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CERTIFICATE OF LIABILITY INSURANCE (24) Client#: 706406 RUTHECKER ACORDT, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 3/04/2021 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 101 N Starcrest Dr. E--MA�° ExtL (ac,Nc>: ADDRESS: Clearwater, FL 33765 727 447-6481 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Arch Insurance Company 11150 INSUREDINSURER B:RetailFirst Insurance Company 10700 Ruth Eckerd Hall,Inc. 1111 McMullen Booth Rd INSURER C Clearwater, FL 33759 INSURER D: 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. LTR TYPE TYPE OF INSURANCE NSR WVD POLICY NUMBERPOLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY Y Y SNCGL1816100 05/31/2020 05/31/2021 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR PREMISES EaEoccccur RENTED $1,000,000 MED EXP(Any one person) $0 PERSONAL&ADV INJURY $1,000,000 _ GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000 PRO- POLICY ECT LOC PRODUCTS-COMP/OP AGG $5,000,000 OTHER: $ A AUTOMOBILE LIABILITY SNAUT0085500 05/31/2020 05/31/2021 COMacciBINEDdent) �SINGLE LIMIT 1,000,000 (Ea X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY (Per accident) $ A UMBRELLA LIAB _ OCCUR SNFXSOO89900 05/31/2020 05/31/2021 EACH OCCURRENCE $10,000,000 x EXCESS LIAB X CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION$O _ $ B WORKERS COMPENSATION 052046229 01/01/2021 01/01/2022 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 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 Capitol Theatre 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 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S8071071/M7056717 RCSRC DESCRIPTIONS (Continued from Page 1) respect to General Liability,subject to the terms,conditions and exclusions of the policy. SAGITTA 25.3(2016/03) 2 of 2 #S8071071/M7056717