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CERTIFICATE OF LIABILITY INSURANCE (7) ACORDTM CERTIFICATE OF liABILITY INSURANCE I DATE {MM/DD/YYI 9/28/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WELLS FARGO INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 31666 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tampa, FL 33631-3666 727-796-6666 INSURERS AFFORDING COVERAGE INSURED INSURER A: ZU RICH-AMERiCAN-09 593 Ruth Eckerd Hall, Inc. ~ INSURER B: ZENITH INSURANCE CO-DB 1111 McMullen Booth Road ~~e, INSURER C: AMERICAN GUARANTEE & LIABILITY Clearwater FL 33759 INSURER 0: I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER ~~~~YM~5~~~~ P8~iEY,~'::~~T~$~ LIMITS lTR A GENERAL liABILITY CP0278060504 10/01/07 10/01/08 EACH OCCURRENCE $ 1000000 f-- c--L COMMERCIAL GENERAL LIABILITY FIRE DAMAGE {Anyone tirel $ 100000 ~ CLAIMS MADE W OCCUR MED EXP (Anyone personl $ 10000 f-- PERSONAL & ADV INJURY $ 1000000 f-- GENERAL AGGREGATE $ 2000000 f-- GEN'l AGGREGATE LIMIT APPLIES PER: PRODUCTS. CDMP/OP AGG $ 2000000 n n PRO. IXlloC POLICY JE'i'T A AUTOMOBilE LIABILITY CP0278060504 10/01/07 10/01/08 COMBINED SINGLE LIMIT - lEa accident) $ 1000000 ANY AUTO - ALL OWNED AUTOS BODILY INJURY - $ .l$.... SCHEDULED AUTDS (Per person) .l$.... HIRED AUTOS BODll Y INJURY $ .l$.... NON.OWNED AUTOS {Per accidentl - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ ==l ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ C EXCESS LIABILITY UMB937678905 10/01/07 10/01/08 EACH OCCURRENCE $ 10000000 ~ OCCUR D CLAIMS MADE AGGREGATE $ 10000000 $ ==l DEDUCTIBLE $ RETENTION $ $ Z836094212 1/01/07 1/01/08 I WC STATU', I 10TH. B WORKERS COMPENSATION AND X TORY LIMITS ER EMPLOYERS' LIABILITY E.l. EACH ACCIDENT $ 1000000 E.l. DISEASE. EA EMPLOYEE $ 1000000 E.L. DISEASE. POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONS/lOCATIONSIVEHIClES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS PROOF OF GENERAL LIABILITY *10 DAYS NOTICE OF CANCELLATION APPLIES FOR NON PAYMENT. * CERTIFICATE HOLDER I I ADDITIONAL INSURED: INSURER lETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE EXPIRATION CITY OF CLEARWATER, PARKS & DATE THEREOF. THE ISSUING INSURER Will ENDEAVOR TO MAil ~ DAYS WRITTEN RECREATION ATTN: DEBBIE REID NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL 100 S. MYRTLE AVE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR CLEARWA TER FL 33758 REPRESElQ:ATIVES. I AUTH A~~A I '4IJ f ~ ACORD 25-S (7/97) 46- 64 €> ACORD CORPORATION 1988 ACORD.,,, CERTIFICATE. OF LIABILITY INSURANCE DATEI0/0 VY' _ 6/1 0108 u'ucrN THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WELLS FARGO INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 31666 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tampa, FL 33631-3666 727-796-6666 INSURERS AFFORDING COVERAGE INSURED Ruth Eckerd Hall, Inc. 1111 McMullen Booth Road FL 33759 INSURER A: ZURICH-AMERICAN-09593 INSURER B: ZENITH INSURANCE CO-DB INSURER C: ZURICH-AMERICAN-09593 INSURER D: Clearwater INSURER E: :OVERAGES ii POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING I;, RFOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR -^,i' PERTAIN, "I HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 'Ot11-,i[S. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - -T POLICY EFFECTIVE POLICY EXPIRATION LIMITS ) POLICY NUMBER , I a TYPE OF INSURANCE T MM Y A MM OD YY A GENERAL LIABILITY BIND636907 5/31 /08 5/31 /09 EACH OCCURRENCE $ _1000000_ AL LIABILITY h ?OM?9ERCIAL GENERAL FIRE DAMAGE (Any one fire) $ 100000 _ X-- CLAIMS MADE OCCUR MED EXP (Any one person) S 1 0000 ?• PERSONAL & ADV INJURY $ 1000000 - GENERAL AGGREGATE $ 2000000 P TS COMP/OP AGG $ \ i t. AGGREGATE LIMIT APPLIES PER: RODUC ?--- ----- ---- 2000U0_L _ - -_ PRO POLICY -JE T X LOC AU rGMOeILE uaBluTV BIND636907 5/31 /08 5/31 /09 COMBINED SINGLE LIMIT $ (Ea accident) ]OOU000 :+1.17 COF it BODILY INJURY (Per person) S X _;l ?iEDULED AUTO'S X u RED AIJI US BODILY INJURY ' - + (Per accident) X NON-OWNED AUTOS _-" PROPERTY DAMAGE S , _, -'- (Per accident) GARAGE LIABILITY ' AUTO ONLY - EA ACCIDENT $ - A.%Y AUTO I EA ACC OTHER THAN $ " AUTO ONLY: AGG $ ;.; EiXCESSLIABILITY BIND636908 5/31/08 5/31/09 EACH OCCURRENCE --_ $ 1Q000000"". K CLAIMS MADE • AGGREGATE $ 10000000 $ i I: DU C T 113 L E -.--_------ I 5.- Iii:: FENT101'J c 5 ._._.... _ . ---_ ._.__.. ?- WC ST ATU IOTH Wow(ERS COMPENSATION AND Z836094215 ' ) 1 /01 /OB i 1 /01 /09 X_ TQRY,LIMITS "_1_E R._ ?_,_ CMPt.OYERS' LIABILITY i ` E. L. EACH ACCIDENT I $ 1000006 E.L. DISEASE - EA EMPLOYEE S 1.000000 E. L. DISEASE - POLICY LIMIT 5 1000000 OTHER j I RECEIVED 0LSCMP'FICN OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CITY IS ADDITIONAL INSURED FOR INTEREST HELD IN PREMISES OF RUTH ECKERED HALL. 10 DAYS NOTICE OF CANCELLATION APPLIES FOR NON PAYMENT.' JUN 1 1 2008 RISK MANAGEMENT I RTIFICATE HOLDER I x ADDITIONAL INSURED; INSURER LETTER: CANCELLATION CITY OF CLEARWATER ATTN: LEO SCHRADER, RISK MGMT P O BOX 4748 CLEARWATER FL 33758-4748 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESEN&ATIVES. I ACORD 25-S (7/97) Uel G ? Q_ L_E 2( l 46- 64 © ACORD CORPORATION 198E