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CERTIFICATE OF LIABILITY INSURANCE (9) AC V CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 01/16/2015 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 Condon-Meek, Inc NAME: Missy Bonds PHONE , (727)446-5051 ac No):(727)449-1964 1211 Court Street E-MAIL Clearwater, FL 33756 ADDRESS: MissyB@CondonMeek.com License#: R007786 INSURERS AFFORDING COVERAGE NAIC# INSURERA: United States Liability Insurance Group INSURED INSURER B Clearwater Historical Society Inc INSURERC: P O Box 175 INSURER D: Clearwater, FL 34617 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 00000000-82067 REVISION NUMBER: 5 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD POLICY NUMBER MMIDD/YYYY MM/DD/Y LIMITS A X COMMERCIAL GENERAL LIABILITY Y NPPIS59585A 01/11/2015 01/1112016 EACH OCCURRENCE $ 500,000 CLAIMS-MADE a OCCUR PREMISES Ea occurrence) $_ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY D PRO- CT 1:1 LOC PRODUCTS-COMP/OP AGG $ 500,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED t id Per accident)AUTOS AUTOS BODILY INJURY( ) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N1 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 I LOCATIONS/VEHICLES (ACORD 1D1,Additional Remarks Schedule,maybe attached if more space is required) City of Clearwater is listed as an additional insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Attn Chris Hubbard Cultural Affair specialist ACCORDANCE WITH THE POLICY PROVISIONS. C/O Parks and Rec 100 S Myrtle AUTHORIZED REPRESENTATIVE Clearwater,FL 33761 MAB ©1988-2014 ACORD CORPORATION. All rights reserved. :` ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Printed by MAB on January 16,2015 at 08:48AM