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CERTIFICATE OF LIABILITY INSURANCE (4) �•��^ OC EAP RO-29 T M I LLE R ' DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE F5/3/2023 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Terri Miller NAME: The Loomis Company P&C Division PHONE 610 374-4040 2281 FAX 850 N Park Road (AIC,No,Ext): ( ) (AIC,No): Wyomissing,PA 19610 ADDRESS:tmiller@loomisco.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:The Cincinnati Specialty Underwriters Insurance Company 13037 INSURED INSURER B:Cincinnati Insurance Company 10677 Clearmar,LLC d/b/a/Opal Sands Resort INSURERC:Allied World Specialty Insurance Company 16624 430 Gulfview Boulevard INSURER D: Clearwater Beach,FL 33766 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDDIYYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE j OCCUR CS00089260 7/15/2022 7/15/2023 DAMAGE TO RENTED 2,000,000 PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 0 PERSONAL&ADV INJURY $ 2'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4'000'000 POLICY LX JECT � LOC PRODUCTS-COMP/OP AGG $ 4'000'000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO EBA0682308 7/15/2022 7/15/2023 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIREDX NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) ccident $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10'000'000 EXCESS LIAB CLAIMS-MADE 0309-1044 7/15/2022 7/15/2023 AGGREGATE $ 10'000'000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Clearwater is noted as an additional insured on the General Liability as required by written contract and subject to the policy's terms,conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cit of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Parks&Recreation Department PO Box 4748 Clearwater,FL 33758-4748 AUTHORIZED REPRESENTATIVE James R.Loomis ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD OCEAPRO-29 DATE(MM/DDNYYY) CERTIFICATE OF LIABILITY INSURANCE J 7/1812022 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 15 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-SL).—..L—.--..-,__,,____,,_,,,_,,._.._,,-- PRODUCER CONTACT Terri Miller NAME:_ The Loomis Company P&G Division PHONEFAX 850 N Park Road INC,No,Et):(610) 374-4040 2281 VV -MDAIRE yomissing,PA 19610 EL s I s,tmR iller- - _(AfC,Nb). -ADIoomisco.com INSURER(S)AFFORDING COVERAGE MAIC N INSURER A_:The Cincinnati S_p,e c,laity Underwriters Insurance company 13037 INSURED INSURER a.Cincinnatil-In-sPrance Company 10677 Clearmar,LLC d/b/a/Opal Sands Resort INSURER Cl-Allied WorldSpecialtyInsurance Company 16624 430 Gulfview Boulevard INSURER D Clearwater Beach,FL 33766 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION P�VRBER: THIS is 'To CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, Nowirri-ISTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT Tru VMICH THIS I CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. rHE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE f ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR TYPE OF INSURANCE ADDLSUBR POUICY EFF POLICY EXP D WVD POLICY NUMBER �fyy u-151-MY-11�Yyy A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMSAIADF X OCCUR CSU0089250 7/1512022 7115/2023 2,060,000 1)A fl,ACE T 0 R E NT U D PREM1,5,E S(Ear c-cwrence,_ MEI EXP[Ary one pers-oln1 0 PERSONAL&ADV INJURY $ 4000,000 GE 11'1,,AG G R I GATE L 1[,,1 IT APP 1,11 PER: 4,000,000 G -RAL AGGREGATE P 0 L I C Y X %E CQ� X LO(, PRODUCTS-COMP"O I PAGG 4,666,600 0 7-11 E R F3 AUTOMOBILE LIABILITY COlAB,,INED SINGLE LIMIT 1,400-1006 I Ea ac-iden!) X ANY Al;To EBA0582308 7/1512022 711512023 BODILY INJURY O%NFD SCHEDULED S AUTOS ONLY AUTOS BODILY INJURY(Per aCcidn X HIRED X NONAIr'.I) PrRTY DAMAGE AUTOS ONLY AUT C X UMBRELLA LIAB X ocmm EACJi OCCURRENCE $ 10,000,000 EXCESS L[AIS GI-AIMIS-MADE 0309-1044 711512022 7/1512023 AGGR EGA IE $ 10,000,000 DH) X RETEN11ON1. 10,000 WORKERS COMPENSATION PER OJH AND EMPLOYERS'LIABILITY Y f N qJATUTEER ANY FRO II)RIE'rORt'PAP,-,,14;:RiEXECt,-IVE MBER EXI-DjOrD? NIA L EACH ACCIDENT a in NH CFI "d to"Y'l If yps,descrbe urider. E L DISEASE-EA F M P LOY E,E,.-.,$ DESCRIPTION OF OPERATIONS bplow I DISEASE,PO-Icy I-I M I 1 6 DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Clearwater is noted as an additional insured on the General Liability as required by written contract and subject to the policy's terms,conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCO Attn: Parks&Recreation Department _FA RDANCE WITH THE POLICY PROVISIONS. PO Box 4748 1..—------- 33758A748 AUTHOR/ ED REPRESENTATIVE James R. Loomis ACORD 25(2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD