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CERTIFICATE OF LIABILITY INSURANCE (586)AcoRO® CERTIFICATE OF LIABILITY INSURANCE `- DATE(MMIDD/YYYY) 10/24/2014 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 Aon Risk Services Central, Inc. Chicago IL Office 200 East Randolph Chicago, IL 60601 USA corn AC PHONE I-AX (A/C, No, Ext): (866) 283 -7122 I (A/C, No): (847) 953 -5390 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : National Union Fire Ins Co of Pittsburgh 19445 INSURED Hyatt Corporation [PIERC] dba Hyatt Regency Clearwater Beach Resort & Spa 71 S. Wacker Dr., 17th Floor Chicago, IL 60606 INSURER B : Commerce & Industry Ins Co 19410 INSURER C: New Hampshire Ins Co 23841 INSURER D : Safety National Casualty Corp 15105 INSURER E : I CLAIMS -MADE X OCCUR INSURER F : $ 1,000,000 COVERAGES CERTIFICATE NUMBER: 419564 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 ADDL INSD SUER WVD POLICY NUMBER POLICYYEFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY GL2047641 11/1/2014 11/1/2015 EACH OCCURRENCE $ 2,000,000 I CLAIMS -MADE X OCCUR PRE GMISE (Ea occurrence) (Ea occurrence) $ 1,000,000 — GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PER: PRO- JECT fl LOC MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 35,000,000 PRODUCTS - COMP /OP AGG $ Included $ AUTOMOBILE - _ — LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _AUTOS SCHEDULED AUTOS NON -OWNED COMBINED SINGLE LIMI f (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident ) $ $ — UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PATUTE I 0TH I E 1 ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) 14-15 ALGLWCEX City of Clearwater is an additional insured but only with respect to the negligence of Hyatt Corporation d/b/a Hyatt Regency Clearwater Beach Resort & Spa relative to the special event permit for special events to be held throughout the policy period. CERTIFICATE HOLDER CANCELLATION City of Clearwater 100 Sourth Myrtle Ave. 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 JT.a�crF ..�acaisrLa�f sJbtee v e..++ r 7..er. © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD