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CERTIFICATE OF LIABILITY INSURANCE (209)ACORDT,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Marsh Commercial Business Center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 9830 Colonnade Blvd. #400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICY EFFECTIVE POLICY EXPIRATION PO Box 659520 9 n TX 78265- INSURERS AFFORDING COVERAGE NAIC# _ -onion INSURED FiberLi.ght- .LLC.... ., - INSURER A: ST PAUL FIRE & MAR INS CO _ - - - - -- - - - -- INSURER C: 3655 Brookside Parkway Building 2 0 Suite ,550 INSURER D- GENERAL LIABILITY INSURER E: 05/09/2007 105/09/2006 Alp aretta, GA 30022 (`n\ /CRA!_PC 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR DD'L 112 S. Osceola Avenue IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR Clearwater, FL 33756 POLICY NUMBER DA M DD DATE MM DD Y A GENERAL LIABILITY TE05800787 05/09/2007 105/09/2006 1 EACH OCCURRENCE $ if 000 }QQ_0 DAMAGE TO RENTED PREMISES Ea occurence $ l, 000,000 COMMERCIAL GENERAL LIABILITY i nneO EXP iAnY one oersoni $ 1 .) �0 n.Q_ CLAIMS MADE � OCCUR -- - - -. PERSONAL & ADV INJURY $ GENERAL AGGREGATE 2# 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP!OP AGG S POLICY PRO LOC A AUTOMOBILE LIABILITY TE05800787 05 /RF ~1 ty2008 IL./) COMBINED SINGLE LIMIT. S 1,000,000 ANYAUTO (Ea accident) ALL OWNED AUTOS - , r -,' BODILY INJURY person) Per SCHEDULED AUTOS L �� 007 � _ HIRED AUTOS nECO S Ppr�acident h` NON -OWNED AUTOF FICL4 c T Rc cn`, ISLeiTIVE SRi/FT$ t3EP'� - --- PROPERTY DAMAGE ..... I :(Per accirent) I - LIABILITY AU TO ONLY EAACCIDENT I� - _GARAGE -� ANYAUTO OTHER THAN EA ACC $ ___ AUTO ONLY: AGG $ A EXCESS /UMBRELLA LIABILITY TE05800787 05/09/2007 05/09/2008 EACH OCCURRENCE __ S 25000O, -000 OCCUR CLAIMSMADE AGGREGATE $ 1 -- is _ DEDUCTIBLE RETENTION $ A WORKERS COMPENSATION AND HKLTB4752C74606 05/09/200705/09 /2008 WC STATU- OTH- �TORY LIMIT � ER EMPLOYERS' LIABILITY � E.L. EACH ACCIDENT is L., 000 , 000 j OFFICER /MEMBER EXCLUDED? E.L. DISEASE EA_ EMPLOYFEI $ 1,000,000 If Yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMI1,000,000 t S OTHER TE05800737 05/09/2007 05/09/2008 lanket BPP $2,030,957 A Prop. - $25,000 Ded. E01201942 09/20/2006 :09/20/2007 ccurence $5,000,000 Railroad Proctective I ggregate $10,000,000 i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Subject to all policy terms, conditions and exclusions, the City of Clearwater is included as ddditional insured on the above General Liability Policy ONLY as required by written contract and as .respects to building access agreement. pplicense f_1:RT1rI(_ATF wni nrR CANCELLATION ACORD 25 (2001/08) DS #3372590 ® ACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Clearwater a political subdivision of the Stat DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE 'i0 DO SO SHALL 112 S. Osceola Avenue IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRES A I Clearwater, FL 33756 ACORD 25 (2001/08) DS #3372590 ® ACORD CORPORATION 1988 ACORD,,,, CERTIFICATE OF LIABILITY INSURANCE °ATEIMM / ° ° "VYY) PRODUCER THIS CERTIFICATE IS ISSUED AS 'A MATTER OF INFORMATION ' i05 nn8 /09/2 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Marsh Commercial Business Center HOLDER. THIS CERTIFICATE. DOES NOT AMEND, EXTEND OR 9830 Colonnade Blvd. #400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. -, �j OCCUR CLAIMSMAUt PO Box 659.520 INSURERS AFFORDING COVERAGE NAIC # San - Antonia, TX .78265 -:9520 --- ' - - - -- - - - - -- - - - -- —�_ - INSURED FiberLight LLC INSURER A: ST PAIJL• FIRE &'_MAR INS CO__: -T 3,658 Brookside Parkway Building 2 —I INSURER C: J Suite 550 _ INSURER D: Alpharetta, GA 30022 INSURER E. - COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.. _ INSR DD'LT -� POLICY EFFECTIVE- TPOUCY EXPIRATION LTR POLICY NUMBER ATEIMM /DDNVI 11 DATE D Y LIMITS A GENERAL LIABILITY E05800787 05/09/2007 05/09/2008 EACH OCCURRENCE $ 1_000) -r- -DAMA E TO RENTED COMMERCIAL GENERAL. LIABILITY I - PREnAISER IEa nr�• =� _;r.,.'� • ^_• C 0 u �° j i CLAIMSMADE �_i OCCUR ILL M�ED EXP (Any one person)- $ -1 Q Q_� II--_ PERSONAL. & ADV INJURY $ -i n n n, n n n I GENERAL _AGGREGATE 9,?- {_0-00_ G 0 0, GEN'L AGGREGATE LIMIT APPLIES PER: - i PRODUC I'S = COMP/OP AGG $ POLICY PRO LOC A AUTOMOBILE LIABILITY _ E05800787 05/09/2007 05/09/2008 I COMBINED SINGLE LIMIT .I 'Ee accident! A UTO ALL OWNED AU1 '05 I I RECE iVb -H-JDI- LY-- -I—NJUR-Y - -------- ---S ----- - - ---- -- i !Per person! SCHE DULED AUTOS I �' - - - - - -- - -- - - - --- I � Q HIRED AUTOS - Z� 7- _ - L ... ._ i -BODa Y LNJUMY- NON- OVVNED ALIIGS I (Per aur:dantl el accident) fY� 'timF -�D�fl 41 on rJ;l -- I CF CIAL RECORD .AND - noPrarY DAMAGE s _-L �y - -- - -- - - -- - - -- — - ' ^I GARAGE LIABILITY - - - - -- - I II EA ACC $ ` tAY AUTO - OTHER THAN 1 i (� -- -- - -'- --' -- - -- - I--- ----i ,AUTO ONLY:.-- -•- i A EXCESS/UMBRELLA UABPJTV PE05800787 i05 nn8 /09/2 I EACH OCCLRRENC_E- — 3 )�i Q�. - -� .� -, �j OCCUR CLAIMSMAUt I05/09i20�r7 I AGGREGATE $ _o0rL�000 IX�DEDUCTIBLE RETENTION $i n con I It_ $ _ A _ �' 'WORKERSCOMPENSATIOMPND _ _._ __ rr 'rc - �-if..,�E4, �2C'74c06 ___- __ ___— - -�' -� na 7�� : 1f /•� ;•)5/05,_OQ8 _ _" CSTATi'_ 1 �� 10 *F ~I I_F___.___ - .-- --- -•- --- - •.I -s =- - --_. - -- ',- I- _--- -.-` -- 10.,/- - -- --- - � - I - TO�ai��,v+!,FI l E L EACH ACCIDENT �$ -___ - - �I 0 , �1 0'.',) -- - - -� --- ANY PROPRIETOR /PARTNEP,'EXErV['JE OFFICER /MEMBER EXCLUDED? - "- - - -- F L ISEASV FA EMP Oy -� (. � 1,000,00 If yes, describe under � L. DISEA:::E POJ CY LIMIT S. - 1 0 0 0 J I ( -- SPECIAL PFOVISIONS belaN -- ---- i - ----' - - --�'----- --------�-- ----- - -. , 1 -_ OTHER I DESCRIPTION OF OPERATIONS / I OCATIONS ; VEHICLFS ! EXCLUSIONS ADDED BY ENDORSEMEN : SPECIAL','RO% :I£I')NS I Subject to all policy terms, conditions and exclusions, cne City of Clearwater is included as additional insured on r_t:e above General Liability Policy ONLY as .reniiircd by written contract_ anti as respectc to building access licence agreement. � City o Clearwater a 1,ol;tic-al .311t(1ivisior1 of the Stat 112 S. Osceola Avenue Clearwater, FL 33756 ACORD 25(2001 /08) OS #3370508 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE FXPIRA -G& DATE THE -SOF, THE SFUING INSURER WILI ENDEAVOR TO I&A-1. ._ JP VS WFiTTr'J ; NOTISP TO THE CERTIFICATE HOLDSA NAMED TO THE LEFT, BUT FAILURE TO DO SLR SHALL IMPOSE NO ORLICATIUN OR LIABILITY OF A'JY KWD UPON THE INSURER ,'ITS AG'-NIS OH J REPRESENTATIVES. AUTHOR17ED REPRES A I. ° ACORD CORPORATION 19813 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement (s). 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).. DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. i i ACORD 25 (2001/08i