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CERTIFICATE OF LIABILITY INSURANCE (641)S015743 1 ® Ali o CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 2/25/2015 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 Commercial Lines Wells Fargo Insurance Services USA, Inc. 6100 Fairview Road Charlotte, NC 28210 CONTACT NAME: PHONE 888 - 572 -2412 Ent): FAX (AIC, No): _(01/c ,_No. E-MAIL ADDRESS: certs@trinet.com INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A: Indemnity Insurance Company of North America 43575 INSURED Strategic Outsourcing, Inc. PO Box 241448 Charlotte, NC 28224 INSURER B : INSURER C : EACH OCCURRENCE INSURER D : ] CLAIMS -MADE INSURER E : OCCUR INSURER F : S • 878333 REVISION NUMBER: See below vTHIS•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 LT LTR TYPE OF INSURANCE ADM INSD, WVD POLICY NUMBER POLICY EFF MI (MDD/YYYY) POLICY EXP (MMIDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S ] CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) S MED EXP (Any one person) S PERSONAL & ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY PRO- JECT LOC PRODUCTS - COMP /OP AGG i OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) S ANY AUTO BODILY INJURY (Per person) S ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) S S UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S DED RETENTIONS S A WORKERS COMPENSATION N I A WLRC48560349 03/01/2015 03/01/2016 x STATUTE I ERH AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) Y / N N E.L. EACH ACCIDENT 1,000,000 S E.L. DISEASE - EA EMPLOYEES 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 S DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) LIMITED TO EMPLOYEES LEASED TO FLORIDA PLAYSTRUCTURES AND WATER FEATURES, INC BY STRATEGIC OUTSOURCING, INC. FAX: 813- 754 -9703 & 727 - 562 -4865 Ti CANCELLATION CITY OF CLEARWATER 100 S. MYRTLE AVE CLEARWATER FL 33756 I 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 9« !1- ACORD 25 (2014/01) The ACORD name and logo a e registered marks of ACORD © 1988 -2014 ACORD CORPORATION. All rights reserved. i1111111ii,iell11llYdfll111111111NY 'CYBO3A25/001289/02/02/0/0/0/0' Commercial Lines Wells Fargo Insurance Services USA, Inc. 6100 Fairview Road Charlotte, NC 28210 CITY OF CLEARWATER 100 S. MYRTLE AVE CLEARWATER FL 33756 Would you like to receive this certificate via email or fax? We offer expedited delivery to better serve our mutual clients. RECEWED MAR 0 5 2015 Gas 4DMIN To update the delivery method for revisions to this certificate and for next year's copy, please enter this information in your browser: https://www.cybersure.com/cybersure/forms/iyoc/cdmu.aspx When prompted, enter this information for security purposes: Client ID: SO15743 Cert ID: 8783336 Passcode: BA316288 Follow the instructions and let us know your delivery preference. You'll receive future copies of this certificate via the method you provide. Thank you for helping us provide certificates to you more quickly. ************************************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *CYB03A25/001289/01/02/0/0/0/0•