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CERTIFICATE OF LIABILITY INSURANCE (3) Aeo CERTIFICATE OF LIABILITY INSURANCE °ATE/3012015 �,,...� 04/30/2015 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 NAME: Todd Campbell(355231J) PHONE Et), 214-420-7500 ac No l: 214-420-7501 12655 N Central Expy Ste 425 ADDRIESS: INSURERS AFFORDING COVERAGE NAIC# Dallas TX 75243-3747 INSURER A: Truck Insurance Exchange 21709 INSURED INSURER B: Farmers Insurance Exchange 21652 ALL AROUND AMUSEMENTS LLC INSURER C: Mid Century Insurance Company 21687 4001 WILLOW HILLS CT INSURER D: Farmers Texas County Mutual Insurance Company 24392 INSURER E: PLANO TX 75024 1 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DD//YYYY MM/DD/YYYPY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE F—I OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ JFCT POLICY PRO-7 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 0 ANY AUTO BODILY INJURY(Per person) $ D ALL OWNED X SCHEDULED Y 605828159 04/02/2015 04/02/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DIED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) 2008 DODGE RAM 3500 Q;VIN:3D7MX48AX8G161745 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF CLEARWATER PARKS AND RECREATItj THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 4748 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CLEARWATER FL 33758 Todd Campbell ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD TEXAS LIABILITY INSURANCE CARD Commercial Polity ALL AROUND AMUSEMENTS LLC ALL AROUND AMUSEMENTS Policy Number: 605828159 4001 WILLOW HILLS CT Effective Date. 04/02/2015 PLANO,TX 75024 Expiration Date: 04/02/2016 NAIC Number: 24392 Year2008 Make DODGE Model RAM 3500 Q VIN 3D7MX48AX8G161745 Texas County Mutual 1-800.225-0011 This policy provides at least the minimum amounts of liability insurance required by the Texas Motor Vehicle Safety Responsibility Act for the specified vehicles and named insureds and may provide coverage for other persons and vehicles as provided by the insurance policy. Agent Name: Todd Campbell Phone No: 214-420-7500 25-7700 7-14 A7700401 Texas Liability Insurance Card Tarjeta de Seguro de Responsabilidad Civil de Texas Keep This Card Guarde esta tarjeta. IMPORTANT: You must show this card or a copy of your IMPORTANTE: Usted debe mostrar esta tarjeta o una copia de su insurance policy when you apply for or renew your: poliza de seguro cuando solicite o renueve su: • Motor vehicle registration • Registro del vehiculo motorizado • Driver's license • Licencia de conducir • Motor vehicle safety inspection sticker. • Etiqueta de inspeccion de seguridad para su vehiculo. You also may be asked to show this card or your policy if you Puede que usted tenga tambien que mostrar esta tarjeta o su poliza de have an accident or if a peace officer asks to see it. seguro si tiene un accidente o si un oficial de la paz se la pide. All drivers in Texas must carry liability insurance on their Todos los conductores en Texas deben tener un seguro de vehicles or otherwise meet legal requirements for financial responsabilidad civil para sus vehiculos,o de to contrario deben cumplir responsibility. If you do not meet your financial responsibility con los requisitos legales de responsabilidad financiera. Si usted no requirements, you could be fined up to $1,000,your driver's cumple con los requisitos de responsabilidad financiera, podria estar license and motor vehicle registration could be suspended, and sujeto a pagar una multa de hasta$1,000, mas la suspension de su your vehicle could be impounded for up to 180 days(at a cost licencia de conducir y la suspension del registro del vehiculo,y ademas of$15 per day). su vehiculo podria ser confiscado por hasta 180 dias(a un costo de$15 por dia). TEXAS LIABILITY INSURANCE CARD Commercial Policy ALL AROUND AMUSEMENTS LLC ALL AROUND AMUSEMENTS Policy Number: 605828159 4001 WILLOW HILLS CT Effective Date: 04/02/2015 PLANO,TX 75024 Expiration Date: 04/02/2016 NAIC Number: 24392 Year2014Make RAM Model RAM TRUCK VIN 3C63RRJL5EG264941 Texas County Mutual 1-800-225-0011 This policy provides at least the minimum amounts of liability insurance required by the Texas Motor Vehicle Safety Responsibility Act for the specified vehicles and named insureds and may provide coverage for other persons and vehicles as provided by the insurance policy. Agent Name: Todd Campbell Phone No: 214-420-7500 25-7700 7-14 A7700401 Texas Liability Insurance Card Tarjeta de Seguro de Responsabilidad Civil de Texas Keep This Card Guarde esta tarjeta. IMPORTANT: You must show this card or a copy of your IMPORTANTE: Usted debe mostrar esta tarjeta o una copia de su insurance policy when you apply for or renew your: poliza de seguro cuando solicite o renueve su: • Motor vehicle registration • Registro del vehiculo motorizado • Driver's license • Licencia de conducir • Motor vehicle safety inspection sticker. • Etiqueta de inspeccion de seguridad para su vehiculo. You also may be asked to show this card or your policy if you Puede que usted tenga tambien que mostrar esta tarjeta o su poliza de have an accident or if a peace officer asks to see it. seguro si tiene un accidente o si un oficial de la paz se la pide. All drivers in Texas must carry liability insurance on their Todos los conductores en Texas deben tener un seguro de vehicles or otherwise meet legal requirements for financial responsabilidad civil para sus vehiculos,o de to contrario deben cumplir responsibility. If you do not meet your financial responsibility con los requisitos legates de responsabilidad financiera. Si usted no requirements, you could be fined up to $1,000,your driver's cumple con los requisitos de responsabilidad financiera, podria estar license and motor vehicle registration could be suspended, and sujeto a pagar una multa de hasta $1,000, mas la suspension de su your vehicle could be impounded for up to 180 days(at a cost licencia de conducir y la suspension del registro del vehiculo,y ademas of$15 per day). su vehiculo podria ser confiscado por hasta 180 dias(a un costo de$15 por dia).