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CERTIFICATE OF LIABILITY INSURANCE (6)
A "� CERTIFICATE OF LIABILITY INSURANCE °OTE' r`YY' 41411/4/1 8 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(les) 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 NAME: .lane Passino MHBT, a Marsh&McLennan Agency, LLC company PHONE 8144 Walnut Hill Lane, 16th FI iAIC.No.Extl: 972-770-1600 aA1c,Nol:972-770-1699 E-MAIL _ Dallas TX 75231 A°pREss: Jane Passino@mhbt.com INSURER(S)AFFORDING COVERAGE _ NAIC# wsuRERA;Old Republic Insurance Company _ 24147 INSURED 8SALFLCA INSURERB: Soy Scouts of America, National Council and All of its affiliates and subsidiaries INSURER C: Greater Tampa Bay Area Council 089 INsuRER-°—: 13228 N Central Ave. INSURER E Tampa,FL 33612 INSURER F COVERAGES CERTIFICATE NUMBER:860427139 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. ILTR EXP TYPE OF INSURANCE INSO SU$R POLICY NUMBER MM1poPOLiC_Y/YYYY -MID POLICLIMITSY A X COMMERCIAL GENERAL LIABILITY Y MWZY317633 3/112018 3112018 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X c OCCUR OAMA ET RENTED $ PREMISES Ea oaurrence) f MED EXP(Any one person) $ � PERSONAL&ADV INJURY $ r'L AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE PCUCY L____i PEC LOC PRODUCTS-COMPIOP AGG _5 OTHERS --- 5 AUTOMOBILE LIABILITYMBINED SINGLE LIMIT ANY AUTO BODILY INJURY(Per person)TS ALL OWNEDSCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ _ HIRED AUTO NON-0vVNED PROPERTY DAMAGE $ AUTOS i ,JPer acddent $ UMBRELLA LIAB I OCCUR E EACH OCCURRENCE R E%CESSLIAa CLAIMS-MADE i AGGREGATE DED RETENTION$ WWW $ WORKERS COMPENSATION PE TH- AN D H-AND EMPLOYERS'LIABILITY Y r N i STATUTE ER ANY PROPRIETOWARTNERlEXECUTIVE OFFECEWMEMEER EXCLUDED? F7NIA E.L.EACH ACCIDENT---.,.--- $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes.describe under "-""""' DESCRIPTION OF OPERATIONS below E,L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is requited) Certificate holder is named as an additional insured by virtue of a written or oral contract or by the issuance/existence of a permit or certificate of insurance but only with respect to operations by or on behalf of the Insured,or to facilities of,or facilities used by the insured and then only of the limits of liability specified in such contract for the event specified herein. Coverage for parcel ID 32-28-16-15006-000-0001.Site address:0 SECOND STREET E.,CLEARWATER,FLORIDA 33759 CERTIFICATE HOLDER CANCELLATION City of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 100 S.Myrtle Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Clearwater,FL 33756 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE GTBAC-18-1069 i ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 2S(2014/01) The ACORD name and logo are registered marks of ACORD