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CERTIFICATE OF INSURANCE . . .. . mm CERTIFICATE OF INSURANCE ,. .. .. PRODUCER Ird. Il,;� rF i. .�J e na,. � C)111912O1C� n�rrti�,rvlyd;�.lr+:rnnr DraIrvhrnNr,COM l aa;,r.ra Rr lai WON ItHI Fa F If HOLDFj!F rll tiI?[lI (6 tt [pN IA. RM I Erd Aanariccaan�S Specialty Ii swra9 co&Risk Services,Mc. LN Cl AI !"141 r ANNFND FFIF D ORA[IFR 6111 I:rr.Er.,,E aFfrrF.i)F EI fIY rl'IE hfu „EiL�i 7609 W,Jefferson Cdul&.vaart� Suite 100 10,NI I"!Ili4(F RT Jai IE I.kI f� N5� lRnANCI SE Ir F S tla FrH. IJ fA[?41f�(',O IF'1 al iF FY,r Ndl:} INSURED Lae nraCtlan a 46804 _— — INSURERS AFFORDING ra a ED arr llcA FORDIM�G COVERAG _ E — The PYaulloe5 INS A C�r�cn�vi�hu gnsuraance C"ramLaany C;Itaxe ns Bank Park One C itizor:•'Bank Way PhauacelLYia,PA 9148-5248 INS E: ........ INS-C CEJr T NUMBER,1001280624 _._. __......m .. ._.rv.. ....... _..... ... COVERAGE I HI IF IS 10(F„Ft FIPY I Ii AT FHF.POUC IL a 0*,1 l If2(1NCZ I I STFD F:iE I z1"^d HAVE BF FN N r".ySU D TO II4E USLJI �t'l:C NAM.tf D AROVIF,FOR,,"I`HE P()1..I CY F E,6RI I)I WD I CAIFF0,No I vir 1157ANT)I NIG AN PF('QIRPOFNJ C IFf`,M JFA t 0NDI3fC)N OF AN n:l ON7 F+A 1 OR r7TI+R C)Ca,,,l.dMFNdI VVI'7 1-I F2F'SPEI,rTYO VAiIr:Cni THIS t'FRT"IFICA'FL MAY B3,ISSUE D FOR MAY PER 8AIN T)E.IN5EIR.ANt:F AF F'f°7Ed:DLD BY rFdt f'�9..1�;:I1..+G)C:.rC,Rgk�.Fr FiER'F'i'.iil Ih>E51.143.prr„T iN;l FaLW..7HE”"1 N:E�P�1,� [x+,k..l,l°:Elrl^d5 foNfi¢;t+N[.rII IInN�dE'y rDl .,L1,�;Pa F'71,V,.IIE`:,4,L..gYAl1 ,Sfir,:'1W'Na P.T,AY kdA"Jke F~+NGNd F;F171JC.;t''r)'�Y 6 fxlC.t E;;E.AINA; IMS PCJt OCY POLICY POLICY LT '......._TYPE F'C)LICY NUMBER EFt E e rIVIE EXPIRATION _........ _..,.._ LIMITS Ge a'tu �. _ .. - ....... 4,000 000 GL. ASG089012502 02/0112016 02M112017 �Pr<aalca ts-Carnya6a'tatt_ �E r atiLra�Y Ar z re sty 4'000,000 Ear:on al and Advertislra Ailh eY...-_ 2 0010 000 m.... -- _ 2 L°�,-m. 12:01 a.m. dh O curre nce 2 000 000 y aC1Tae tc) m„� t Prrrnl t s„l. 7 1lO1l 00U t Pre naI e N�nt i 1?..Yuu An 'Can .,.,._.. _..... MIe;dicaG Expense Limit. 1 .�?„n,�Ca�r�s�n1__. ... .. _.w.m....�.. Excluded Combined Sin Ie Limit. —2,000,000 AUTO] ASA089008102 02/01/2016 021111/2017 PL sy cal D mgr Ceafi eubpe ct,�a S2�©C7�Y�r r Ira,,;s:y1R -- — A Fahyslc a9 C arna�n Gtart�so�bl ct ta.. 1C➢,�'G��Pcs���@W�w, 12:01 a.m- 1'2:111 as-im. Non--Owned/Hired Ata„tta,I Iakruluty.. — _.......... 2,000,000 , Hirr Vii,Autru.P°h Vs Cbainaaga t ull-SMbjq q,c2. 2?o 00Q Eirea¢1 Auto-Phy LPainage C ea�tLL subje=ct to$20,000 p r_I«a�~ SR DESCRIPTION OF OPE RATIONS'ILQCATIONS[VEHI',CL.E IEXG`L11SIONS ACC1E�BY E�7CNCDftSE�Pa9ENTtSPE�IAI_PE�(}VISIl7N5 "I"hie C:erli cite Ilr::deri=;Only afi AddiCional frros"tiarr=t with EeF3pe[It flu(IFmMalllty caused M,y Vl to ryIIIIErr(&acts c mis,:b ,oy the Malued inSUred. CERTIFICATE HOLDER CANCELLATION CH Y OF CL EARWATEf Etal li 1 e.Iaw 4 F rIIE_A rairL DLSCRIBL,DP01 u u AI FN. E'llE BBI E REID,PARKS AND RECREA1 ION DEPT` tar T.AN 0IA I FD EaLrnlyi.roar r.kruRMION IDA I F P 0 BOX 4748 a r i1 R f I,Na,a h;N_dF�hl l F31�.I,€� swLi�Eer pra CLEATWWAG ER,Fq 33758 A c,DRDAN E TIIT'i„I P F I;ai le:Y I F(M`,,IONS AtfrRomIZEq�—RE PRESE-NTATWE _. ■w.�..�� CERTIFICATE OF LIABILITY INSURANCE 01/26/2016 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 CO'VERA'GE AFFORDED BY THE POLICIES BELOW. THIS 'CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORI'ZE'D 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 cer'tifi'cate holder in lieu of such endorsement(s). PRODUCER Willis CONTACT a..l.l i.s. �of Texas, NAME.: c/o 26 Century Blvd PHONE FAX P.O.. Bax RU519'1 .�.��m.Bk4a 1-877-945 737,,;8 (AIC,No)1-8883-46'7 Nas.hv3.1.1,e, 12 3729135191 TJSA. ADDRESS:Carti£icarers@wi111s.ccrm ..,..., ,,, ..... .............. .. I NSU RE....S.A FFORbI W,G COVE RAGE N AIO 18 ...... INSURER A ACE Amerik ma y. Snsuxance Company ....,., 22567 INSU'IRE'r,3 Th.rz. ph.i,1lies ':.INSURER a One citizens BarJk Way INSURER C Philadelphia, PA, 1.51483 ,„ _..... ...... ........... . ......_,...... _ ... WNSiUREIR INSURER E'.:. INSURER F: ... COVERAGES CERTIFICATE NUMBER:W1287500 REVISION NUMBER: THIS IS TO CERTIFY'T'HAT 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 CERTIIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN i'S SUBJECT TO ALL 'T'HE TERMS, EXCLUSIONS AND CONDITIONS OF.SUCH P01IJOIES_LIMITS SHOWN MAY HAVE BEEN REDUCED BY'PAID CLAIMS, IN SR ...... ....AbDL SUER ......... POLICY EFF.. _ POLICY EXP ._.... ... LTR TYPE OF INSURANCE POLICY NUMBER MMMDNYYY MWDOfYYYY LIMITS ..COMMERCIAL GENERAL LIABILITY' _ EACH OCCURRENCE $ DAMAGE TO RENTED CLAIO«fl5'•%M.ALi ;CC,.VJR p RFV$L$IE eMED EXP(Any onr:person) S PERSONAL 6 APV 4NJUPY S GENT C AGGREGATE LIMI'7 APPLIES PER GENERAL SRECA I E S POLICY PRCA- LOC ,,... .JECT PRODUCTS-COMP)OP AGG S C'I`HER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT � (ETa a=?dentl,,,,. ......... .. B^DDLY INJURY(P&persnn') 5 LLC^NECi SCHEDULED AUTO 55 Ae.UXT✓CS 90Db,.Y INJURY,Pu accidents S HIRED k.UT £ ........ hON•O'd EO PRb0Em'Y 6A:k : ....... $ ...... r l troy Per ica dent) ....._... ....._ _....... S UMBRELLA LIIAB OCCUR EACH OCCURRENCE $ EXO ESS L1Aa CLAIMS4AACE, A,S€",�REfa�ATE'' S CsFD RETENTIONS S WORKERS COMPENSATION X PER ORH- A ND EMPLOYERS'LIAFSILITY .',�N STATUTE ,,., ..... A ANY PROPRIF;TDR+PAR'TNER EXE"IJ''r'E .N ' E L FA CH�,U„JIDEdT S 1,000,TJC7p O'F'FIC.ER/MEMBEREXCW,.LII�3F2” � hIJA WLTC48544163 02/0�1/201.S 02/01/2017' ... .. (Mandatary In N'H) E DSF,ASE EA EMPLOYEE 'S 1.000,p,8 q. .... IS y!r >di Iscftp�inrder C3laFkSE-P+CLIti'YLY �. 1,000,000..... _..... C�ESC�RIPTION OF OPERATIONS hetu& 11. MIT S DESCRIPTION OF OPERATIONS.I LOCATIONS J VEHICLES IACOR9b 101,Additional Remarks Schedule,may be attached if more space Is r+egkAired} CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION LATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, CITY OP CLEA.RWATER PARKS 6 RECREATION DZPAkt•"I"i"1 NT AUTHORIZED REPRESENTATIVE •ATTN; DEBBIE. REID Pp E'✓.'7X 4749 C].e.arwmtGr, E'L 53750 Q 1988-2014 ACORO CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD SR I D:lllr,:95'72 BATC4i SaLcl% 1I; 199938