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CERTIFICATE OF LIABILITY INSURANCE (4) Client#: 706459 ARCTAMPA2 DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 06/01/2023 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Certificate Specialist Marsh&McLennan AgencyPHONE 727 447-6481 FAX 727 449-1267 A/C,No,Ext: (A/C,No): Bouchard Region E-MAIL ADDRESS: CLCerts@marshmma.com 101 N. Starcrest Drive INSURER(S)AFFORDING COVERAGE NAIC# INSURER A Clearwater, FL 33765 Florida Insurance Trust 999999 INSURED INSURER B: The Arc Tampa Bay, Inc. INSURER C 1501 North Belcher Rd, Ste 249 INSURER D Clearwater, FL 33765-1302 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 CONTRACTOR 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. ADDLSUBR LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY Y Y FITGL409422023 06/01/2023 06/01/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMI6ESOEa occur°nce $1,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 X POLICYF-1 PRO- F ECT LOC PRODUCTS-COMP/OP AGG $3,000,000 OTHER: $ A AUTOMOBILE LIABILITY Y Y FITAU409422023 06/01/2023 06/01/202 (CEO,acccS iden INGLE LIMIT $1'000'000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ A UMBRELLA LAB OCCUR Y Y FITXS409422023 06/01/2023 06/01/2024 EACH OCCURRENCE s2,000000 X EXCESS LAB X CLAIMS-MADE AGGREGATE s2,000,000 DED RETENTION$ $ A WORKERS COMPENSATION FITWC409422023 06/01/2023 06/01/2024 X STATUTE EERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $2,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $2,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000,000 A Professional Liab FITGL409422023 06/01/2023 06/01/2024 1,000,000/3,000,000 A Abuse/Molestation FITGL409422023 06/01/2023 06/01/2024 1,000,000/3,000,000 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,Auto Liability,and Excess/Umbrella Liability,subject to the terms, conditions and exclusions of the policies. When required by written contract,waiver of subrogation applies in favor of Certificate Holder with (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Cit of Clearwater Recreation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Admin ACCORDANCE WITH THE POLICY PROVISIONS. 1501 N Belcher Rd Clearwater, FL 33765 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 #S12852172/M12852162 RCAYN DESCRIPTIONS (Continued from Page 1) respect to General Liability,Auto Liability and Excess Liability,subject to the terms, conditions and exclusions of the policy. Excess Liability policies are follow form. SAGITTA 25.3(2016/03) 2 of 2 #S12852172/M12852162