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CERTIFICATE OF LIABILITY INSURANCE (32) PRODUCER Aon Risk services, Inc. of Pennsylvania One Liberty place 1650 Market Street sui te 1000 philadelphia PA 19103 USA PHONE. 866 283-7122 OATE(MM/OO/V 04/02/2007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED cignacorporation Et Al 1601 chestnut Street TwO Liberty place philadelphia PA 19192 USA INSURER A: INSURER B: ACE American Insurance company Indemnity Insurance Co of North America Great American Insurance Co. Lexington Insurance Company NAIC # 22667 43575 16691 19437 '"' Cli 5 - = Cli 'tl .... '"' Cli 'tl '0 == FAX- 847 953-5390 INSURERS AFFORDING COVERAGE INSURER C: INSURER D: INSURER E: THE POUCIES OF INSURANCE USTED BELOW HA VEBEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POUCIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD LTR INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFEC DATE(MM\DD\YY) POLICY EXPIRATION DA TE(MM\DD\YY) 07/01/07 LIMITS A ~ERAL LIABILITY X COMMERCIAL GENERAL LIABIUTY CLAIMS MADE ~ OCCUR HDOG21734500 RE EACH OCCURRENCE $1,000,000 $100,000 DAMAGE TO RENTED PREMISES (Ea occurence) MED EXP ( v one person) 5, GEN'L AGGREGATE LIMIT APPLIES PER: D POLICY D i:~ ~ LOC OFFICIAl R ORDS AND i.EGISLATIVE SRVCS OEPT PRODUCTS - COMP/OP AGG $1,000,000 $3,000,000 $1,000,000 o Lf'l r-l ...... C'l ...... r-l N o o ...... Lf'l PERSONAL & ADV INJURY GENERAL AGGREGATE AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS ISAH0822481A 07/01/06 07/01/07 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 Q Z .!l = '"' ~ '"' Cli U A BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY B ANYAUTO EXCESS /UMBRELLA LIABILITY ~ OCCUR 0 CLAIMS MADE AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY : EA ACC AGG c TUU357925604 07/01/06 7 01 07 EACH OCCURRENCE AGGREGATE fB:::::J: $10,000 B 07/01/06 07/01/06 E.L. EACH ACCIDENT $1,000,000 = $1,000,000 == $1,000,000 & ~ $5,000,000 ~ $5,000,000 ~ ~ ~ ~ ::...... ~ IIIC..... ~. ....,::,. !lIlO.;; ~ IOLi ~ ..... ~ - B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICERlMEMBER EXCLUDED' If yes, describe under SPECIAL PROVISIONS below WLRC AOS WLRC44441433 -CA SCFC44441445 RETRO 07/01/07 A 07/01/07 E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT o OTHER prof Liability 390 5767 E& 0 coverage 03/30/07 OCC/Agg SIR DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of clearwater PO Box 4748 Attn: City Clerk Clearwater FL 33758 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~~.9'_~, o/!B'IH_""#I".a..- ATE (MM/DD/YVYY) 04/02/2007 TIllS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA nON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE lliE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO lliE INSURED NAMED ABOVE FOR lliE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OlliER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, lliE INSURANCE AFFORDED BY lliE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL lliE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAJMS. INSR A D' LTR INS , -. PRODUCER Aon Risk services, Inc. of pennsylvania One Liberty place 1650 Market Street Suite 1000 philadelphia PA 19103 USA PHONE. 866 283-7122 FAX. 847 953-5390 INSURED cigna corporation Et Al 1601 chestnut Street Two Liberty place philadelphia PA 19192 USA INSURER A: ACE Ameri can Insu rance Company INSURERB: Indemnity Insurance Co of North America mSURERC: Great American Insurance Co. INSURERD: Lexi ngton Insurance company INSURER E: TYPE OF INSURANCE POLICY NUMBER POLICY EFFEC DATE(MM\DD\YV) 07/01/06 POLICY EXPIRATION DA TE(MM\DDWY) 07/01/07 EACH OCCURRENCE LIMITS A HDOG21734500 ~ERAL LIABILITY X COMMERCIAL GENERAL UABILITY CLAIMS MADE [!] OCCUR DAMAGE TO RENTED PREMISES (Ea occurence) M D EXP (Anv one person PERSONAL & ADV INJURY GENERAL AGGREGATE GEN'L AGGREGATE UMIT APPUES PER: D POUCY D ~:g;. ~ LOC PRODUcrS - COMP/OP AGG A ISAH0822481A 07/01/06 07/01/07 COMBINED SmGLE UMIT (Ea accident) AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) c GARAGE LIABILITY B ANY AUTO EXCESS /UMBRELLA LIABILITY ~ OCCUR D CLAIMS MADE AUTO ONLY. EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG 07 01 07 07/01/06 EACH OCCURRENCE Tuu357925604 AGGREGATE I?22.IJUr;:!!.l&Ii~ RETENTION $10, 000 B WlRC 4 AOS WlRC44441433 -CA SCFC44441445 RETRO x WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRlETOR / PARTNER / EXECUTIVE OFFICERlMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 07/01/07 E.L. EACH ACCIDENT A 07/01/06 07/01/06 07/01/07 E.L. DISEASE.EA EMPLOYEE E.L. DISEASE.POUCY UMIT B D 390-5767 03/30/07 acc/ Agg SIR OTHER prof L i abi 1 i 1:y DESCRlPTION OF OPERATIONSILOCA TIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS NAIC # 22667 "" Cl.l 43575 I:: .. - 16691 1:1 Cl.l "0 .... 19437 "" Cl.l "0 Q = $1,000,000 $100,000 $1,000,000 $3,000,000 $1,000,000 <.c 0'\ <.c r--.. 0'\ r--.. .-t N o o r--.. '" $1,000,000 o Z Cl.l - C'll C"l 5 - "" Cl.l U $1,000,000 = $1,000,000 :: $1,000,000 iiii ~- $5 ,000,000 ~ $5,000,000 ~ -- ~ ~ ~ ~ ..:...: ~ ...,:;", !IIO...I ~ 2? ..... ~ - City of clearwater PO Box 4748 Attn: city Clerk clearwater FL 33758 USA SHOULD ANY OF THE ABOVE DESCRlBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRlTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR UABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE .40-~9'_~, ey!91Iu.,..",~.._U:v PRODUCER Aon Risk Services, Inc. of pennsylvania One Liberty place 1650 Market Street suite 1000 philadelphia PA 19103 USA PHONE. 866 283-7122 yyyy 04/02/2007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance company 22667 10 Indemnity Insurance Co of North ~ INSURER B: America 43575 5 - Great American Insurance Co. 16691 = INSURER C: ~ "0 .... INSURER D: Lexington Insurance Company 19437 10 ~ "0 INSURER E: Lloyd's of London 0005FI '0 == FAX. 847 953-5390 INSURED cigna corporation Et Al 1601 Chestnut Street Two Liberty place philadelphia PA 19192 USA TIlE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO TIlE INSURED NAMED ABOVE FOR TIlE POUCY PERIOD INDICATED. NOTWITIIST ANDING ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TIlE INSURANCE AFFORDED BY TIlE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL TIlE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POUCIES. AGGREGATE UMITS SHOWN MA Y HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR INS TYPE OF INSURANCE POLICY NUMBER LIMITS A ISAH0822481A EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurence) MED XP Anv one Derson) $1,000,000 $100, 000 A ~'RAL LIABILITY X COMMERCIAL GENERAL LlABIUTY CLAIMS MADE ~ OCCUR HDOG21734500 GEN'L AGGREGATE LIMIT APPLIES PER: D POLICY D r;-g; ~ LOC PRODUCTS - COMP/OP AGG $1,000,000 $3,000,000 $1,000,000 LJ'l N m \0 0'\ "- .-I N o o "- LJ'l PERSONAL & ADV INJURY GENERAL AGGREGATE AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS 07/01/07 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 o Z ~ ..: <.l !5 - 10 ~ U BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EA ACC AGG c EXCESS /UMBRELLA LIABILITY ~ OCCUR D CLAIMS MADE Tuu357925604 07/01/06 EACH OCCURRENCE AGGREGATE $25,000,000 DDEDU~LE .. ~RETENTION $100000 B 07/01/06 07/01/06 07/01/07 E.L. EACH ACCIDENT $1,000,000 - $1,000,000 == $1,000,000 _ ~ $5,000,000...... ~ -- ~ ~ ~ ~ ~ :ti ~ .:a.... ~ ..... ~ - B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICERlMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WLRC AOS WLRC44441433 CA SCFc44441445 - RETRO X 07/01/07 E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT o OTIIER Prof Liability 390-5767 Errors and omissions 03/30/07 Limit DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Clearwater PO Box 4748 Attn: City Clerk clearwater FL 33758 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AlITHORIZED REPRESENTATIVE ~~9'_.9>oc.,~~ Attachment to ACORD Certificate for cigna corporation Et Al The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. INSURER INSURED cigna corporation Et Al 1601 chestnut Street Two Liberty place philadelphia PA 19192 USA INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. ADD'L POLICY NUMBER POLICY POLICY INSR INSRD TYPE OF INSURANCE POLICY DESCRIPTION EFFECTIVE EXPIRATION LIMITS LTR DATE DATE OTHER FZ0701651 03/30/07 03/30/08 Limit E Misc Liab cvg Fidelity Bond $10,000,000 DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate No : 570021796325