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CERTIFICATE OF LIABILITY INSURANCE (762)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD /YYYY) 7/27/2016 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 Lott & Gaylor Inc 2120 W. First St. Fort Myers FL 33901 INSURED Rolsafe LLC 12801 Commonwealth Dr. Ste 7 Fort Myers FL 33913 CONTACT KATRINA WILLARD NAME: PHONE (239) 337 -2221 FAX (239)337 -4934 E-MAIL kwillard @lott - a lor.com ADDRESS: g Y INSURER(S) AFFORDING COVERAGE NAIL # INSURER A:Nautilus Insurance Co INSURER B :TRAVELERS INDEMNITY CO OF CT 25682 INSURER C :Scottsdale Insurance Co INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:CL1672705954 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMM /DD/YYYY) IMM /DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR BN962974 GEN'L AGGREGATE LIMIT APPLIES PER. X POLICY PRO- JECT LOC OTHER. EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) 12/30/2015 12/30/2016 MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE . PRODUCTS - COMPIOPAGG $ $ $ $ - _ $ 1,000,000 100,000 5,000 1,000,000 2,000,000 2,000,000 $ AUTOMOBILE LIABILITY B _ ANY AUTO ALL OWNED SCHEDULED BA- 7773N714- 16 -SEL AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS (Ea aBINEDt)SINGLE LIMIT BODILY INJURY (Per person) 7/29/2016 7/29/2017 BODILY INJURY (Per accident ) PROPERTY DAMAGE (Per accident) BASIC PIP $ $ $ $ $ 1,000,000 10,000 X UMBRELLA LIAB X OCCUR C EXCESS LIAB CLAIMS -MADE DED RETENTION$ XBS005895B EACH OCCURRENCE AGGREGATE 12/30/2015 12/30/2016 $ $ $ 1,000,000 1,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE - - - -_.. OFFICER /MEMBER EXCLUDED? N / A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ - - - -- - E L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) HOLDER CANCELLATION CITY OF CLEARWATER.. 100 S MYRTLE AVE SUITE 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 D Maxwell, CIC /KBW ACORD 25 (2014/01) INS025 (201401) © 1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD