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CERTIFICATE OF LIABILITY INSURANCE (9) Client#: 8811 CLEARWAT3 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 9/29/2017 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. IMPORT _ ...... �... ... _._ - _..... -- 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER _ ONTA T NAME: Bouchard Insurance Inc. PHONE 727 447-6481 ((�A,/C ( AIC No.Ext): .No): 727 449-1267 101 N Starcrest Dr. E-MAIL certificates@bouchardinsurance.com Clearwater,FL 33765 727 447-6481 INSURER(S),AFFORDING COVERAGE NAIC# INSURER A:Nautilus Insurance Company -17370 INSURED INSURER B:Scottsdale Insurance Company 141297 Clearwater Marine Aquarium, Inc. _.-..._ INSURER C:Valley Forge Insurance Co 20508 249 Windward Passage ------ - ._._._. INSURER D:Endurance American Specialty 41718 Clearwater,FL 33767 — ,--_.....__ INSURER E:Owners Insurance Company 32700 INSURER F:Evanston Insurance Company 35378 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 CONTRACTOR 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. INSRLTR TYPE OF INSURANCE ADDL SUBR POLICY EFF ( POLICY EXP LIMITS __. ........_1NSR WVD, _ POLICY NUMBER .....,_,iMMIDD/YYYY) (MM/DDIYYYY] ................... „. ............ A X1 COMMERCIAL GENERAL LIABILITY Y Y NN853333 10/011201t10/01/2019 EACHOCCURRENCE $1,000,000 _. DAMAGE 7U�ENTED $100,000 CLAIMS-MADE �OCCUR PREMISE$A occurrence) _ _. ....-.'. X BI/PD Ded:1,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- ,i _-... ...._. ,.. ... X POLICY�ECT ❑LOC PRODUCTS_COMP/OPAGG I$2,000,000 OTHER: .$ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E 4857348300 . 9!30/2017 09!30!2018(Eaaccidentl X1,000,000 _Xj ANY AUTO BODILY INJURY(Per person) _$ OWNED SCHEDULED - ______ AUTOS ONLYt AUTOS BODILY INJURY(Per accident) $ (. Xi HIRED NON-OWNED PROPERTY DAMAGE i AUTOS ONLY X AUTOS ONLY {Per accident) I_ $ B ( UMBRELLA LIAB X OCCUR Y Y XBS0089230 10/01/2017,10/01/2018 EACH OCCURRENCE ($9,000,000 F I X Excess uasCLAIMS-MADE' Y Y MKLV2EUE100255 10/01/2017 10/01/2018 AGGREGATE ($9,000,000 _ !DED RETENTION$ ($__ WORKERS COMPENSATIONPER OTH C' (AND EMPLOYERS'LIABILITY YIN N Y 6022864338 4/01!2017 04/01/2018,X �Sar1."1 ANY PROPRIEfOR/PARTNERIEXECUTIVE E L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A -- (Mandatory in NH) E.L.DISEASE EA EMPLOYEE $1,,000,000 If yes,describe under --...... _ DESCRIPTION OF OPERATIONS below ,, _, _ I E L DISEASE-POLICY LIMIT $1,000,000 D ;Protection& OMX10007898202 10/01/2017110/01/2018 9,000,000 Indemnity B5JH26583 10101/2017 10/01/2018 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Certificate holder is additional insured as respects General Liability,Umbrella and Excess Umbrella only if required by written contract,and subject to the terms,conditions and exclusions as specified in the policy. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION City Of Clearwater Parks& SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Recreation ACCORDANCE WITH THE POLICY PROVISIONS. P.O.Box 4748 _ Clearwater,FL 33758-0000 AUTHORIZED REPRESENTATIVE ©1966-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S745571lM745554 SHEFI DESCRIPTIONS (Continued from Page 1) Waiver of subrogation applies in favor of certificate holder as respects General Liability,Umbrella, Excess Umbrella and Workers Compensation only if required by written contract,and subject to the terms, conditions and exclusions as specified in the policy. SAGITTA 25.3(2016/03) 2 of 2 #S745571/M745554