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CERTIFICATE OF LIABILITY INSURANCE (810) LAKEAND-01 WAGUAYO ACORD" P ATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11/7/2016 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 NAME: Wendy Aguayo Collinsworth,Alter,Fowler&French, LLC PHONE 305 822-7800 FAX 362-2443 8000 Governors Square Blvd A/c No Ext:( ) (A/C,No): (305) E-MAIL Suite 301 ADDRESS:Waguayo @caffllc.com Miami Lakes,FL 33016 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Underwriters At Lloyds London INSURED INSURER B:Employers Insurance Company of Wausau 21458 Lake&Wetland Management,Inc INSURERC:Commerce&Industry Insurance Company 100 E Linton Blvd,#5008 INSURER D:Federal Insurance Company 20281 Delray Beach,FL 33483 INSURER E: 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 1XII OCCUR X PGIARK0468601 02/21/2016 02/21/2017 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 X Pollution/Profession MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY JjECT [::] LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 000 000 Ea accident , , B X ANY AUTO ASCZ91465327016 02/21/2016 02/21/2017 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 LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A X EXCESS LAB CLAIMS-MADE PGIXS0022401 02/21/2016 02/21/2017 AGGREGATE $ 3,000,000 DED RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WC013673553 11/11/2016 11/11/2017 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 Pollution Liability PGIARK0468601 02/21/2016 02/21/2017 1,000,000 D Equipment Floater 45467567 02/21/2016 02/21/2017 Leased&Rented 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Clearwater is included as additional insured with respect to general liability. 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 100 South Myrtle Avenue ACCORDANCE WITH THE POLICY PROVISIONS. #220 Clearwater,FL 33756 AUTHORIZED REPRESENTATIVE �� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD