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CERTIFICATE OF LIABILITY INSURANCE (724)'4 b CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/1/2016 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). PRODUCER Wallace Welch & Willingham, Inc. 300 1st Ave. So., 5th Floor Saint Petersburg FL 33701 CONTACT NAME: PHONE 727 - 522 -7777 FAX 727- 521 -2902 (A/C` In.EXt)' INC. Not: ADDRESS: certificates@w3ins.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:National Fire Insurance Co /CNA 20478 INSURED GULFCOA -02 Gulf Coast Signs of Sarasota, Inc. 1713 Northgate Blvd Sarasota FL 34234 INSURER B :Continental Casualty Co. /CNA 20443 INSURER C :Valley Forge Insurance Co. /CNA 20508 INSURER EACH OCCURRENCE INSURER E : INSURER F : CLAIMS -MADE COVERAGES RTIFICATE NUMBER: 756211712 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 LTR TYPE OF INSURANCE • • . INSD SUBR WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 6042653586 �g3 * '�g'g� --' {e��.gp ice+' "` JUL L! i N fJIC 20gC 7/8/2016 �a 7/8/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000 MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE POLICY OTHER: X LIMIT APPLIES JET PER: LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ B AUTOMOBILE X X _ LIABILITY ANY AUTO ALL OS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS Y Y 6024631831 OFFICIAL RECORDS LEGISLATIVE SRVCS 7 / /�JjQ'1}6 • " `�° DEPT 7/8/2017 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ PIP $10,000 B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Y Y 6042653779 7/8/2016 7/8/2017 EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 DED X RETENT ON $10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N /A y 6024631847 7/8/2016 7/8/2017 X PER STATUTE ERH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is requi ed) CERTIFICATE HOLDER CANCELLATION CITY OF CLEARWATER 100 S. Myrtle Ave, Ste 210 Clearwater FL 33756 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 ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD