CERTIFICATE OF INSURANCE AXIS 8000(08/10) CERTIFICATE OF INSURANCE 1 01/22/2014
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY
American Specialty Insurance&Risk Services, Inc. OR NEGATIVELY AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
142 North Main Street BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT
BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND
Roanoke, Indiana 46783 THE CERTIFICATE HOLDER.
INSURED INSURERS AFFORDING COVERAGE
Florida Sports Foundation,Inc. INS.A: AXIS Insurance Company
2930 Kerry Forest Parkway,Suite 101 INS. B:
Tallahassee, FL 32309 INS. C:
CERT NUMBER: 1001141446
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING 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.
INS POLICY POLICY POLICY
LTR TYPE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS
General Aggregate-Per Event 3,000,000
GL AXGL05102066-14 01/23/2014 01/23/2015 Products-Completed Operations Aggregate 2,000,000
A Personal and Advertising In'ury 1,000,000
12:01 a.m. 12:01 a.m. Each Occurrence 1,000,000
Damage to Premises Rented to You(Any One Premises 300,000
Medical Expense Limit(Any One Person Excluded
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
- The Certificate Holder is only an Additional Insured with respect to liability caused by the negligence of the Named Insured as per Form AXIS 1003 Additional Insured-Certificate
Holders,but only with respect to PROPERTY LOCATED AT 1501 N BELCHER RD,CLEARWATER,FL.
CERTIFICATE HOLDER CANCELLATION
CITY OF CLEARWATER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES
PARKS AND RECREATION DEPT BE CANCELLED BEFORE THE EXPIRATION DATE
P O BOX 4748 THEREOF,NOTICE WILL BE DELIVERED IN
CLEARWATER, FL 33758 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
AXIS 8000(08/10) CERTIFICATE OF INSURANCE 1 12/29/2014
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY
American Specialty Insurance&Risk Services, Inc. OR NEGATIVELY AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
7609 W.Jefferson Boulevard,Suite 100 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT
BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND
Fort Wayne, Indiana 46804 THE CERTIFICATE HOLDER.
INSURED INSURERS AFFORDING COVERAGE
Florida Sports Foundation,Inc. INS.A: AXIS Insurance Company
c/o EFI 800 North Magnolia Avenue,Suite 1100 INS. B:
Orlando, FL 32803 INS. C:
CERT NUMBER: 1001200115
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING 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.
INS POLICY POLICY POLICY
LTR TYPE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS
General Aggregate-Per Event 3,000,000
GL AXGL05102066-14 01/23/2014 01/23/2015 Products-Completed Operations Aggregate 2,000,000
A Personal and Advertising In'ury 1,000,000
12:01 a.m. 12:01 a.m. Each Occurrence 1,000,000
Damage to Premises Rented to You(Any One Premises 300,000
Medical Expense Limit(Any One Person Excluded
Non-Owned/Hired Auto Liability 1,000,000
AUTO AXAL05100592-14 01/23/2014 01/23/2015 Hired Auto Physical Damage Deductible-Collision$1,000
A 12:01 a.m. 12:01 a.m. Hired Auto Physical Damage Deductible-Comprehensive 100
General Aggregate 4,000,000
A XS AXXS05100528-14 01/23/2014 01/23/2015 Each Occurrence 4,000,000
12:01 a.m. 12:01 a.m.
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
- The Certificate Holder is only an Additional Insured with respect to liability caused by the negligence of the Named Insured as per Form AXIS 1003 Additional Insured-Certificate
Holders,but only with respect to PROPERTY LOCATED AT 1501 N BELCHER RD,CLEARWATER,FL.
CERTIFICATE HOLDER CANCELLATION
CITY OF CLEARWATER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES
PARKS AND RECREATION DEPT BE CANCELLED BEFORE THE EXPIRATION DATE
P O BOX 4748 THEREOF,NOTICE WILL BE DELIVERED IN
CLEARWATER, FL 33758 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
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