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CERTIFICATE OF LIABILITY INSURANCE (559)BAYMA -1 OP ID: B8 AFRO- CERTIFICATE OF LIABILITY INSURANCE DATE 12/03/2014 12/03/2014 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 Brown & Brown of Florida, Inc. P. O. Box 173086 Tampa, FL 33672 Steve Ayers CONTACT Bernie Perreault PHONE FAX (A/C. No ExtI 813- 226 -1300 (A/c, No): 813- 226 -1313 ADDRESS: bperreault@bbtampa.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: AUTO OWNERS INSURANCE 18988 INSURED Bay Manufactured Homes Inc 10916 N Nebraska Avenue Tampa, FL 33612 INSURER B:Southern Owners Insurance Co. 10190 INSURER C : SOUTHERN-OWNERS INS CO 10190 INSURER D:OWNERS INSURANCE COMPANY 32700 INSURER E : $ 50,000 INSURER F : COVERAGES CERTIFICATE NUMBER: 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 ADDUSUBR INSD WVD POUCY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS B X COMMERCIAL GENERAL LIABILITY 20405813 ' s /` 'Amu y € t 02/15/2015 EACH OCCURRENCE $ 500,000 pEM SES EaEoccurrence) $ 50,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 500,000 X ExtendedGarageLia GENERAL AGGREGATE $ 500,000 GE X AGGREGATE LIMIT APPLIES POLICY Li PRO- JECT OTHER:' PER LOC PRODUCTS - COMP /OP AGG $ 500,000 $,,, D AUTOMOBILE, X X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS PIP$10,000 ! SCHEDULED AUTOS N ON AUTOS -OWNED I'L',"..- „ ' 'a:.'. 96405813 -06 , . r d 02/15/2014 02/15/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE 9640581305 02/15/2014 02/15/2015 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 $ DED X RETENT ON $ 10,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE Y OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below / N Y N / A 20626628 01/01/2015 01/01/2016 X r STATUTE I I ER H E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT 500 000 $ s B B GARAGE LIABILITY GDS PD COMP /COLL 96405813 -04 96405813 -04 02/15/2014 02/15/2014 02/15/2015 02/15/2015 CSL $500K DED $250 $500K DESCRIPTION OF OPERATIONS ! LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CITYOFC City of Clearwater 100 South Myrtle Street 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 444 g- ACORD 25 (2014/01) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD