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CERTIFICATE OF LIABILITY INSURANCE (27)• V IICI Rfp. I VW5VU -'- '' ---- -__ ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 6/01/2021 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 Marsh & McLennan Agency Bouchard Region 101 N. Starcrest Drive Clearwater, FL 33765INSURER CONTACT (NC, No, Ext): 727 447-6481 FAX Na): 727 449-1267 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # A : Arch Insurance Company 11150 INSUREDINSURER Ruth Eckerd Hall, Inc. 1111 McMullen Booth Rd Clearwater, FL 33759 e : RetailFirst Insurance Company 10700 INSURER C : Y INSURER D : 13REMISES(EaEoNccurrence) INSURER E : INSURER F : CLAIMS -MADE • REVISION NUMBER: V V•LMV GV v�.�..• •v,-.•�..�...��. . 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 LTR TYPE OF INSURANCE ADDL INS' SUBR MD POLICY NUMBREc— POLICY EFF jlkllA Y) 1 2021 AND f)F POLICY EXP (MM/DDIYYYY) UNITS 05/31/2022 PT. EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABIUTY Y Y SNCGL1816101 LUT]I1r JUN 04 OFFICIAL RECORDS I F(I$I ATIVESRVCS 13REMISES(EaEoNccurrence) $1,000,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $0 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $5,000,000 GE 'L AGGREGATE POLICY OTHER: LIMIT APPLIES PR - ECT PER: LOC PRODUCTS - COMP/OP AGG $5,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY X SCHEDULED AUTOS NON-0WNED AUTOS ONLY SNAUT0085501 05131/2021 05/311202 � COMBINED SINGLE LIMIT (Ea accident) � 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA UAB_ EXCESS LIAB X OCCUR CLAIMS -MADE SNFXS0089901 05/31/2021 05/31/2022 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 $ DED X RETENTION $O B WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/ N Y N / A 052046229 01/01/2021 01/01/2022 X STATUTE 00TH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 A Abuse/Molestation SNCGL1816101 05/31/2021 05/3112022 $1,000,00042,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I 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 PO BOX 4748 Clearwater, FL 33758-4748 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 REPRESENTATIVE ACORD 25 (2016103) 1 of 2 #S8337659/M8337638 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD RCSRC SCRIPTION ontinued from 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 #S8337659/M8337638