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CERTIFICATE OF LIABILITY INSURANCE ° CERTIFICATE OF LIABILITY INSURANCE Date(MM/DD/YYYY) 01/16/2019 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 endorsement(s). PRODUCER Contact Name: Juliana Selfridge AON/ALBERT G.RUBEN INSURANCE SERVICES,INC. Phone: 818-742-0760 Fax: 847-953-7587 15303 VENTURA BLVD.,SUITE 1200 (A/C,No.Ext): I (A/C,No): SHERMAN OAKS,CA 91403 Email Address:juliana.selfridge@aon.com +1818.742.1400 Insurer's Affording Coverage NAIL# INSURED INSURER A: ILLINOIS UNION INSURANCE COMPANY 27960 INSURER B: THE WALT DISNEY COMPANY 500 S.BUENA VISTA STREET INSURER C: BURBANK,CA 91521 INSURER D: INSURER E: 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. NOTHWITHSTANDING 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. LIMITS SHOWN AREAS REQUESTED. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED $ CLAIMS-MADE OCCUR PREMISES(Ea Occurrence) MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PROJECT LOC PRODUCTS—COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) Umbrella Liab OCCUR EACH OCCURRENCE $ Excess Liab HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND PER STATUTE Other EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.Each Accident $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A E.L.Disease—EA Employee $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.Disease—Policy Limit $ OTHER A ERRORS&OMISSIONS COVERAGE X EON G21654115 012 05/01/2018 05/01/2019 $5,000,000 EACH CLAIM $5,000,000 AGGREGATE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) RE: ESPN PRODUCTIONS.INC. -2019 ST.PETE/CLEARWATER ELITE INVITATIONAL,DIVISION I COLLEGE WOMEN'S SOFTBALL TOURNAMENT BEING HELD 2/14/2019-2/17/2019. CITY OF CLEARWATER,ITS PARENT,AND ANY SUBSIDIARIES,RELATED AND AFFILIATED COMPANIES OF EACH,AND THE OFFICERS,DIRECTORS, SHAREHOLDERS,EMPLOYEES,AGENTS AND ASSIGNS OF EACH ARE INCLUDED AS ADDITIONAL INSURED AS RESPECTS TO CLAIMS ARISING OUT OF ANY ACT,ERROR,OR OMISSION OF THE NAMED INSURED.LIMITS SHOWN ARE AS REQUESTED.SIR APPLIES PER POLICY TERMS AND CONDITIONS.WHERE REQUIRED BY CONTRACT,THESE POLICIES ARE PRIMARY AND NON-CONTRIBUTORY TO ANY INSURANCE CARRIED OR MAINTAINED BY THE ADDITIONAL INSURED.THE POLICIES LISTED ON THIS CERTIFICATE CONTAIN A WAIVER OF SUBROGATION IN FAVOR OF THE ADDITIONAL INSURED. CERTIFICATE HOLDER CANCELLATION CITY OF CLEARWATER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MUNICIPAL SERVICE BUILDING DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 100 SOUTH MYRTLE AVE. CLEARWATER, FL 33756 AUTHORIZED REPRESENTATIVE ATTN.: OWEN KOHLER Aon/Albert G. Ruben Insurance Services, Inc. ACORD 25(2016/03) ©1988—2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATEIMM/D019 YYY) 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 provision 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 STEPHANIE CHU AON RISK INSURANCE SERVICES WEST, INC. PHONE 213-630-2032 FAXNcu 847-953-1823 LOS ANGELES,CA OFFICE E-MAIL 707 WILSHIRE BLVD.,SUITE 2600 INSURER(S)AFFORDING COVERAGE NAIC# LOS ANGELES, CA 90017-0460 USA INSURER A: ACE AMERICAN INSURANCE COMPANY 22667 INSURED INSURER B: INDEMNITY INSURANCE COMPANY OF NA 43575 THE WALT DISNEY COMPANY ET AL INSURER C: 500 SOUTH BUENA VISTA STREET INSURER D: BURBANK,CA 91521-9740 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBERS: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTHWITHSTANDING 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. INSR ADDL SUBR POLICY EFF POLICY EXP Lm TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDOG71210327 06/30/2018 06/30/2019 EACH OCCURRENCE $ 2,000,000 �� DAMAGE TO RENTED $ 2,000,000 CLAIMS MADE I X [DCCUR PREMISES Ee occurence LJ_ MED EXP(Anyone person) X X PERSONAL&ADV INJURY $ 2,000,000 hLAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY F—] PR ❑LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER A AUTOMOBILE LIABILITY ISAH25269238 06/30/2018 06/30/2019 COMBINED SINGLE LIMIT $ 1,000,000 l.Xl'P'D NY AUTO BODI LY I NJU RY(Per person) OWNED SCHEDULED X X BODILY INJURY(Per accident) UTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE UTOS ONLY X AUTOS ONLY Per accident SELF INSURED UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS MADE AGGREGATE DED RETENTION$ A WORKERS'COMPENSATION AND WLRC65226765(AOS) 06/30/2018 06/30/2019 X STATUTE OTH- ER B EMPLOYERS'LIABILITY Y/N WLRC65226728(CA/MA) 06/30/2018 06/30/2019 E.L.EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNERS/EXECUTIVE A OFFICER/MEMBER EXCLUDED? N/A X SCFC65226807(WI) 06/30/2018 06/30/2019 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If ves describe under E.L.DISEASE-POLICY LIMT $ 1,000,000 DESCRIPTION OF OPERATION below OTHER A XS WORKERS'COMP&EMPLOYER LIAB WCUC65226844(CA) 06/30/2018 06/30/2019 WC-Statutory&EL $ 1,000,000 A XS WORKERS'COMP&EMPLOYER LIAB WCUC65226881 (FL) 06/30/2018 06/30/2019 WC-Statutory&EL $ 1,000,000 A IXS AUTOMOBILE LIABILITY x I x I XSAH25269275 06/30/2018 06/30/2019 COMBINED SINGLE LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space if recluried) Certificate holder,its parent,and any subsidiaries,related and affiliated companies of each,and the officers,directors,shareholders,employees, agents and assigns of each are named as additional insured to the extent required in the contractual agreement with the named insured. Insurance is primary and not contributory. Re: ESPN Productions, Inc. -2019 St.Pete/Clearwater Elite Invitational,Division I College Women's Softball Tournament being held 2/14/2019-2/17/2019. CERTIFICATE HOLDER CANCELLATION City of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Municipa Services Building EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH ��South Myrtle Ave. THE POLICY PROVISIONS. Clearwater,FL 33756 AUTHORIZED REPRESENTATIVE Attn.: Owen Kohler Jv. _01&- �mdcaomee�7�a�eee �/�eafJma cc: Missy Betres/Kristen Shaver AON RISK INSURANCE SERVICES WEST,INC. ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD