holdings, Inc. Fire & Life Safety America, Inc. Trade name for AFP, LLC Fire & Life Safety America, Inc. Southwest Fire Protection, LLC Trade name for Southwest Fire Protection, LLC Trade name for Fire & Life Safety America, Inc. Now known as Fire & Life Safety America, Inc. Trade name for Fire & Life Safety America, Inc. AC D® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/30/2014 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 Rutherfoord 1001 Haxall Point, Suite 800 Richmond VA 23219 CONTACT NAME: (a/co.NN . Ext:804- 780 -0611 ADDREss:Certificates ©Rutherfoord.com FAX No):804- 788 -8944 INSURERS) AFFORDING COVERAGE NAIC INSURED Fire & Life Safety America, Inc. 2280 Old Lake Mary Road Sanford FL 32771 INSURER A :United Specialty Insurance Company INSURER B Axis Surplus Insurance Co. INSURER C :Arch Insurance Company 12537 26620 11150 INSURER D :National Union Fire Ins Co Pittsbur INSURER E : 19445 INSURER F : COVERAGES CERTIFICATE NUMBER: 2068394367 REVISION 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 (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A B GENERAL X LABILITY COMMERCIAL GENERAL LIABILITY BT01417199 ELU783415012014 RECEIVED OCT 0 i 2014 9/30/2014 9/30/2014 9/30/2015 3/30/2015 EACH OCCURRENCE $5,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $50,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $5,000 X XCU Included PERSONAL & ADV INJURY X000,000 GENERAL AGGREGATE $6,000,000 GEN'L AGGREGATE POLICY X LIMIT APPLIES JECOT- PER: LOC PRODUCTS - COMP/OP AGG $6,000,000 $ C AUTOMOBILE X X LABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS 31 CAB8923OFF1C6P'u. Ivti-° -''�° 1 EO1!LATI S 6e. p'+�'[l7gl�R '� 'ICS DEFT 9/30/2015 C (Ea accident) D SINGLE LIMIT $1 000 000 BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ D X UMBRELLA LAB EXCESS LAB X OCCUR CLAIMS -MADE BE060600452 9/30 /2014 9/30/2015 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes describe uncle, DESCRIPTION OF OPERATIONS below N / A 31WCI8910704 9/30/2014 9/30/2015 X WC STATU- TORY LI MITS x OTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C Hired Car Physical Damage 31CAB8923900 9/30/2014 3/30/2015 Limit: $50,000 Ded: $1,000 Comp & Coll DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) *Schedule of Named Insureds attached* CERTIFICATE HOLDER CANCELLATION City of Clearwater 100 South Myrtle Avenue Clearwater FL 33756 1 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 The following are all additional named insureds on all policies except where noted otherwise: Named Insured(s) Entity (FEIN) FLSA Holdings, Inc. Fire & Life Safety America, Inc. — FKA East Coast Fire Protection, Inc. AFP, LLC Affordable Fire Protection Southwest Fire Protection, LLC Universal Sprinkler Corporation Texas Southwest Fire Protection Firewatch Services, Inc. East Coast Fire Protection, Inc. Southeast Fire Protection Parent Company N/A FLSA Holdings, Inc. Fire & Life Safety America, Inc. Trade name for AFP, LLC Fire & Life Safety America, Inc. Southwest Fire Protection, LLC Trade name for Southwest Fire Protection, LLC Trade name for Fire & Life Safety America, Inc. Now known as Fire & Life Safety America, Inc. Trade name for Fire & Life Safety America, Inc. ACCo lam® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 10/1/2014 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 Rutherfoord 1001 Haxall Point, Suite 800 Richmond VA 23219 CONTACT NAME: PHONE ac. No. Exti :804 - 780 -0611 ADDRESS :Certificate5()Rutherfoord.com FAX No):804 -788 -8944 INSURER(S) AFFORDING COVERAGE NAIC # INSURED Fire & Life Safety America, Inc. 2280 Old Lake Mary Road Sanford FL 32771 INSURER A :United Specialty Insurance Company INSURER B :Axis Surplus Insurance Co. INSURER c Arch Insurance Company INSURER D :National Union Fire Ins Co Pittsbur 12537 26620 11150 19445 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 439371 REVISION 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 (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A B GENERAL X LIABIUTY COMMERCIAL GENERAL LIABILITY BTO1417199 ELU783415012014 q (fig OCT O 1 % 2014 9/30/2014 9/30/2014 3/30/2015 3/30/2015 EACH OCCURRENCE $5,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $50,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $5,000 X XCU Included PERSONAL & ADV INJURY $5,000,000 GENERAL AGGREGATE $6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 7 POLICY 1 I LOC I" JET PRODUCTS - COMP/OP AGG $6,000,000 $ C AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS 31CAB8923900 OFFICIAL SR VCS LEGISLATIVE SRVCS 9/30/ 14 ° DEPT 3/30/2015 CO a EDU INGLE LIMIT (Ea $1 000 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ D X UMBRELLA UAB EXCESS LIAB X OCCUR CLAIMS -MADE BE060600452 9/30/2014 3/30/2015 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 DED RETENTION $ $ C 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 31WCI8910704 9/30/2014 3/30/2015 X WC STATU- Ix IOTH- TORY LIMITS ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C Hired Car Physical Damage 31CAB8923900 9/30/2014 /30/2015 Limit: $50,000 Ded: $1,000 Comp & Coll DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) *Schedule of Named Insureds attached* CERTIFICATE HOLDER CANCELLATION City of Clearwater 100 South Myrtle Avenue 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 The following are all additional named insureds on all policies except where noted otherwise: Named Insured(s) Entity (FEIN) FLSA Holdings, Inc. Fire & Life Safety America, Inc. — FKA East Coast Fire Protection, Inc. AFP, LLC Affordable Fire Protection Southwest Fire Protection, LLC Universal Sprinkler Corporation Texas Southwest Fire Protection Firewatch Services, Inc. East Coast Fire Protection, Inc. Southeast Fire Protection Parent Company N/A FLSA Holdings, Inc. Fire & Life Safety America, Inc. Trade name for AFP, LLC Fire & Life Safety America, Inc. Southwest Fire Protection, LLC Trade name for Southwest Fire Protection, LLC Trade name for Fire & Life Safety America, Inc. Now known as Fire & Life Safety America, Inc. Trade name for Fire & Life Safety America, Inc.