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CERTIFICATE OF LIABILITY INSURANCE (860) DATE(MM/DD/YYYY) A`�°® CERTIFICATE OF LIABILITY INSURANCE 09/19/2017 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 CONTACT Brenda K. Prestigiacomo NAME: 1st Class Insurance, Inc. PHONE (727) 796-2600x FAX (888) 794-9277x A/C No Ext: A/C No): 1155 Tampa Road E-MAIL ADDRESS: b p resti 1classinsurance.com INSURER(S)AFFORDING COVERAGE NAIC#p an Palm Harbor FL 34683 Hartford Insurance Company y INSURED INSURER B: Progressive Insurance Company All American Canteen, Inc INSURER C: 4004 Poincina Ct. INSURER D: Palm Harbor FL 34684 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/YYY MM/DD/YYY A V COMMERCIAL GENERAL LIABILITY 01 SBMRG6042 912312017 912312018 EACH OCCURRENCE $ 1000000 DAMAGE O CLAIMS-MADE IV I OCCUR FIR EMISEI(E..c.'n,RENTED.nc.) $ 1000000 MED EXP(Any one person) $ 10000 PERSONAL&ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2000000 V POLICY ❑ PRO JECT [::] LOC PRODUCTS-COMP/OPAGG $ 2000000 OTHER: $ B AUTOMOBILE LIABILITY 03924022-1 911712017 911712018 COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ 100000 ALL OWNED V SCHEDULED BODILY INJURY(Per accident) $ 300000 AUTOS AUTOS NON-OWNED Per accident) PROPERTY DAMAGE $ 550000 HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is included under the blanket additional insured with repect to the general liability coverage. 0 CERTIFICATE HOLDER CANCELLATION City of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 100 S Myrtle Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Clearwater, FL 33756 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A030543 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD