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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 2* of 2 4125 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 1*of2 4125