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EVIDENCE OF PROPERTY INSURANCE
RUTHECKE DATE(MM/DD/YYYY) ACORDTM EVIDENCE OF PROPERTY INSURANCE F06/04/2018 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW.THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE ADDITIONAL INTEREST. AGENCY PHONE727 447-6481 COMPANY A/C No Ext Bouchard Insurance(CLW) Lloyds of London 101 N Starcrest Dr. Clearwater, FL 33765 FAX AIC No):727 449-1267 ADDRESS:cicerts@bouchardinsurance.com CODE: SUB CODE: AGENCY 22073 CUSTOMER ID#: INSURED Ruth Eckerd Hall, Inc. LOAN NUMBER POLICY NUMBER 1111 McMullen Booth Rd AMR5928901 Clearwater FL 33759 EFFECTIVE DATE EXPIRATION DATE UNTIL 05/31/18 05/31/19 TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION LOCATION/DESCRIPTION Location#2 405 Cleveland Street Clearwater, FL 33755 Building#1 Capitol Theatre Location#1 1111 McMullen Booth Rd (See Attached Location Information) 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION PERILS INSURED I I BASIC BROAD X SPECIAL COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE ****Blanket Coverage Information**** Blanket#1 Building 37,400,000 $25,000 Cause of Loss: Special (Including Theft) Valuation: Replacement Cost Deductible Type: Flat Deductible Basis:Any One Occurrence (See Attached Coverage Info.) REMARKS(Including Special Conditions) 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. ADDITIONAL INTEREST NAME AND ADDRESS X ADDITIONAL INSURED LENDER'S LOSS PAYABLE LOSS PAYEE CITY OF CLEARWATER MORTGAGEE PO BOX 4748 LOAN# Clearwater, FL 33758 AUTHORIZED REPRESENTATIVE ACORD 27(2016/03) 1 of 4 S20134 ©1993-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KEVCO PROPERTY INFORMATION (Continued from page 1.) LOCATION/DESCRIPTION Clearwater, FL 33759 Building#1 Theatre&Education Wing Location#1 1111 McMullen Booth Rd Clearwater, FL 33759 Building#2 HVAC Utility Building and(3)Cooling Towers including permanent mach. Location#1 1111 McMullen Booth Rd Clearwater, FL 33759 Building#3 Studios(3 studios) SAGITTA 27.2(03/16)2 of 4 S20134 KEVCO COVERAGE INFORMATION (Continued from page 1.) COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE Blanket#2 Personal Property 3,025,000 $25,000 Cause of Loss: Special (Including Theft) Valuation: Replacement Cost Coinsurance%: 0 Deductible Type: Flat Deductible Basis:Any One Occurrence Blanket#3 Business Income Including Extra Expense 1,020,000 $25,000 Cause of Loss: Special (Including Theft) Valuation:Actual Loss Sustained Deductible Type: Flat Deductible Basis:Any One Occurrence Commercial Property Location Specific Coverages Location#: 1 1111 McMullen Booth Rd Clearwater, FL 33759 Building#: 1 Theatre&Education Wing Blk Limit Coverage: Building 37,400,000 $25,000 Blanket#: 1 Blanket Coverage: Building Cause: Special (Including Theft) Hurricane 3%subject to min of$25,000 Per Occ/Per Loc $1,500,000 TIV Flood 10,000,000 $1,100,000 Blk Limit Coverage: Business Personal Property 3,025,000 $25,000 Blanket#:2 Blanket Coverage: Personal Property Cause: Special (Including Theft) Hurricane Ded 3% Blk Limit Coverage: Business Income Including Extra Expense 1,020,000 $25,000 Blanket#: 3 Blanket Coverage: Business Income Including Extra Expense Cause: Special (Including Theft) Forms to Apply: $1,500,000 Time Element Coverage: Monthly Limit of Indemnity- ALS Coverage: FLOOD 10,000,000 $1,100,000 Cause: Flood Building#: 2 HVAC Utility Building and (3)Cooling Towers including permanent mach. Incl. In Coverage: Building-Includes HVAC Machinery and 3 Blk No. 1 $25,000 cooling towers Blanket#: 1 Blanket Coverage: Building Cause: Special (Including Theft) SAGITTA 27.3(03/16)3 of 4 S20134 KEVCO COVERAGE INFORMATION (Continued from page 1.) COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE Hurricane Ded 3% Building#: 3 Studios (3 studios) Incl. In Coverage: Building Blk No. 1 $25,000 Blanket#: 1 Blanket Coverage: Building Cause: Special (Including Theft) Named Storm Ded 3% Incl. In Coverage: Business Personal Property Blk No.2 $25,000 Blanket#:2 Blanket Coverage: Personal Property Cause: Special (Including Theft) Hurricane Ded 3% Incl. In Coverage: Business Income Including Extra Expense Blk No. 3 $25,000 Blanket#: 3 Blanket Coverage: Business Income Including Extra Expense Cause: Special (Including Theft) Time Element Coverage: Monthly Limit of Indemnity- ALS Location#:2 405 Cleveland Street Clearwater, FL 33755 Building#: 1 Capitol Theatre Coverage: Business Personal Property 125,000 $25,000 Cause: Special Hurricane Ded 3% $1,500,000 Coverage: Business Income Including Extra Expense 200,000 Cause: Special Hurricane 3%subject to min of$25,000 Per Occ/Per Loc TIV Time Element Coverage: Monthly Limit of Indemnity-ALS SAGITTA 27.3(03/16)4 of 4 S20134 KEVCO