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CERTIFICATE OF LIABILITY INSURANCE (23)
Client#:22073 RUTHECKE ACORDI. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/22/2020 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(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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Marsh&McLennan(CLW) PHONE 727 447-6481 FAX 727 449-1267 (AIC,No,Ext): (A/C,No): 101 N Starcrest Dr. E-MAIL Clearwater, FL 33765 ADDRESS: 727 447-6481 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Arch Insurance Company 11150 INSUREDINSURER B;RetailFirst Insurance Company 10700 Ruth Eckerd Hall, Inc. INSURER C: 1111 McMullen Booth Rd INSURER D: Clearwater, FL 33759 INSURER E: INSURER F: 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. 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A XI COMMERCIAL GENERAL LIABILITY Y Y SNCGL1816100 05/31/2020 05/31/2021 EACH OCCURRENCE $1,000,000 D CLAIMS-MADE X OCCUR PREMISES Eaoccurrence) $1,000,000 MED EXP(Any one person) $0 _ PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000 PRO- POLICY ECT LOC PRODUCTS-COMP/OP AGG $5,000,000 j OTHER: $ A AUTOMOBILE LIABILITY SNAUT0085500 05/31/2020 05/31/2021 COMBaccideINEnt) $D SINGLE LIMIT 1,000,000 (Ea X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X. HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY X AUTOS ONLY (Per accident) i $ A UMBRELLA LIAB OCCUR SNFXS0089900 05/31/2020 05/31/2021 EACH OCCURRENCE $10,000,000 X EXCESS LIAB X CLAIMS-MADE AGGREGATE $10,000,000 I DED X RETENTION$0 $ B WORKERS COMPENSATION 052046229 01/01/2021 01/01/2022 X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1000,000 OFFICER/MEMBER EXCLUDED? Y N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Abuse/Molestation SNCGL1816100 05/31/2020 05/31/2021 $1,000,000/$2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) If required by written contract,Certificate Holder is an additional insured with respect to General Liability,subject to the terms,conditions and exclusions of the policies.Additional insured with respect to General Liability includes ongoing and completed operations. When required by written contract,waiver of subrogation applies in favor of Certificate Holder with (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION CITY OF CLEARWATER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 4748 ACCORDANCE WITH THE POLICY PROVISIONS. Clearwater,FL 33758-4748 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD #S1351268/M1351255 SHECA DESCRIPTIONS (Continued from Page 1) respect to General Liability,subject to the terms,conditions and exclusions of the policy. Owner of Land Loc#1 -1111 McMullen Booth Rd;Clearwater,FL Building#1 Theatre&Education Wing Building#2 HVAC Utility Building and(3)Cooling Towers including permanent mach. Building#3 Studios(3 studios) SAGITTA 25.3(2016/03) 2 of 2 #S1351268/M1351255