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CERTIFICATE OF LIABILITY INSURANCE (599)
Ac pe CERTIFICATE OF LIABILITY INSURANCE PRODUCER COOPER INSURANCE SERVICE PO Box 638 Lapel, IN 46051 (765) 534 -3152 DATE (MM/DD/YYYY) 12/12/2014 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# INSURED PLAYMORE WEST, INC. DBA PLAYMORE RECREATIONAL PRODUCTS AND SERVICES 10271 DEER RUN FARMS RD, STE 1 FORT MYERS, FL 33966 1888- 886 -3757 INSURER A: WESTERN HERITAGE INS . CO. INSURER B: COMMERCE AND INDUSTRY INSURANCE INSURER C: INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DD/YYYY) POLICY EXPIRATION DATE(MM/DD/YYYY) LIMITS A Y GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY SCP1017214 12/14/14 12/14/15 EACH OCCURRENCE $ 1,000,000 $ 100,000 X PREMISES O(Ea or cu ence) CLAIMS MADE X OCCUR MED EXP (Any one person) $ 1 000 X CONTRACTUAL PERSONAL &ADVINJURY , $ 1,000,000 $ 2,000,000 $ 2,000,000 GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PEP: PRODUCTS - COMP /OP AGG POLICY n JECT JECT LOC AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANYAUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY OCCUR PI CLAIMS MADE DEDUCTIBLE RETENTION $10,000 BE 064195756 12/14/14 12/14/15 EACH OCCURRENCE $ 5,000,000 $ 5,000,000 $ X AGGREGATE $ X $ WORKERS AND EMPLOYERS' ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER (Mandatory If yes, SPECIAL AL SPECIAL COMPENSATION LIABILITY v/ N WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ In NH) PROVISIONS under PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOL CITY OF CLEARWATER RISK MANAGEMENT DIVISION FINANCE DEPT. PO BOX 4748 CLEARWATER, FL 33758 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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 INS RER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIV as D25(2009/01) ©1988 -2009 ACORD CORPORATION. All rights reserved. ACO DR CERTIFICATE OF LIABILITY INSURANCE PRODUCER COOPER INSURANCE PO Box 638 Lapel, IN 46051 (765)534 -3152 SERVICE DATE(MM/DD/YYYY) 12/11/2012 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 NAB INSURED T, INC. D 10271 DEER RUN FARMS RD, STE 1 FORT MEYERS, FL 33966 1888- 886 -3757 INSURER A: WESTERN HERITAGE INS . CO. INSURER B: TORUS SPECIALTY INS . CO. INSURER C: INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DD/YYYY) POLICY EXPIRATION DATE (MM /DD/YYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY SCP0665755 -018 12/14/12 12/14/13 EACH OCCURRENCE $ 1,000,000 $ 100,000 $ 1,000 X DAGE PR MISESO(Ea occccu ence) 1CLAIMS MADE X I OCCUR CONTRACTUAL MED EXP (Any one person) X PERSONAL &ADVINJURY $ 1,000,000 $ 2,000,000 GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 X POLICY 7 JEf LOC AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANYAUTO AUTO ONLY - EA ACCIDENT $ — OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY 50838A122ALI 12/14/12 12/14/13 EACH OCCURRENCE $5,000,000 X I OCCUR I CLAIMSMADE AGGREGATE $ 5,000,000 _ DEDUCTIBLE RETENTION $ 10,000 $ $ X $ WORKERS AND EMPLOYERS' ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER (Mandatory If yes, describe SPECIAL COMPENSATION LIABILITY Y/N WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ in NH) under PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS r CERTIFICATE HOLDER CANCELLATION CITY OF CLEARWATER RISK MANAGEMENT DIVISION FINANCE DEPT. PO BOX 4748 CLEARWATER, FL 33758 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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 INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESEN VE ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION All rights reserved. The ACORD name and logo are registered marks of ACORD