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CERTIFICATE OF LIABILITY INSURANCE (12) PHILAPE-01 RQRAVEN C DATE(MMIDDIYYYY)ERTIFICATE OF LIABI LITY INSURANCE 1/1812024 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(les)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 endorseme!it1q,-___- PRODUCER CANNTACT NAME Fairly Consulting Group,LLC PHONE, -4761 FAX -5136 1800 S.Washington,Suite 400 (A1C.No Et);(8016)376 (A)C,N,);(806)376 - Amarillo,TX 79102 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE MAIC 9 INSURER A Indemnity Insurance Company of North America 435,75 INSURED INSURER S The Phillies INSURER 0 One Citizens Bank Way INSURER D Philadelphia,PA 19148 INSURERE: 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 ADDLSUBR POLICY EFF POLICY EXP TYPE OF INSURANCEPOLICY, NUMBER (MMMD tMMIDDNYYY) LIMITS mrm COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY S GE N'L AGGREGATE LIMIT APPLIES S PER: GENERAL AGGREGATE $ POLICY jpp,-QT LOC PRODUCTS-COMPiOPAGG $ OTHER! $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) S ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident).$ HIRED NON60WN PROPERTY?AMAGE $ AUTOS ONLY ALT S 04� PROPERTY UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION S A VV—QRK-E—RS' COMPENSATION X PER —, OTH- AND EMPLOYERS'LIABI LITY Y)N WLR C56521190 211/2024 21112025 STATUTE ER ANY PROPRIETORIPARTNERJEXECUTIVE 1,000,000 OFFISERIM�M EXCLUDE�D? N NIA E L_EACH ACCIDENT (M.. 1 000000, atury in rM E.L,DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPEPATIONS,bi�Jow E,L DISEASE-POLICY LIMIT S 1:000:00 ................... DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater Parks&Recreation Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn:Debbie Reid ACCORDANCE WITH THE POLICY PROVISIONS. P.O.Box 4748 Clearwater,FL 33758 AUTHORIZED REPRESENTATIVE ACORD 26(2016/03) Q 1988-2015 ACORD CORPORATION, All rights reserved, The ACORD name and logo are registered marks of ACORD