CERTIFICATE OF LIABILITY INSURANCE (1011)AC IRE, CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDIYYYY)
2/27/2020
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(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
IMA, Inc. - Colorado Division
1705 17th Street, Suite 100
Denver CO 80202
CONTACT
IMA Denver Team
PHONE FAX
IA/C. No. Exit: 303-534-4567 (AIC, No):
ADDRESS: DenAccountTechs(D,imacorp.com
DAMAGE TO RENTED
PREMISES {Ea occurrence) _ _}_$500.000
PREMISES
MED EXP (Any one person) $10,000
INSURER(S) AFFORDING COVERAGE NAIC #
INSURERA: Old Republic Insurance Company 24147
INSURED TUFFSHE
Tuff Shed, Inc.
1777 S. Harrison St. #600
Denver CO 80210
INSURER B : Continental Insurance Company 35289
INSURERC:
INSURER D
INSURER E :
INSURER F :
COVERAGES
CERTIFICATE NUMBER: 1046833136
REVISION NUMBER:
THIS
INDICATED.
CERTIFICATE
EXCLUSIONS
INSR
LTR
IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ADDLISUBR POLICY EFF POLICY EXP T
TYPE OF INSURANCE INSD i WVD I POUCY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) WAITS
A
X COMMERCIAL GENERAL LIABILITY
I MWZY3125 /fir 3/1/2020 � 3/1/2021
t t 1*. n/ED
� i \rL' � L
+AR 05 202e
'
OFFICIAL RECORDS AND
EACH OCCURRENCE $1 000.000
�l
] CLAIMS -MADE I X ;OCCUR
CONTRACTUAL LIAB
DAMAGE TO RENTED
PREMISES {Ea occurrence) _ _}_$500.000
PREMISES
MED EXP (Any one person) $10,000
PERSONAL & ADV INJURY I $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X 1 PRO- X LOC
JECT =
GENERAL AGGREGATE $ 2,000,000
PRODUCTS - CO MPr'OP AGG $2,000,000
X$
y OTHER:OM Aggregate
A
AUTOMOBILE UABIUTY
X j ANY AUTO
i MvvriVA V2dTI ESRYCS pep /2020 3/1/2021EOMBINUeDt
SINGLE LIMIT $2000,000
BODILY INJURY (Per person) $
u OWNED 77 SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per aocident) $
X NON -OWNED
: AUTOS ONLY I AUTOS ONLY
PROPERTY $X
err accident'
$
X $250 Cmp Ded i X $500 Cot Ded
B
X .UMBRELLA UABOCCUR
! 6076544198 3/1/2020 3/1/2021
1
EACH OCCURRENCE $1.000.000
EXCESS LIAR I i CLAIMS -MADE
DED X J RETENTION $ n
AGGREGATE $1 000,000
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YN
MWC31257220 3/1/2020 3/1/2021
j
I
,
X'STATUTE 1 OTH 'States Below
E.L. EACH ACCIDENT $1,0 00 000
}..
�.__..
ANYPROPRIETORIPARTNER/EXECUTIVE N
OFFICER/MEMBEREXCLUDED.
E L DISEASE - EA EMPLOYEE $ 1,000,000
(Mandatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -. POLICY LIMIT I $ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required)
*AII States Included in Workers Compensation: AL, AR, AZ. CA, CO, CT, FL, GA, IA, ID. IL, IN, KS, KY, LA, ME, MD, MA, MI, MN, MO, MS, MT, NE, NH, NJ.
NM, NY, NV, NC, OK, OR, PA, SC, TN, TX, UT, VA, WI.
CERTIFICATE HOLDER
CANCELLATION
City of Clearwater
112 South Osceola Street
Clearwater FL 33756
USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED RREPRESENTATIVE
ACORD 25 (2016/03)
®1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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Technology
1705 17th Street, Suite 100
Denver, CO 80202
4125 1 MB 0.436 4125
111111Iuur111111IilrIIIIIIIIIiuiIrIIIIniisnIInIIIIn111111I
CITY OF CLEARWATER
600 CLEVELAND ST
FL 6
CLEARWATER, FL 33755-4167
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