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CERTIFICATE OF LIABILITY INSURANCE (543) ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) Tnn 11/05/2014 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 CONTACT NAME: Alley, Rehbaum & Capes Assurance, Inc. A,CC,No Ext: 727.797. 5193 FAX No):727.725. 5773 2433 Gulf to Bay Blvd. ADDRESS: IL P.O. Box 4620 INSURER(S)AFFORDING COVERAGE NAIC# Clearwater, FL 33758 INSURER A: First National Insurance Co INSURED Adagio One, Inc. INSURER B: 13811 US Higway 19N INSURER C: Clearwater, FL 33764 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 14-15 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 TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY 2 5CC3620192 06/14/2014 06/14/2015 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea HEN occurrence) $ 1,000,000 CLAIMS-MADE FxI OCCUR MED EXP(Any one person) $ 10,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ JECT AUTOMOBILE LIABILITY 2 5CC3620192 06/14/2014 06/14/2015 (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Clearwater Main Library AUTHORIZED REPRESENTATIVE a�� ... 100 N. Osceola Ave. C1 arwater, FL 33755 James Parenti/NCH ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD C> 0 0 0 ---7 ---------- MA 8 P-4 888 rj Y"xi i EL ar 0 w 0 TIT AA L 2 uj W w Ims Ca 0,0 :E 0 al B 8 w pp U.wi rru i E I 7 v 9,. c I QIQI� 'v- ce W g, W 0 ti 0 0 U. QD us 0. y wi U. 0 LU 0 1 �,` Li 'a, 6 4 J .4 z 11 1 2"i !"il V Iu j W z 0 0) no a 6 U, M U) w LEI g Lu to C.) 'V zz rs In uj L rX Lu z 0 0 ro z w w I'LZ I z x r,4 c 6Y11 Wy„j M 4j c V nn LU 2 U. as UA IL P. j- .4 a N AVVVRRw us Now z cti a L UA WIP c D w Z LA 0 w z � 0 UP ha LL u 0 X p al 6 0 >w cp ui 0 ku W Zi 0(P z z o Z,1 v OE-g ............. a wo 4 W L, UUJTY uj -( ............... .............. X K-T V2, wrn I!. un " , u I $1 n p - w 25 1 J, 15 2 E ui < 0(n) 1W Rid L c N CIL Uaj 4J M, U) P, 4j,4, Ln LL J 1-1-1 Lull" r":) - L w 6x �; T—OJ w P" UA, ku ju-'qCu��W- m (U) ,u E 12 CS 1, 4J CC" Im 0 P 8' p 1 0 14- X 0 LU, Li P t; L flu' w 4J UJ 40, W, & x v M E: 1U."�k LU Cc Q 3 9 .......... U. uj 4- M x U�s r Om uj LU cr, 2E 9 t A ln�