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CERTIFICATE OF LIABILITY INSURANCE (25) CERTIFICATE OF INSURANCE SPECIAL EVENT LIABILITY GROUP INSURANCE TRUST,A RISK PURCHASING GROUP REVISED Certificate# 3 48A4 FACILITY OWNER-Additional Insured:(if multiple,continued PRODUCER: on next page) CA License#0757776 HUB International Insurance Services Inc. Pasco County,7227 Land O'Lakes Boulevard,Land O'Lakes FL,34638- P.O.Box 4047 2826 Concord,CA 94524-4047 PH:925 609 6500 FX:925 609 6550ecial verrfCcr)hubrnternation al,com EVENT HOLDER-Named Insured:(if multiple,continued on EVENT INFORMATION next page) Tampa Bay Bats TYPE OF EVENT: Instructor 15841 Martha Circle EVENT DATE(S): 1/1-12/31/2019 Lutz,FL 33549 VENT LOCATION(S) Various Pasco County Florida Schools per the attached list This is to certify that the policies of insurance listed below have been issued to the insured named above for the event date(s)indicated above. 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. This insurance is issued pursuant to the Florida Surplus Lines Law.Persons insured by Surplus Lines carriers do not have the protection of the Florida Insurance Guaranty Act to the extent of any right of recovery for the obligation of an insolvent unlicensed insurer. INSURER A: COLONY INSURANCE COMPANY INSR LTR Type of Insurance Policy Number Effective Expiration Policy Limits Each Occurrence $1,000,000 General Aggregate $2,000,000 Personal&Advertising Injury $1,000,000 Prod uctslCompleted Operations A Commercial 103 GL 0021111 1/1/2019 1/1/2020 Aggregate $2,000,000 General Liability Damage to Premises Rented to You $1,000,000 Medical Payments $5,000 Liquor Liability Each Occurrence (Aggregate included in General N/A Liability Aggregate) COVERAGE TERMS: Occurrence Form(CG 0001) Host Liquor Liability Included. The coverage afforded by this insurance is primary and non-contributing with any insurance held by the"Additional Insured"as Named Insured,when the"Additional Full Liquor Liability Included when a Insured"is shown on this Certificate of Insurance Endorsement as"Additional Insured" separate premium has been charged. or WHEN REQUIRED BY WRITTEN CONTRACT. COVERAGE EXCLUSIONS:(REFER TO POLICY FOR COMPLETE LISTING OF EXCLUSIONS) Sexual Abuse&Molestation Specific Events are excluded from coverage. Please see second page for list of excluded events. Terrorism On behalf of the Risk Purchasing Group and each Member,the Trustee has declined coverage for the Terrorism Risk Insurance Act(TRIA). Additional Insureds,next page— Second Page of Certificate Certificate# 95484 OTHER ADDITIONAL INSUREDS: 1 Woodland Elementary-38203 Henry Dr,,Zephyrhills,FL 33542 2 New River Elementary-4710 River Glen Blvd.,Wesley Chapel,FL 33545 3 MPLES(Mittye P.Locke)Elementary-4339 Evans Ave.,New Port Richey,FL 34652 4 Hudson Elementary-7229 Hudson Ave.,Hudson,FL 34667 5 James M.Marlowe Elementary School—5642 Cecelia Dr.,New Port Richey,FL 34652 6 Gulfside Elementary—2329 Anclote Blvd.,Holiday,FL 34691 7 Seven Springs Elementary—8025 Mitchell Ranch Rd.,New Port Richey,FL 34655 8 Cypress Elementary—10055 Sweet Bay Ct.,New Port Richey,FL 34654 9 Longleaf Elementary,3253 Town Avenue,New Port Richey,FL 34655 10 Double Branch Elementary,31500 Chancey Blvd.,Wesley Chapel,FL 33545 11 Richey Elementary School,6850 AdamsnStreet,New Port Richey,FL 34652 12 Wesley Chapel Elementary,30243 Wells Road,Wesley Chapel,FL 33545 13 Sunray Elementary,4815 Sunray Drive,Holiday;FL 34690 14 Chasco Elementary,7906 Ridge Road,Port Richey,FL 34668 15 Sunlake High School,3023,Sunlake Blvd.,Land O'Lakes,FL 34638 16 lAnclote Elementary,3610 Madison Street,New Port Richey,FL 34652 17 San Antonio Elementary,32416 Darby Road,Dade City,FL 33525 F8 Northwest Elementary,14302 Cobra Way,Hudson,FL 34669 —Additional Insureds,continue to next page— Third Page of Certificate Certificate# T 95484 OTHER ADDITIONAL INSUREDS: 19 Veterans Elementary,26940 Progress Parkway,Wesley Chapel,FL 33544 20 Gulf Trace Elementary,3303 Gulf Trace Blvd.,Holiday,FL 34691 21 Calusa Elementary,7520 Orchid Lake Road,New Port Richey,FL 34654 22 City of Pinellas Park,Attn:Risk Management,5141 78th Avenue N.,Pinellas Park,FL 33781 23 Regency Park Branch Library,9701 Little Road,New Port Richey,FL 34654 24 Hudson Regional Library,8012 Library Road,Hudson,FL 34667 25 R.B.Stewart Middle School,38505 10th Avenue,Zephyrhills,FL 33542 26 Genesis School,8100 Mitchell Ranch Road,New Port Richey,FL 34655 27 R'Club Sutherland,3150 N Belcher Road,Palm Harbor,FL 34683 28 R'Club MLK,557 1 Oth Street North,St.Petersburg,FL 33705 29 Schrader Elementary School,11041 Little Road,New Port Ritchey,FL 34654 30 Tarpon Springs Library,138 E Lemon Street,Tarpon Springs,FL 34689 School Board of Hillsborough County,901 E Kennedy Blvd.,Tampa,FL 33602(Locations:Roosevelt Elementary,3205 S.Ferdinand Ave.,Tampa,FL 33629;Bevis Elementary, 31 5720 Osprey Ridge Dr.,Lithia,FL 33547;Mort Elementary,1806 E.Beaus Ave.,Tampa,FL 33613:Philip Shore Elementary Magnet,1908 E.2nd Ave.,Tampa,FL 33605;Clark Elementary,19002 Wood Sage Dr.,Tampa,FL 33647;Bryan Elementary,2006 W.Oak Avenue,Plant City,FL 33563) 32 Seven Oaks Elementary,27633 Mystic Oak Blvd.,Wesley Chapel;FL 33543 33 The School Board of Polk County,P.O.Box 391,Barlow,FL 33831 34 GMS Delta Academy,Gulf Middle School,6419 Louisiana Ave.,New Port Richey,FL 34653 35 RBS Delta Academy,Raymond B.Stewart Middle School,338505 1 Oth Ave.,New Port Richey,FL 33542 36 HMS Delta Academy,Hudson Middle School,14540 Cobra Way,Hudson,FL 34669 i Additional Insureds,continue to next page— I Fourth Page of Certificate Certificate# 95484 OTHER ADDITIONAL INSUREDS: 37 Lake Myrtle Elementary School 22844 Weeks Blvd.,Land O'Lakes,FL 34639 i 38 Cypress Elementary-10055 Sweat Bay Court,New Port Richey,FL 34654 39 Moon Lake Elementary-12019 Tree Breeze Drive,New Port Richey,FL 34654 40I Winthrop Charter School,6204 Scholars Hill Lane,Riverview,FL 33578 41 Chester W.Taylor Elementary School;3638 Morris Bridge Rd.,Zephyrhills,FL 33543 42 City of Clearwater 43 Clear Water Public Library System 44 Trinity Elementary School,2209 Duck Slough Blvd.,New Port Richey,FL 34655 45 West Zephyrhills Elementary School,3790014th Ave.,Zephyrhills,FL 33542 46 Sunset Hills Elementary School,1347 Gulf Rd.,Tarpon Springs,FL 34689 47 Land O'Lakes High School,20325 Gator Lane;Land O'Laker,FI 34638 48 Indian Rocks Christian School,12685 Ulmerton Road,Largo,FL 33774 49 Cape Coral Public Library-921 SW 39 Terrace,Cape Coral,FL 50 South County Regional Library,231100 Three Oaks Pkwy,Estero,FL 51 Sanibel Public Library-770 Dunlop Rd.,Sanibel,FL 33957 52 Sierra Club 2101 Webster Ste.1300 Oakland,CA 94612 CANCELLATION:Should the above described policy(s)be canceled before the expiration date thereof,the issuing company whi endeavor to mail 30 days written notice to the insured event holder and additional insureds listed. AUTHORIZED REPRESENTATIVE: Ji _ ��� DATE ISSUED: 12/13/2018 Fifth Page of Certificate Certificate# 95484 SPECIFIC EVENT EXCLUSIONS The following types of events are specifically excluded and no coverage for them exists on the policies listed on the front page of this Certificate of Insurance: Aircraft/Aviation All Terrain Boarding Ballooning/Balloon Rides Base Jumping Bouldering Events Boxing Bungee Jumping Carnival Rides Circuses Concerts with performances exceeding 6 hours of performance time Contact Karate/Martial Arts Contact Sports Diving Dodgeball/Gaga Dodgeball Football/Flag Football(except passing camps with no contact drills) Gun Shows/Exhibitions Hang Gliding Hockey Jousting Kayaking,Rafting or Canoeing in greater than Class 3 rapids Lacrosse/Rugby Mechanical Amusement Rides or Services Motorized Sporting Equipment Mosh Pits Mountain Biking Power Boat Racing Professional Sporting Activity; Games,Races,Contests of a professional nature Pyrotechnics/Explosives Rap or Heavy Metal Concerts Raves Rock Climbing Rodeo/Roping Events(includes practice) Scuba Diving Sky Diving Tattoo Expos/Conventions Tractor/Truck Pulls Wrestling Zip Lines/Zip Lining SPECIAL EVENT LIABILITY GROUP INSURANCE TUST DATE CERTIFICATE OF INSURANCE 6/13/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT 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. PRODUCER: CONTACT NAME: JOY CUMMINGS HUB International Insurance Services Inc. PHONE 925 609 65_T 0 FAX 925 609 6550 P.O.Box 4047 EMAIL saeciaievent�rrtaticn � kNAMEDINSURED: 4524-4047 INSURER(S)AFFORDING COVERAGE MAIC# 757776 INSURER A: Colony Insurance Company 39993 ats a Circle Lutz,FL 33549 COVERAGES This is to certify that the policies of insurance listed below have been issued to the insured named above for the event date(s)indicated below. Notwithstanding any requirement,term o 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. INSR INSURED MEMBER COVERAGE EFFECTIVE I LTR TYPE OF INSURANCE ENDORSEMENT EXPIRATION DATE LIMITS NUMBER A GENERAL LIABILITY EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY 95484 1/1 -12/31/2019 DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 CLAIMS-MADE OCCURRENCE MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OPAGG $2,000,000 LIQUOR LIABILITY PER OCCURRENCE(AGGREGATE INCLUDED IN GENERAL LIABILITY N/A AGGREGATE) MASTER POLICY#103 GL 0021111 -EFFECTIVE DATE 1/1/2019;EXPIRATION 1/1/2020 DESCRIPTION OF OPERATIONS/LOCATIONS KinderCare Education LLC,Attn: Risk Management Department,650 NE Holladay Street,Suite 1400,Portland,OR 97232 is/are included as an additional insured(s)per attached endorsement CG 2026.Policy is Primary and Noncontributing per attached endorsement T1095-0108;Waiver of Subrogation applies per attached endorsement U251-0310. Event Type: Instructor Event date(s): 1/1-12/31/2019 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. KinderCare Education LLC,Attn: Risk Management Department,650 NE Holladay Street,Suite 1400, AUTHORIZED REPRESENTATIVE portland,OR 97232 POLICY#103 GL 0021111 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 1 3 DITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Named of Additional Insured Person(s)or Organization(s) KinderCare Education LLC,Attn: Risk Management Department,650 NE Holladay Street,Suite 1400,Portland,OR 97232 Information required to complete this Schedule,if not shown above,will be shown in the Declarations. Section II-Who Is An Insured is amended to include as additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations;or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 ©ISO Properties,Inc.,2004 Page 1 of 1 POLICY#103 GL 0021111 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTING INSURANCE (Third-Pare') This endorsement modifies insurance under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, and all subparts thereof, as contained in the policy is deleted in its entirety and replaced with the following condition as respects the Third Party shown below: 4. Other Insurance a. With respect to the Third Party shown below, the insurance provided by this policy shall be primary and non-contributing insurance. Any and all other valid and collectible insurance available to such Third Party in respect of operations performed by you under written contractual agreements with said Third party for a loss covered by this policy, shall in no instance be considered as primary, co-insurance, or contributing,insurance. Rather, any such other insurance shall be considered excess over and above the insurance provided by this policy. Third Party to whom this endorsement applies is: KinderCare Education LLC Attn: Risk Management Department 650 NE Holladay Street,Suite 1400,Portland,OR 97232 Absence of a specifically named Third Party above means that the provisions of this endorsement apply as required by written contractual agreement with any Third Party for whom you are performing operations. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. T1095-0108 Includes Copyrighted material of ISO Properties,Inc.with its permission. Page 1 of 1 POLICY#103 GL 0021111 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO QTS This endorsement modifies insurance under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization to whom or to which you are obligated by virtue of a written contract to waive your right of recovery. The following is added to Paragraph S.Transfer of Rights of Recovery Against Others to Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contact with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. U251-0310 Contains material copyright,Insurance Services Office,Inc.,with its permission. Page 1 of 1