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CERTIFICATE OF LIABILITY INSURANCE (2)rim— 1...../C CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/28/2016 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 have ADDITIONAL INSURED provisions or 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 Brown & Brown Insurance NAMEACT Linda Waldorf - Clearwater P.O. Box 2456 PHONE 727 -450 -7055 FAX 727 - 450 -3353 (A/C, No Ext): (A /C. No): Suite 660 A DRESS, lwaldorfbbpinellas.com Clearwater FL 33757 -2456 INSURER(S) AFFORDING COVERAGE NAIC C INSURER A :Zenith Insurance Company 13269 INSURED INSURER B :Greenwich Insurance Company 22322 Coachman Reserve COA, Inc 6972 Lake Gloria INSURER C Travelers Casualty and Surety Compa 19038 Blvd Orlando FL 32809 -3200 INSURER D :Arch Specialty Insurance Company 21199 PERSONAL PERSONAL&ADVINJURY INSURER E : AGGREGATE POLICY OTHER: INSURER F : • RGYIJIVI\ 111.11YIOCR. 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 ADDL INSD SUER WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS D )( COMMERCIAL GENERAL LIABILITY AGL00562803 RECEIVE NOV 0 OFFICIAL I q 2016 (J �/�� 10/26/2017 EACH OCCURRENCTO E $1,000,000 CLAIMS -MADE X OCCUR DAMAGE RENTED PREMISES (Ea occurrence) $100,000 GEN'L X MED EXP (Any one person) $10,000 PERSONAL PERSONAL&ADVINJURY $1,000,000 AGGREGATE POLICY OTHER: LIMIT APPLIES PE PER: LOG GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 D AUTOMOBILE x LIABILITY ANY AUTO OWNED AUTOS ONLY AUTOS ONLY AUTOSULED ON -O ONLY AUTOS AGL00562802 SRE)IG( I)Epr10 /26/2017 COMBINED SINGLE LIMIT (Ea accident) $ $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE PPP7452822 10/26/2016 10/26/2017 EACH OCCURRENCE $25,000,000 AGGREGATE $25,000,000 DED I x I RETENTION $0 $ A 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 Z072919604 10/26/2016 10/26/2017 X STATUTE OTH- ER E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $100,000 E.L. DISEASE - POLICY LIMIT $500,000 C Directors & Officers Crime /Empl Dishonesty 105978157 105852606 10/26/2016 10/26/2016 10/26/2017 10/26/2017 Aggregate 1,000,000 Forgery/Alteration 370,000 Employee Theft 370,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Clearwater Police Department is an additional insured with regards to General Liability. CERTIFICATE HOLDER CANCELLATION Clearwater Police Department 645 Pierce Street 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 (2016/03) Ca446 &4441‘151--... © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD