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CERTIFICATE OF LIABILITY INSURANCE (1046) CERTIFICATE OF LIABILITY INSURANCE DATE(diMtoD1YYYY) 6/.2812418 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DUES 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 NAME, Joanna Burleson Gore Lieske&Associates Insurance Brokers, LP PHONE 159/11 Red Hill Ave Suite 100 •714-545-7414 A Na:714-573-1770 Tustin CA 92780 E-MAIL burleson orelleske.com INSURENS)AFFORDING COVERAGE NAIL N INSURER A:MARKEL INS CO 38974 INSURED WSEKL-1 INSURER B.LIO dS of London 85242 Weekley Homes,LLC 1111 North Prost Oak Rd INSURER c Houston,TX 77055 INSURER 0 INSURERE: INSURER.F: COVERAGES CERTIFICATE NUMBER.427267765 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 DOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE"PERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, /NSR TYPE I}.F'INSURANCE ADDL U POLICY NUMBER M DIIYYYY VOL—ICY EFF POLICY YYY LIMITS L2=Jwa B X COMMERCIAL.GENERAL LIABILITY Y B0595XR563Wl8 71112018 71112021 EACH OCCURRENCE s 5,000,000 r^;�;-�� , .... DXUkM T5 CLAIMS-MADE. I i OCCUR PREMIELS(Eg m $ Cantrauluat Liab MED EXP LAny one person) $ X Included PERSONAL&ADV INJURY $5,00O,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5'000,000 X POLICYJR O ❑LOC PRODUCTS-COMPiOP AGG S 5,000.ODO OTHER: $ AUTOMOBILE LIABILITY (E l r t hABDN I+IC,L€LIMIT $ ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) NON-OWNED PROPERTY DAMA..E $ HIRED AUTOS AUTOS A UMBRELLA LIAB ,"t' OCCUR 890595XRSW18 7/1/2018 71112021 EACH OCCURRENCE $5,000,000 }( EXCESS LIAB CLAIMS-MADE AGGREGATE. 55.000,000 DED I I RETENTION S $ WORKERS COMPENSATION PER 4TH- AND EMPLOYERS'LIABILITY YIN STATtfr w, „V�,i ANY PROPRIETORRARTNERIEX£CUTIVE i E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED' NIA (Mandatory in MR) E.L.DISEASE-EA EMPLOYE" $ tF yy ,describe under D€SCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more apace Is required) .. SIR:$250,000-Bodily Injury SII :$2,404,400-Property Damage RE: Redington Beach Townhomes,Pinellas County,Florida City of Clearwater is named as additional insured on the General Liability as required by written contract subject to the terms and conditions of the policy. Primary and Non-Contributory applies on the General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Clearwater ACCORDANCE WITH THE POLICY PROVISIONS, Clearwater Gas System P.O. Box 4748 AUTHORIZED REPRESENTATIVE Clearwater FL 33758-4748 GAS ADMIN X31988-2014 ACORN?CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD DATE(1HMIDDIYYYY) A��D) CERTIFICATE OF LIABILITY INSURANCE 6122!2018 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 policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER CONTACT NAME: Ashley Cary Arthur J.Gallagher Risk Management Services, Inc. PHONl= 1900 West Loa South C.No ext]:713-9.35-8811 fAic Nd�.713-358-5713 P FAX E-MAIL ashle ca a cam Suite 1600 ADDRESS: Y_a (gAq• Houston TIC 77027 INSIIREF!()AFFORDING COVERAGE INSURERA:Old Republic Insurance Company y 24147 INSURED INSURER 8: Weekley Homes,LLC 1111 North Post Oak Road I>vsulgErtc: _._ .._ .. Houston,TX 77055 INSURERD: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER.2037982200 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. FNSRTYPE=OF INSURANCE ADDL USkl POLICY NUMBER PAOrIa Y EFF MNI1QDY EXP LIMrrS OLIC LTR COMMERCIAL GENERAL LEABILITY EACH OCCURRENCE $ DAMAGE TO RENTS CLAIMS-MADE F1 OCCURP_RQML!I E5 Ea occurrence $ MED EXP(Anyone person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO LOC PRODUCTS-.COMPIOP AGG $ JECT OTHER: $ A AUTOMOBILELIABILITY MWTS312417 an/2018 3/1/2019 COMBINED SINGLE LIMIT $},00p,p00 Ea acc dent X ANYAUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED x ANON-OWNED PROPERT'YOAMAGE $ AUTOS ONLY AUTOS ONLY Per aociden! X $250 DedCorn X $500 DedCOII I I $ UMBRELLA LIAR H OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE S DED I RETENTION $ A WORKERS COMPENSATION MWC31241800 3I1I2018 3/112019 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATl1TE FOR T11- UTIVE INN 1 A E.L.EACH ACCIDENT $1,000,000 OFFICE WMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $I,DD),D00 if yes,describe under DESCRIPTION OFOPERATIONS helow E.L.DISEASE-POLICY LIMIT S 1,000.000 DESCRSPTION OF OPERATIONS I LOCAT40NS 1 VEHICLE=S{ACORD 101,Additional Remarks Schedule,may he attached It more space Is required} Auto Liability:Tractors Only$1,000 Ded.Comp/Coll;$2,000 Coed.for Priv.Pass.vehicles valued over$75,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Clearwater PO Box 4748 AUTHORIZED PRESENTATIVE Clearwater FL 33758-5520 I a 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD