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CERTIFICATE OF LIABILITY INSURANCE (4)ClEent#: 16741 INTERCUL DATE (MMJODIYYI'Y) ACORDn CERTIFICATE OF LIABILITY INSURANCE 1212812016 THIS CER71FlCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Pi0 RIOHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOHS NOT AFFlRMATIVELY OR NEGA7NELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y THE POUCIES BELOW. THIS CERTIFlCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWHEN THE ISSUINO INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlticate hoider Is an ADDITIONAL INSURED, the policy(lesy must be endorsed. If SUBROGATION IS WAIVED, subJeet to the terms and conditions of the pollcy, cartain pol(cles may requlre an endorsement A stetement on this certlflcata does not confer rights to the cerHflcate holder in Ileu of such endorsement(s). _ raoouc� Bouchard Insurance (CLIII� 101 N Starcrest Dr. Clearvvater, FL 33765 727 447-6481 INSURED InterCultural Advocacy Institute Inc 612 Frankltn Street Cleatwater, FL 337b6 727 Guarantee Insurance 727 449-1267 1398 - COVERA13E3 -- -- CHR7IFICATE NUMBER: ettv���un numaorc: THIS IS TO CERTIFY THAT THE POLICEES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDIT{ON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIF(CATE MAY BE ISSUEO 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 R£DUCED BY PAID CLAIMS. INj4�a TYPE OF INSURANCE ADD U8 ppV� NUMBBR M�hUVD FF MMfD �P U�� I.x A X��MERCIAL OENERAI LIABILJTY Y Y 07 LX066415761 3116l2016 03115l201 EACH OCCURRHNCE s 1 000 000 X CWMS-MADE � OCCIJR ENTED S'IOO OOO L AGGREGATE L1MIT APPUES PER: poucv ❑ �car ❑ �oc q nuro�com� uneiuTr X ANY AUTO AUTOS E� AUTOSULED X MrtEDnuras X A��S�ED A H�Me�, � H �R EXCESS LU1B rv ewc B woacERS con��NSnnoN AND EMPLOYERS' LIABILfIY C ID&O 01CA048193103 01UD042866097 WCP70033910TGIC N!A EKI3181163 5120161031151201 6 03/1 AGG � S —r BOOILY INJURY (Per peraon) S BODILY INJURY (Per eeddem) S PROPER e �Ou1MAGE s s $1,000,000 DESCRIPTION OF OPERAT10N31 LOCATIONS 1 VENICLEB (AGORD 101, AdGlNOnsl RemeAcs Sehetlute, msy be atbehed if mors apaeels reyul�ad) Clearvwaber Police Department 645 Plerce St Clearvvater, FL 33756 SHOULD ANY OF THE ABOVE CESCRIBED POLtCIES BE CANCELLED BBFORE 7HE EXPIRA710N OATB THEREOF, NO710E W[LL BE DEUVERED IN ACCOROANCE 1MTH THB POUCY PROVISIONS. AUTIiORIZED t1EPRESENTATNE � 1968-2014 ACORD CORPORATION. All rtghts reserved. ACORD 25 (2014f01) . 1 of 1 �e ACORD name and logo are_registered marks of ACORD - - - #S5764507NA575445 - � LINGE — - ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYIf) 12/28/2016 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 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 Bouchard Insurance (CLW) 101 N Starcrest Dr. Clearwater, FL 33765 727 447 -6481 CONTACT NAME: PHONE 727 4474481 FAX 727 449 -1267 (A/C, No, Eat): (A/C, No): E-MAIL cicerts@bouchardinsurance.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : New Hampshire Insurance Co 23841 INSURED InterCultural Advocacy Institute Inc 612 Franklin Street Clearwater, FL 33756 INSURER B : Guarantee Insurance Company 11398 INSURER C : Scottsdale Indemnity Company 15580 INSURER D EACH OCCURRENCE INSURER E : PREMISES(EaEoccccurrence) 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DDY/YYYY) (MM/DCD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 01 LX06641576', O F)C -td. ( a, i j 1 1 "'s l .9-0)—) 9g A RECC t 016 ) RDS ANT' 03/15/2017 EACH OCCURRENCE $1,000,000 PREMISES(EaEoccccurrence) $100,000 $ 20,000 X CLAIMS -MADE X OCCUR MED EXP (Any one person) PERSONAL &ADVINJURY $1,000,000 $3,000,000 GENERAL AGGREGATE GEN'L AGGREGATE XI POLICY OTHER: LIMIT APPLIES PER: PRO- JECT n LOC PRODUCTS - COMP /OP AGG $ 3,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED NON -OWNED AUTOS C'_ 01CA048193 'M• I� & S f9Vsl' �r �1��, { (i7� 03/15/2017 (COMBINED itSINGLE LIMIT J1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 01 UD042866097 03/15/2016 03/15/2017 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 $ DED RETENT ON $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N Y N / A WCP100339107GIC 01/01/2017 01/01/2018 X STATUTE FORH E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $1 00,000 E.L. DISEASE - POLICY LIMIT $500,000 C D &O EKI3181163 03/15/2016 03/15/2017 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION Clearwater Police Department 645 Pierce St. 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 (2014/01) 1 of 1 #S575450/M575445 © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LINGE