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CERTIFICATE OF LIABILITY INSURANCE (808) CERTIFICATE OF LIABILITY INSURANCE 06/07/2016 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 pollcy(les)must be endorsed.If SUBROGATION IS WAIVED,"set to the[arms 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 andorsemenlrsl. PRODUCER American Specialty Insurance&Risk Services,Inc. 7609 W.Jefferson Blvd.,Suite 100 Fort Wayne,IN 46804 NAMED INSURED Florida Sports Foundation,Inc. c/o EFI 800 North Magnolia Avenue,Suite 1100 INSURER(S)AFFORDING COVERAGE _ NAIC# Orlando,FL 32803 INSURER A: Greenwich Insurance Comoanv _ 22322 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1001303206 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING 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 INSURANCE POLICY POLICY LTR TYPE POLICY NUMBER EFFECTIVE EXPIRATION I IMITR General Aggregate-Per Event 5.000.000 GL ASGO89866901 01123/2016 01/23/2017 Products-Completed Operations Agoreciate 5.000 000 A nti Pergnnal a Adve&,t11nn iu Inn, 1 nnn nnn 12:01 a.m. 12:01 a.m. Each Occurrence 1 nnn nnn Damage to Premises Rented to You!A v One Pre isesl 1 000 0/10 _ _ -- Medical Expense Limit(Any One Person) FxrJudPd Non-Owned/Hired Auto Liabilltv 1.000.000 AUTO ASA089867001 0112312016 01/2312017 Hired Auto Phvsiral Dameae Dedur_tihle-Collision&1.000 /01 12:01 a.m. 12:01 a.m_ Hired Auto Phvsical Damage Deductible-Comprehensive 5100 i XS Pm' 4.000.000 A ASX089867101 01/23/2016 01/23/2017 a 000 000 (:nnor:al�Annrona}o�pQ Ptah nq Annrenate 1 4.000 000 12:01 a.m. 12:01 a.m. r vane DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Additional Remarks Schedule may be attached if more space is required) The Certificate Holder shall bean Additional Insured,but only with respect to the operations of the Named Insured,and subject to the provisions and limitations of Form GXAL 431 Additional Insured-Designated Person or Organization Written Contract or Written Agreement,but only with respect to OFFICE SPACE, CERTIFICATE HOLDER CANCELLATION CITY OF CLEARWATER,FLORIDA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE PO BOX 4748 CANCELLED BEFORE THE EXPIRATION DATE THEREOF, CLEARWATER,FL 33758 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE GXA S03 0116 ©2016 X.L.America,Inc. All Rights Reserved. May not be copied without permission. Page 1 of 1 I