CERTIFICATE OF INUSRANCE CERTIFICATE OF INSURANCE 1 05/21/2015
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY
American Specialty Insurance&Risk Services, Inc. OR NEGATIVELY AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
7609 W.Jefferson Boulevard,Suite 100 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT
BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND
Fort Wayne, Indiana 46804 THE CERTIFICATE HOLDER.
INSURED INSURERS AFFORDING COVERAGE
Florida Sports Foundation,Inc. INS.A: Greenwich Insurance Company
c/o EFI 800 North Magnolia Avenue,Suite 1100 INS. B:
Orlando, FL 32803 INS. C:
CERT NUMBER: 1001224757
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING 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.
INS POLICY POLICY POLICY
LTR TYPE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS
General Aggregate-Per Event 5,000,000
GL ASG0898669 01/23/2015 01/23/2016 Products-Completed Operations Aggregate 5,000,000
A Personal and Advertising In'ury 1,000,000
12:01 a.m. 12:01 a.m. Each Occurrence 1,000,000
Damage to Premises Rented to You(Any One Premises 1,000,000
Medical Expense Limit(Any One Person Excluded
Non-Owned/Hired Auto Liability 1,000,000
AUTO ASA0898670 01/23/2015 01/23/2016 Hired Auto Physical Damage Deductible-Collision$1,000
A 12:01 a.m. 12:01 a.m. Hired Auto Physical Damage Deductible-Comprehensive 100
Each Occurrence 4,000,000
XS ASX0898671 01/23/2015 01/23/2016 Prod ucts-Com p feted Work Hazard Aggregate 4,000,000
/4 12:01 a.m. 12:01 a.m. General Aggregate-Per Event 4,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
- The Certificate Holder shall be an Additional Insured,but only with respect to the operations of the Named Insured,and subject to the provisions and limitations of Form GXAL 431
Additional Insured-Designated Person or Organization Written Contract or Written Agreement,but only with respect to PROPERTY LOCATED AT 1501 N BELCHER RD,
CLEARWATER,FL.
CERTIFICATE HOLDER CANCELLATION
CITY OF CLEARWATER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES
PARKS AND RECREATION DEPT BE CANCELLED BEFORE THE EXPIRATION DATE
P O BOX 4748 THEREOF,NOTICE WILL BE DELIVERED IN
CLEARWATER, FL 33758 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
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