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CERTIFICATE OF LIABILITY INSURANCE (683) SEVEONE-01 MHOWARDSELEMAN DATE(MM/DD/YYYY) - CERTIFICATE OF LIABILITY INSURANCE 3/31/2016 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 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). CONTACT PRODUCER License#OC36861 NAME: Thousand Oaks-Alliant Insurance Services,Inc. PHONE FAX 325 East Hillcrest Dr Ste 250 (A/C,No Ext:(805) 777-4770 (A/C,No): (619) 699-2159 Thousand Oaks,CA 91360 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:AIX Specialty Insurance Company 12833 INSURED Seven One Seven Parking Services Inc. INSURER B:Ohio Casualty Insurance Company 24074 dba Hospital Parking Management,Seven One INSURER C:QBE Insurance Corporation 39217 Seven Park Ent,Accardi Land Group,LLC INSURER D 1523 N.Franklin Street INSURER E Tampa,FL 33602 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE � PREMISES OCCUR X PKZCL00201333 09/15/2015 09/15/2016 DAMAGE TO PREMISES Ea occurrence $ 1,000,000 MED EXP(Any one person) $ 0 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY D PRO- JECT LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 Ea accident) , , A ANY AUTO X PKZCL00201333 09/15/2015 09/15/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 10,000,000 B X EXCESS LAB CLAIMS-MADE X EUO(16)56868232 09/15/2015 09/15/2016 AGGREGATE $ 10,000,000 DED X RETENTION$ 0 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N QWC3000735 09/15/2015 09/15/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Garagekeepers Legal PKZCL00201333 09/15/2015 09/15/2016 Limit 1,000,000 A Liability PKZCL00201333 09/15/2015 09/15/2016 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Certificate holder is named as additional insured only where required by written contract(except wc)with respects to liability in the performance of your ongoing operations for the additional insured designated at: 25 Causeway Blvd,Clearwater,FL 33767 effective 04/01/16 to 07/01/16. Additional Insured&Waiver of Subrogation attached on endorsement#AGL04631211 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Engineering Department Attn: Parking Manager P.O.Box 4748 AUTHORIZED REPRESENTATIVE Clearwater,FL 33758-4748 wda ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY# SrdEI &-SN] CFOM35346605 # # THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PARKING OPERATIONS ENHANCEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following Paragraphs are added to SECTION II—WHO IS AN INSURED: 1. Broad Named Insured Any corporation organized under the laws of the United States of America (including any state thereof, its territories or possessions), or Canada (including any province thereof), will qualify as a Named Insured if there is no similar insurance available to that organization, provided that one or more Named Insureds shown in the Declarations has, at the inception of the policy period, an ownership interest in such organization of more than 50%. 2. Lessor Of Leased Equipment a. Any person or organization from whom you lease equipment when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an insured only with respect to their liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person or organization. A person's or organization's status as an additional insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. b. The insurance afforded these additional insureds does not apply to any "occurrence" which takes place after the equipment lease expires. 3. Managers Or Lessors Of Premises a. Any person or organization from whom you lease premises when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an insured only with respect to liability arising out of your ownership, maintenance or use of that part of the premises leased to you subject to the additional exclusions in b. below. b. The following additional exclusions apply to the insurance afforded these additional insureds: This insurance does not apply to: (1) Any"occurrence"which takes place after you cease to be a tenant in that premises. (2) Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. 4. Owners, Lessees Or Contractors a. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that insured are completed. b. The following additional exclusions apply to the insurance afforded these additional insureds: This insurance does not apply to: AGL04631211 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 5 with its permission. COMMERCIAL GENERAL LIABILITY# (1) "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional, architectural, engineering or surveying services, including: (a) The preparing, approving, or failure to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Supervisory, inspection, architectural or engineering activities. (2) "Bodily injury" or"property damage"occurring after: (a) All work, including materials, parts or equipment furnished in connection with such work on the project (other than service, maintenance or repairs)to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (b) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. 5. Vendors a. Any person or organization (referred to as vendor) with whom you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an insured only with respect to "bodily injury"or"property damage" arising out of"your products" covered within this policy, which are distributed or sold in the regular course of the vendor's business, subject to the additional exclusions in b. below. b. The insurance afforded the vendor does not apply to: (1) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; (2) Any express warranty unauthorized by you; (3) Any physical or chemical change in the product made intentionally by the vendor; (4) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; (5) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; (6) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; (7) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or (8) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its "employees" or anyone else acting on its behalf. However, this exclusion does not apply to: (a) The exceptions contained in sub-paragraphs 4. or 6.; or (b) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. c. This insurance does not apply to any insured person or organization from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. a. Any person or organization is an insured with whom you are required to add as an additional insured to this policy by a written contract, written agreement, or permit that is: (1) Currently in effect or becoming effective during the term of this policy; and (2) Executed prior to the "bodily injury", "property damage", or"personal and advertising injury". b. The insurance provided to the additional insured by this extension of coverage applies as follows: That person or organization is only an additional insured with respect to liability caused by your negligent acts or omissions at or from: AGL04631211 Includes copyrighted material of Insurance Services Office, Inc., Page 2 of 5 with its permission. COMMERCIAL GENERAL LIABILITY# (1) Premises you own, rent, lease or occupy, or (2) Your ongoing operations performed for the additional insured at the job indicated within the written contract or written agreement. c. With respect to the insurance afforded these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or"property damage"occurring after: (1) all work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or (2) that portion of"your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations on or at the same project. d. This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" caused by the rendering of or failure to render any professional services. 7. With respect to the Additional Insureds included in this endorsement, the following Paragraphs are added: a. The Limits of Insurance applicable to an additional insured are those specified in the written contract, written agreement, or in the Declarations of this policy, whichever is less. These Limits of Insurance are inclusive of and not in addition to the Limits of Insurance shown in the Declarations. b. The following Paragraph is added to Condition 4. Other Insurance a. With respect to the Additional Insureds included above, this insurance will be primary and non- contributory regardless of whether other insurance is available to the additional insured on a primary basis. c. Paragraph 4. Other Insurance, b. Excess Insurance (1) (b) is deleted. d. Paragraph 4. Other Insurance, c. Method Of Sharing is deleted. B. "BODILY INJURY" REDEFINED The following definition in SECTION V—DEFINITIONS is deleted and replaced by: Bodily Injury "Bodily injury" means bodily injury, bodily sickness or bodily disease, sustained by a person, including death resulting from any of these at any time. "Bodily injury" includes mental anguish or mental injury sustained by a person, but only if these result from covered physical harm, physical sickness or physical disease. C. DAMAGE TO RENTED PREMISES Exclusion 2.j. Damage To Property in SECTION I—COVERAGES, COVERAGE A. is amended as follows: The paragraph immediately following (6) is deleted and replaced by: Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire) to premises, including the contents of such premises, rented to you for a period of 7 or fewer consecutive days or to premises while rented, leased or operated by you with the permission of the owner, for your parking operations. A separate Limit of Insurance applies to Damage To Premises Rented To You as described in SECTION III— LIMITS OF INSURANCE. D. EXPANDED DEFINITIONS OF EMPLOYEE The following replaces the definition of"employee" in SECTION V— DEFINITIONS: Employee "Employee" includes a "leased worker" or a "temporary worker'. E. EXPANDED DEFINITION OF PERSONAL AND ADVERTISING INJURY The following is added to the definition of"personal and advertising injury" in SECTION V—DEFINITIONS: Personal And Advertising Injury "Personal and advertising injury" includes the additional offense of abuse of process. AGL04631211 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 5 with its permission. COMMERCIAL GENERAL LIABILITY# F. NOTICE AND KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS are amended as follows: The notification requirements of Paragraphs 2.a. and 2.b. in SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS apply only when the "occurrence", offense, claim or"suit" are known to: 1. You, if you are an individual; 2. A partner or member, if you are a partnership or joint venture; 3. An officer or director, if you are an entity other than a partnership, joint venture or limited liability company; 4. A member or manager, if you are a limited liability company; or 5. An insurance manager, risk manager, third party administrator or other "employee" you designate prior to loss to give notice to us. Knowledge of an "occurrence", offense, claim, or "suit" by your agent, servant or "employee" does not in and of itself constitute knowledge to you unless an individual described in (1)— (5) above has actual knowledge of the "occurrence", offense, claim or"suit". G. NON-OWNED WATERCRAFT 1. Subparagraph (2) in 2. Exclusions, g.Aircraft,Auto or Watercraft, in SECTION I—COVERAGES, COVERAGE A is deleted and replaced by: A watercraft you do not own that is: a. Less than 52 feet long; and b. Not being used to carry persons or property for a charge; This provision applies to any person, who with your consent, either uses or is responsible for the use of a watercraft. 2. This insurance is excess over any other valid and collectible insurance available to the insured whether primary, excess, or contingent. H. OPERATION OF CUSTOMER'S AUTO 1. Subparagraph (3) in 2. Exclusions, g.Aircraft,Auto or Watercraft, in SECTION I—COVERAGES, COVERAGE A is deleted and replaced by: a. Parking a "customer's auto" on, or on the ways next to, premises you own, rent or operate, provided the "auto" is not owned by or rented or loaned to you or the insured; b. Any "customer's auto" on the way directly to or from those premises you own, rent or operate as a parking company, provided that the "auto" is not owned by, rented or loaned to the named insured. c. Moving a "customer's auto" on the way to or from an "auto" garage or repair facility while being driven by you, or your"employee" at your direction. 2. The following definitions in SECTION V— DEFINITIONS are amended to include: Customer's Autos "Customer's auto" means an "auto", including bicycles, on those premises you own, rent or operate as a parking company; or in the insured's care, custody, or control for the purpose of incidental "auto" repair or service and hand washing/detailing of"autos"; but does not include shuttle operations or an "auto" owned by, rented or loaned to the named insured. I. PREMISES EXTENSION Paragraph 6. In SECTION III— LIMITS OF INSURANCE is deleted and replaced by: Subject to Paragraph 5. above, the Damage To Premises Rented, Leased, Or Operated By You Limit is the most we will pay under COVERAGE A for damages because of "property damage" to any one premises, while rented, leased or operated by you with permission of the owner, for your parking operations, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. J. PROPERTY DAMAGE EXCEPTION Exclusion 2. a. Expected or Intended Injury in SECTION I—COVERAGES, COVERAGE A is deleted and replaced by: "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury"or"property damage" resulting from the use of reasonable force to protect persons or property. AGL04631211 Includes copyrighted material of Insurance Services Office, Inc., Page 4 of 5 with its permission. COMMERCIAL GENERAL LIABILITY# K. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS OR PRIOR OCCURRENCES The following Paragraph is added to Condition 6. Representations: Failure to disclose all hazards or prior 'occurrences" or offenses existing as of the inception date of this Coverage Part shall not prejudice the coverage afforded under this Coverage Part, provided such failure to disclose all hazards or prior"occurrences" or offenses is unintentional. L. The following Paragraph is added to Condition 8. Transfer of Rights of Recovery Against Others To Us: We waive any right of recovery we may have against any person or organization when such waiver is required by a written contract or a written agreement that you have agreed to prior to loss. All other terms and conditions of the policy remain unchanged. AGL04631211 Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 5 with its permission.