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CERTIFICATE OF LIABILITY INSURANCE (12) A4C"RE) CERTIFICATE OF LIABILITY INSURANCE DATE(Mfi�MEMYYYY'I 0912812018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE[DOES TILT 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 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 endorsement(s). PRODUCER CONTACT .lames Parent+ NAME: ARCVV Insurance PHONE (727)544-8841 FAX (727)544-8842 AIC.Not: _ 9087 Belcher Rd A E-MAIss: lim arcwlnsurance.com INSURER(S)AFFORDING COVERAGE NAIC# Pinellas Parts FL 33782 INSURERA: Philadelphia Indemnity Ins Cc INSURED INSURER 8. Progressive Express 10193 Artz 4 Life Academy Inc INSURER C 9806 N.Highland Ave INSURER 0. INSURER E: Clearwater FL 33755 INSURER F: COVERAGES CERTIFICATE NUMBER: 18193 Waster REVISION NUMBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAKED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTOWHICH THIS CERTIFICATE MAY BE ISSUE€?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, INSR POLICY EFF UCY EXP _. LTR TYPE OF INSURANCE POLICY NUMBER MMtO171YYYY MWDr11YYYY LIMITS X COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR AMA ` 300,000 -PREMISES EaDecufferca $ MED EX (Any one person) $ 5,000 A Y PHPK1697511 1010112018 10/01/2019 -PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 PRO- POLICY JECT P •PRODUCTS COMPIOPAGG 5 JECT Lae 3000,000 OTHER; s AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea.accldert ANY AUTO BODILY INJURY(Per persanl $ �u B OVMED SCHEDULED 03389473-3 1210112018 1210112019 BODILY INJURY(Per acdden3) $ _ AUTOS ONLY AUTOS HIRED NON-C71+V1,2ED OPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident. Medical payments 5 5„000 UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ OED RETENTION$ S WORKERS COMPENSATION PE'IsOTFI- ! ! ANSI EMPLOYERS7 LIABILITY Y t N STATUTE ER ANY PROPRIETORIPARTNER)EXECUTIVF NIA E.L..EACH ACCIDENT $ I! OFFICERIMEM.BER EXCLUDED? (Mandatory In NH) If yes,describe urldea' E1.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS blow E.L.DI$EASE-POLICY LIMIT $ Directors&Officers A PHSDI374454 1010112018 10101/2019' 'Each Occurrence $1,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS t VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if mora space Is required) Certificate Halder is Additional Insured Location: 1751 Kings Highway,Clear'vater,FIL 33755 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 YVITH THE POLICY PROVISIONS. 100 S.Myrtle Avenue AUTHORIZED REPRESENTATIVE Clearwater FL 33756 ty:.r 01988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD + 4C]R - CERTIFICATE F LIABILITY I SUS CE' DATE IMMMD/YYyYI 041=018 TFIIS 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 TIE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPoRTAWF If the certlflcats hotder is an ADDIT1014AL INSURED,thWa p011Cy(Ws)Must have ADDITIONAL INSURED provlslons or be endorsed. it SUBROGATION IS WAIVED,subject to the terrrrs 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 83f such endorr;enleaet�sg. PF40MCER CON'- A TNA CMure,Inc ME i PHONE 14TAventle C SW (863) 3x1(353 N�: ( 63)293-5882 Ste.101 ADS admingeertipay.com WlneterlimnI RAFFORp1XOC RA NAICa FL 338841 . AE fate4l Industries Insurance CO Inc. INSur &U A 231447 INSURER.B Ariz 4 LII�AcsdL�By,Ir�c. INSURER e: 1761'Ktngs Highway tNSXMHR a: Clearwater FL 33756 INSURERE: INSURER F: COVERAGES REVISION NUMBER- THIS THIS IS To CERTIFY THAT THE POLICIES OF NSUCRANCE NUMBER. BELOW HAVE BEEN ISSUFn TO THE INSURED NAM ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OFANY 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. I LTR TYPE OF IN'Si:IRANI POLICYN4U[BERM� MIS LIASITS COMMERCIALGENERALLIABILrTY EACH OCCURRENCE y CLAIMS-MADE OCCUREACH S , S MEDEXP( ana PSI S PERSONALIS A[7V I I Ry_ $ .sEPY'LACYIRA1'E LIMI1'APPLiES PER: GENERAL AGGREGATE 'A POLICY JECT LOC S1OIgItCTg COMPFOPAGG S OTHER. P _- AUTOM061LE LIABLITY S E,? f31.E- IT AWAUTO Ex 1AUTOS BODILY INJURY fees AttJTCkE ONLY SCHEDULED pemnl S H@REO NONIOMED BODILY NAJRY(Per"dmrt11'... AUTOS ONLY AUTOS OKY "OePERTY n DAMAGE S UIde LI ,LIAS OCCUR EXCESSLIAS CLAIMS-MADE EACH OCCURRENCE DED RETENTION WORKERS COMPENSAT is AND EMPLOYrNP LIABRM YIN _. � OT A ANY PROPME"rORMARTNEI�E3s J'dl . ER OFFICERMASWER MLUDEW N f A AVVC1104906 Q41Ciii OJjl U4147MO19 E L EACtr ACOrDEA3T a I,f #r}t�OO 4M IatnM in NH) If yes,dasalbe unit E.L.DISEASE-EA EMPLOYEE $ 1,01313,dgDO DESCRIPTION Or DpFRArxjWq baicnr+ 1,6y1O,1 0 E L DISEASE-POLICY LIMIT ; SSESCMPT@6N OF OPERATIONS l LOCATIONS I VEHICLES(ACORO BGS,Add@E@onal Remo is SchOdure,may be atLachdd If muse $4 required) CERTIFICATE FOLDER 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. IOGS ItyftAvewe AUT MIZED RF..f+RESENTATIVE --.. _.. Clearwater F'L 33756 1988-2415 ACORD CORPORATION. All rights reserved. ACORD 25(2016 103) Tire A ORD name and logo are registered narks of ACORD