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CERTIFICATE OF LIABILITY INSURANCE (862)
A��® CERTIFICATE OF LIABILITY INSURANCE DATE(MMroOfYYYYI �-� 9/21/2017 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the pol€ey,Certain policies may require an endorsement. A statement on this Certificate does not confer ri hts to the certificate holder in lieu of such endorsement s. PRODUCER CONTACT Shannon Francois Arthur J. Gallagher Risk Management Services, [no- PHONE 200 S. Orange Avenue,Suite 1350 407-553-3520 fox 407-370-3057 Orlando FL 32801 E �, Shannon francois a' Gam c . �+ucrEP.ss: @ jg• INSURERS AFFORDING COVERAGE NAIC9 WSURER A:Saf9 National C asu a Ity C orpo ration 15105 INSURES CLEARWA-01 INSURER S:LIO d'S Sy nd 2987 City of Clearwater INSURER C,. RICK OSarjo,Risk Manager INSURER O P.0. Box 4748 Clearwater FL 33758-5520 INSURER E,. INSURER F: COVERAGES CERTIFICATE NUMSER-.723081088 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. IN SR TYPE Of INSURANCE POLICY HUMBER MMDDMW PRICY£xP LIMITS AoDLI 8 x COMMERCIAL GENERAL LIABILITY PK1020917 10/112017 10/1/2018 EACH OCCURRENCE $7.aft000 DAMAGE TO RENTED CLAIMS MADE FU OCCUR PREMISES Eaoomr rz $ MED EXP M one person $ PERSONAL&AOV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $14,OD0,000 X POLJCY❑JECQT- LOC PRODUCTS-COMPIOPAGO S OTHER: Self-in5d retention $500,000 $ AUTOMOBILE LIABILITY N N PK1020917 10/1/2017 10/1/2018 Ea accident I $7,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED AUTOS ONLY ASCHEDULED SULE A BODILY INJURY(Perneddent) S HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per nl S Self-insd retention $500,000 UMBRELLA LIAO OCCUR EACH OCCURRENCE $ EXCESS LIA13 HCt.NME-MADE AGGREGATE $ DEL) I I RETENTIONS $ A WORKERS COMPENSATION SP4055714 10/1/2017 10/1/2018 X STATUTE Q7 AND EMPLOYERS'r.IABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERIMEMDER EXCLUDED? NIA E.L.EACH ACCIDENT $1,000,000 (Mandatory In NHI E.L.DISEASE-EA EMPLOYE $1,000,000 If es,describe under D SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1.000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addrdonal Remarka Schedule,may he attached It more space Is required) As proof of insurance for the City of Clearwater. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Alvarez New Concepts THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 3617 Hudson Lane ACCORDANCE WITH THE POLICY PROVISIONS. Tampa FL 33618 USA AUTHORIZED REPRESENTATIVE ©7988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD