CERTIFICATE OF LIABILITY INSURANCE (824)A��1../I DATE(MM/DD/YYYY)
�� CERTIFICATE OF LIABILITY INSURANCE 1,24,201,
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIPICATE 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
PRODUCER
SC�LZ INSURANCE
3894 Tampa Rd #B
Oldsmar, FL 34677
INSURED Elorida Graphic Services, Inc.
A Division of Florida Graphic Supply, In
1351 Arcturas Ave, # B
Clearwater, FL 33765
727-447-9780
nn A S Ct1IR81 Z
;813) 855-6639 FA/c.Noi:(813) 855-1246
z sc lzins.com
Scottsdale Insurance
Guarantee Insurance
a
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 TYPEOFINSURANCE N P LI YEY� P LI Y XY LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2 OOO OOO
CLAIMS-MADE � OCCUR $ �.00 OOO
MEDEXP An one erson $ �J 00�
A Y CPS2561079 10�2']�1(10�2'��17 PERSONALBADVINJURY s Exluded
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 � OOO � OOO
X POIICY � jE� � LOC PRODUCTS-COMP/OPAGG $ 2 OOO OOO
$
AUTOM081LELIABILITY N D IN LELIMIT $
i i
ANYAUTO BODILYINJURY(Perperson) $
OVUNED SCHEDULED BODILY INJURY (Peraccident) $
A AUTOS ONLY AUTOS
HIRED NON-OWNED CPS2561079 SO�Z%�161O�Z%�l% R ERT DA A E
x AUTOS ONLY x AUTOS ONLY $
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
WORKERSCOMPENSATION X R TH-
AND EMPLOYERS' LIABILITY T R
Y 1 ��� ��0
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ / /
B OFFICER/MEMBER EXCLUDED7 N/A
(MandatoryinNH) wCP101058902GIC 1��.�1% Z�Z�ZH E.L.DISEASE-EAEMPLOYEE $ i i
Ifyes,desTibeunder TI IMI 1 i ��� � ���
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule,may be attachedif more space is required)
City of Clearwater is named as Additional Insured.
City Of Clearwater —
ZOO S Myrtle AVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Clearwater, FL 33756 THE EXPIRATION DATE THEREOF, NOTICE NALL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Carol.Barden@myClearwater.com
AUTHORIZED REPRESENTATIVE �`��� � .
•
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