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CERTIFICATE OF LIABILITY INSURANCE (4)ACCARD CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 1/15/2015 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 Greene -Hazel Insurance Group 10739 Deerwood Park Blvd Ste 200 Jacksonville FL 32256 NAME: Jessica Silverman INSURED Northeast II, Inc. dl. Delivers; TC Speer 5911 Philips Hwy Jacksonville FL 32216 NORTH18 COVERAGES CERTIFICATE NUMBER: (NC. No. Ext1: 904- 446 -3146 ADDRES$:JLS @greenehazel corn FAX No):904- 396 -7432 INSURER(S) AFFORDING COVERAGE INSURER A American Economy Ins Co INSURER B :Phoenix Insurance Company INSURER C :Darwin Select Insurance Comoan INSURER D :Federal Insurance Company INSURER E :St. Paul Fire & Marine Ins Co INSURER F :Associated Industries Insurance Corn DC \IICInIU All IIID • NAIC 25623 20281 23140 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 INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYYL LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 01011084227 1/15/2015 1/15/2016 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 CLAIMS -MADE X OCCUR MED EXP (My one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GE 'L AGGREGATE POLICY LIMIT APPLIES FECOT- X PER: LOC PRODUCTS - COMP /OP AGG $2,000,000 $ B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS 810915K366315 1/15/2015 1/15/2016 COMBINED SINGLE LIMIT (Ea accident) ,1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ( ) PROPERTY DAMAGE (Per accident) $ $ E X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ZUP14P1458A15NF 1/15/2015 1/15/2016 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED X RETENT ON $10,000 $ F WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, DESCRIPTION under DESCRIPTION OF OPERATIONS below YIN N / A AWC1041708 12/31/2014 12/31/2015 X WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C D Prof Liability Crime 03040680 82095695 8/14/2014 1/15/2015 3/14/2015 1/15/2016 Prof Liab Limit 3000000 Crime Limit 1000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) E HOLDER CANCELLATION City of Clearwater 100 South Myrtle Avenue 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 ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD