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PUBLIC MURAL GRANT AGREEMENT (2)PUBLIC MURAL GRANT AGREEMENT This Grant Agreement is made and entered into on this day of March, 2026 between the Clearwater Community Redevelopment Agency , whose address is: 100 S Myrtle Ave., 3rd Floor, Clearwater, FL 33755, ("CRA"), and Urman Design LLC ("Artist"). WHEREAS, it has been determined by the CRA that public art is highly desirable in the North Greenwood Community Redevelopment Area; and WHEREAS, the Community Redevelopment Agency Trustees voted to approve an allocation of funding to the North Greenwood Art Oasis Mural Festival, and provide support to artists in the form of a grant. NOW, THEREFORE, the parties agree as follows: 1 TERM 1.1 The term of this agreement shall commence on April 1, 2026 and continue through May 30, 2026 ("termination date") unless earlier terminated under the terms of this agreement. 2 RESPONSIBILITIES OF THE ARTIST 1.1 The Artist shall cooperate with the City of Clearwater to ensure that all permits or permissions are secured to install a mural(s) on Safehouse of North Greenwood located at 1201 N Betty Lane Clearwater, FL 33755 ("Building"). 2.1 The Artist shall enter into a separate written agreement with Sergeant Allen Moore Community Partnership, Inc. ("Property Owner") of the Building commissioning a public mural (Exhibit A). 2.2 The Artist shall present the completed design(s) of the mural(s) to the Property Owner prior to the installation of the mural(s). (Exhibit B) 2.3 All Artwork shall be installed no later than May 30, 2026. 2.4 The Artist agrees to maintain in force a liability insurance policy in an amount acceptable to the City of Clearwater and the CRA which will insure and indemnify the City of Clearwater, the CRA, and the Property Owner from any suits, claims, or actions brought by any person or persons and from any and all costs of litigation brought against the Artist, the Property Owner and the City for such injuries to persons or damage to property occurring during the agreement or thereafter that results from performance by the Artist of the obligations set forth in this agreement. The City and the Property Owner shall be included as "additional insureds" on such policy. (Exhibit C) 3 RESPONSIBILITIES OF THE CITY 3.1 The CRA agrees to provide the Artist with a grant of $9,300 (nine thousand three hundred dollars) to be paid in two separate payments. First payment ($3,000) to be paid upon completion of this signed 1 and executed contract and second payment ($6,300) to be paid once the mural has been completed. Artist will invoice the CRA for each payment. 3.1.1 The funds granted by the CRA are to be used for all materials and artists fees. 3.1.2 A minimum of 3 photos of the completed work must be provided to the City of Clearwater Cultural Affairs Dept. within three (3) days of completion of the project. 3.2 The Cultural Affairs Dept. will serve as the City and CRA liaison for the Artist 3.3 The CRA agrees to promote the mural festival through normal CRA communications, such as www.myclearwater.com and www.myclearwatercra.com, the CRA Facebook page and social media; internal staff communications; flyers; and messages to partner organizations. 4 INDEMNIFICATION Subject to Florida Statute 768.28, the Artist agrees to indemnify and hold free and harmless, assume legal liability for and defend the City, CRA, and their officers, employees, agents, and servants, whether they are current or former, from and against any and all actions, claims, liabilities, assertions of liability, losses, costs and expenses, in law or in equity, including but not limited to attorney's fees at trial and appellate levels, reasonable investigative and discovery costs, court costs, or claims for bodily injury or death of persons and for loss of or damage to property, except as provided for herein, or every kind and nature whatsoever, which in any manner directly or indirectly may arise or be alleged to have arisen or as a result of the duties and obligations as required by this agreement that which has resulted or alleged to have resulted from the negligent acts or omissions or other wrongful conduct of or the infringement of any copyright by the Artist. Nothing contained herein is intended to serve as a waiver by the City of its sovereign immunity, to extend the liability of the City beyond the limits set forth in Section 768.28, Florida Statutes, or be construed as consent by the City to the sued by third parties. 5 REMOVAL OR RELOCATION All Artwork shall be installed no later than May 30, 2026, and maintained on the property until May 30, 2027 by the Property Owner. The Artwork shall not be altered, modified, relocated, or removed for a period of one (1) year from date of completion per the Agreement to Commission a Public Mural (Exhibit A). After this time, and pursuant to 17 U.S.C. §106A(e), the Artist specifically waives any protections afforded to the Artist under 17 U.S.C. §106A with respect to the Artwork and the uses of the Artwork as described in this agreement. Artist also specifically acknowledges that removal of the Artwork from the property may subject the Artwork to destruction, distortion, mutilation, or modification. In addition, in the event there is a condition or accident that occurs outside the reasonable control of the City, such as an act of God, resulting in damage or destruction of the Artwork, then the Artwork may be removed or replaced. At any time after the execution of 2 this Agreement, the City may request that the Artwork be removed from the site due to hardship, and the Artist and the City will consider that request in good faith. 6 NOTICE Any notice required or permitted to be given by the provision of this Agreement shall be conclusively deemed to have been received by a party hereto on the date it is delivered to such party at the address indicated below: City of Clearwater Community Redevelopment Agency 600 Cleveland Street, 6th Floor Clearwater, FL 33755 Urman Design LLC 3214 Summer Cruise Dr. Valrico, FL 33594 7 DEFAULT Failure or refusal by the Artist to perform or do any act herein required shall constitute a default. In the event of a default, in addition to any other remedy available to the City, the City, upon thirty (30) days written notice, may terminate this agreement and demand repayment of grant funds provided. Such termination does not waive any other legal remedies available to the City. 8 TERMINATION Either party may terminate this agreement with thirty (30) days written notice without any further obligation. The City may terminate this agreement immediately for failure to adhere to any of the provisions of this agreement as determined by the City in its sole discretion. 9 DISCLAIMER OF WARRANTIES This agreement constitutes the entire agreement between the parties on the subject hereof and may not be changed, modified, or discharged except by written amendment duly executed by both parties. No representations or warranties by either party shall be binding unless expressed herein or in a duly executed amendment hereof. 3 In witness thereof, the parties hereto have caused this Artist and Public Mural Grant Agreement to be executed on the date and year first written above. URMAN DESIGN LLC Y fi Carlos Jefferson Artist COMMUNITY REDEVELOPMENT AGENCY Jesus Nino CRA Director Approved as to form: Attest: Owen Kohler Rosemarie Call CRA Attorney City Clerk 4 Exhibit A Exhibit B AGREEMENT TO COMMISSION PUBLIC MURAL This agreement is entered into this 15 day of . March , 2026 by and between Narus Carlos Jefferson (aka NCARLOSJ)of Valrico, Florida (hereafter called "Artist") and Gus Faison called "Owner"). of Clearwater, Florida (hereafter Owner's Obligations a. The Owner recognizes that the purpose of the project, which is to enhance the community, is mutually beneficial to the Artist and the Owner, and therefore desires to have a mural(s) (hereafter called Artwork) painted on the exterior of their building(s) located at 1201 North Betty Lane (hereafter called "Budding"). b. The Owner agrees to allow the Artist to paint Artwork on the Building. The dimensions and location(s) of the Artwork will be 58 ft x 11 ft on the north facing wall c. The Owner understands that the Artwork shall, in no way, be used for advertising. d. The Owner will inform the Artist if the Artwork is damaged or in need of repair. e. The Owner agrees to keep the Artwork for a minimum of 1 year. 11. Artist's Obligations a. The Artist shall cooperate with the City of Clearwater to ensure that all permits any permits or permissions are secured to install Artwork on the Building. b. The Artist shall present the completed design(s) of the Artwork to the Owner prior to the installation of the mural(s). The Owner can request that the Artist make reasonable adjustments to the design(s). The Artist shall then present the adjusted design(s) to the Owner for approval. W. Artist's Rights a. The Owner shall notify the Artist in writing upon the adoption of a plan or alteration of the Building which would entail removal or relocation of the Artwork which might result in the Artwork being destroyed, distorted, or modified. The Artist shall be granted the right of consultation regarding the removal or relocation of the Artwork. If the Artwork cannot be successfully removed or relocated as determined by the Owner, the Artist may disavow the Artwork or have the Artwork returned to the Artist at the Artist's expense. b. The Artwork may be removed, relocated, or destroyed by the Owner should the Artist and the Owner not reach mutual agreement on the removal or relocation of the Artwork after a period not to exceed ninety (90) days after written notice to the Artist. During the ninety (90) day period, the Parties shall engage in good faith negotiations concerning the removal or relocation of the Artwork. c. In the event of changes in building codes, zoning laws, or regulations that cause the Artwork to conflict with such codes, laws, or regulations, the Owner may authorize the removal or relocation of the Artwork without the Artist's prior permission. In the alternative, the Owner may commission the Artist by a separate agreement to make any necessary changes to the Artwork to render it in conformity with such codes, Taws,. or regulations. d. If the Owner reasonably determines the Artwork presents imminent harm or hazard to the public, other than as a result of the Owner's failure to maintain the Artwork as required under this Agreement, the Owner may authorize the removal of the Artwork without the prior approval of the Artist. e. This clause is intended to replace and substitute for the rights of the Artist under the Visual Artists Rights Act of 1990 to the extent that any portion of this Agreement is in direct conflict with those rights. The Parties acknowledge that this Agreement supersedes that law to the extent that this Agreement is in direct conflict therewith. f. Owner's obligations under this section III. shall expire one (1) year from execution of this agreement. IV. General a. The parties agree to be fully responsible for their and their agents own acts and omissions during the performance of their obligations under this Agreement. Owner's liability hereunder is subject to the monetary limitations and defenses contain in sections 768.28, F.S. IN WITNESS WHEREOF, the Parties have caused this Agreement to be signed in its corporate/legal name by its authorized representative or persons authorized to execute this Agreement on the date and year first above written. 3/26/2026 Date 3/19/2026 Date Pinellas County Property Appraiser - www.pcpao.gov Generated on 03/31/2026 14:48 PM Parcel Summary (as of 31 -Mar -2026) Parcel Map Parcel Number 10-29-15-69048-005-0130 Owner Name SGT ALLEN MOORE COMNTY PTNSHP INC Property Use 7553 Non -Profit Charitable Services Site Address 1201 N BETTY LN CLEARWATER, FL 33755 Mailing Address C/O JOSEPH SMILEY 1275 WOOD AVE CLEARWATER, FL 33755-3538 Legal Description PINE BROOK UNIT NO. 2 BLK E, LOT 13 Current Tax District CLEARWATER (CW) Year Built 1962 Heated SF 2,223 Gross SF Living Units Buildings Exemptions Year Homestead Use % Status 2027 No 2026 No 2025 No 0% 0% 0% Property Exemptions & Classifications Institutional Miscellaneous Parcel Info Last Recorded Sales Deed Comparison Census Tract Evacuation Zone Flood Zone Elevation Certificate Zoning Plat Bk/Pg 08537/0328 Find Comps 263.00 A CurrMa sEMA Check for EC Zoning Map 23/71 Map_ 2025 Final Values Year Just/Market Value Assessed Value/SOH Cap County Taxable Value School Taxable Value Municipal Taxable Value 2025 5273,075 $273,075 $0 $0 $0 Value History (yellow indicates corrected value) Year Homestead Exemption Just/Market Assessed Value/SOH County Taxable School Taxable Value Value Value Cap Municipal Taxable Value 2024 N 2023 N 2022 N 2021 N 2020 N $251,781 $251,396 $234,300 $222,952 $195,541 $251,781 $248,079 $225,526 $205,024 $186,385 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 2025 Tax Information Do not rely on current taxes as an estimate following a change in ownership. A significant change in taxable value may occur after a transfer due to a loss of exemptions, reset of the Save Our Homes or 10% Cap, and/or market conditions. Please use our Tax Estimator to estimate taxes under new ownership. Tax Bill 2025 Millage Rate View 2025 Tax Bill 19.3522 Tax District ..�� (CW) Sales History Sale Date Price. L 17 -Nov -1993 j $65,000 30 -Apr -1986 $43,200. 31 -Dec -1971 j $26,500 Qualified/ Vacant / Unqualified Improved U U Grantor RODE INC DSLV Grantee i' Book / Page MOORE, SERGEANT A. 108537/0328'1 06207/1089 i 03638/0293; 2025 Land Information Land Area: = 18,487 sf I = 0.42 acres Property Use Non -Profit Service Land Unit Value Dimensions Frontage and/or View: None 75x233 ' $7.25 17,513 Seawall: No Method Total ? Adjusted Adjustments] Value SF [ 1.0000 t $126,966 2025 Building 1 Structural Elements and Sub Area Information Structural Elements Foundation _ m Continuous Footing Floor System Slab On Grade IExterior Walls [Concrete Blk/Stucco Unit Stories Roof Frame 1 1 Flat { Living Units ' 0 f Roof Cover I Built Up Wood iYearBuilt --_-----_–'1962 Building Type Offices Quality Floor Finish Interior Finish Cooling + Fixtures -..---- [_Effective Age I +Sub Area Base (BAS) Base Semi -finished (BSF) Utility (UTF) Canopy(only or loading platform) (CAN) 1 Total Area SF Average Carpet Combination Dry Wall Heat & Cooling Pkg 4158 Heated Area SFGross Area SFj 1,616 1,616 572 35 572 35 , 0 2,223 2,399 1 76 UTF 5 5 35 52 22 1 BAS 1616 12 16 CAN 176' 11 .BSF' 52 '52 57-2 11 2025 Extra Features Description ASPHALT PATIO/DECK Value/Unit F Units $5.00 I 3,000.0 $15.00 400.0 Total Value as New $15,000— $6,000 Depreciated Value $15,000 Year m.l 0 $2,400 '' . 1962 Permit Data Permit information is received from the County and Cities. This data may be incomplete and may exclude permits that do not result in field reviews (for example for water heater replacement permits). We are required to list all improvements, which may include unpermitted construction. Any questions regarding permits, or the status of non -permitted improvements, should be directed to the [permitting jurisdiction in which the structure is located. Permit Number Description BCP2026-020444 ROOF Issue'Datey 02/19/2026 Estimated Value BCP2015-04243 BCP2000-05404 BCP1998-11021 . ROOF ADDITION/REMODEL/RENOVATION ADDITION/REMODEL/RENOVATION 04/09/2015 08/21/2000 02/12/1999 $19,301 $1,990 $10,800 $19,107 3/31/26, 2:47 PM Detail by Entity Name DIVISION OF CORPORATIONS � rrrl'�;:J`�`�.�`� an oiji 'sttf trttu i'lf f lr»i ht wet/site Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Not For Profit Corporation SERGEANT ALLEN MOORE COMMUNITY PARTNERSHIP, INC. Filing Information Document Number N93000005018 FEI/EIN Number 59-3253712 Date Filed 11/08/1993 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 02/08/2019 Principal Address 1201 N BETTY LN CLEARWATER, FL 33755 Changed: 02/17/1998 Mailing Address 1275 Wood Avenue CLEARWATER, FL 33755 Changed: 02/08/2019 Registered Agent Name & Address SMILEY, JOSEPH 1275 Wood Avenue CLEARWATER, FL 33755 Name Changed: 02/08/2019 Address Changed: 02/08/2019 Officer/Director Detail Name & Address Title President SMILEY, JOSEPH, Dr. 1275 Wood Avenue CLEARWATER, FL 33755 https://search.sunbiz.org/Inquiry/corporationsearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&SearchNameOrder=SERGEAN... 1/3 3/31/26, 2:47 PM Detail by Entity Name Title Director Hicks, Deborah 4030 Darlington Road Holiday, FL 34691 Title Secretary Fagg, Rashawnda 16618 Kingman Reef Street Wimauma, FL 33598 Title Director Faison Jr, Willie Gus 1482 Byram Drive Clearwater, FL 33755 Title Director Smiley, Andreameta 1275 Wood Avenue Clearwater, FL 33755 Title Director Edwards, Victoria 1140 McLean Street Dunedin, FL 34698 Title Director Harvey, Robert 2619 21st PI SW Largo, FL 33774 Title Director Shaw, Annie 1731 N Martin Luther King Jr. Avenue Clearwater, FL 33755 Title Director Edwards, Charles 1140 McLean Street Dunedin, FL 34698 Annual Reports Report Year Filed Date https://search.sun biz.org/Inquiry/corporationsearch/Search ResultDetai I?i nqu irytype=EntityN ame&di rectionType=1 nitial&searchNameOrder=S ERG EAN... 2/3 3/31/26, 2:47 PM 2023 04/30/2023 2024 04/22/2024 2025 03/25/2025 Document Images 03/25/2025 --ANNUAL REPORT 04/22/2024 --ANNUAL REPORT! View image in PDF format View image in PDF format 04/30/2023 --ANNUAL REPORT; View image in PDF format 04/09/2022 --ANNUAL REPORT! 03/31/2021 --ANNUAL REPORT 04/16/2020 --ANNUAL REPORT, View image in PDF format View image in PDF format View image in PDF format 02/08/2019 -- REINSTATEMENT View image in PDF format 05/01/2007 -- REINSTATEMENT! View image in PDF format 03/05/2005 --ANNUAL REPORT! View image in PDF format 05/03/2004 --ANNUAL REPORT! View image in PDF format 09/18/2003 --ANNUAL REPORT: View image in PDF format 02/28/2002 --ANNUAL REPORT 05/23/2001 --ANNUAL REPORT View image in PDF format View image in PDF format 04/12/2000 --ANNUAL REPORT! View image in PDF format 07/28/1999 --ANNUAL REPORT: View image in PDF format 02/17/1998 --ANNUAL REPORT; View image in PDF format 04/09/1997 --ANNUAL REPORT' View image In PDF format 02/14/1996 --ANNUAL REPORT; View image in PDF format 05/18/1995 --ANNUAL REPORT: View image in PDF format Detail by Entity Name Florida Department of State, Division of Corporations https://search.su nbiz.org/Inquiry/corporationsearch/Search Resu ItDetail?inquirytype=EntityName&d irectionType=1 nitial&search NameOrder=S E RGEAN ... 3/3 Exhibit C 1 ® A� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 03/20/2026 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 Next First Insurance Agency, Inc. PO Box 60787 Palo Alto, CA 94306 CONTACT NAME: PHONE(855) 222-5919 FAX (A/C, No, Ext): (A/C, No): E-MAIL pP ADDRESS: support@nextinsurance.com INSURERS) AFFORDING COVERAGE NAIC S INSURER A: Next Insurance US Company 16285 INSURED Urman Design LLC DBA N. Carlos J 144 Highland Cir McDonough, GA 30253 INSURER B : NXTKLWKQVR-03-GL INSURER C : 01/18/2027 INSURER D : $1,000,000.00 INSURER E : $100,000.00 INSURER F : COVERAGES CERTIFICATE NUMBER: 658131672 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 LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD!YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X X NXTKLWKQVR-03-GL 01/18/2026 01/18/2027 EACH OCCURRENCE $1,000,000.00 DAMAGE TO PREMISES EaENTEoccu ence) $100,000.00 CLAIMS -MADE X OCCUR MED EXP (Any one person) $5,000.00 PERSONAL &ADV INJURY $1,000,000.00 GENERAL AGGREGATE $2,000,000.00 GE X 'L AGGREGATE LIMIT APPLIES PER: POLICY LJ jE I I LOC OTHER: PRODUCTS - COMP/OP AGG $2,000,000.00 $ AUTOMOBILE _ X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY — SCHEDULED AUTOS NON -OWNED AUTOS ONLY X X NXTKLWKQVR-03-GL 01/18/2026 01/18/2027 COMBINED SINGLE LIMIT jEa accjdent) $ BODILY INJURY (Per person) $1,000,000.00 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y IN . N / A NXTKLWKQVR-17-WC 01/18/2026 01/18/2027 X STATUTE OTH- ER E.L. EACH ACCIDENT $1,000,000.00 E.L. DISEASE - EA EMPLOYEE $1,000,000.00 E.L. DISEASE - POLICY LIMIT $ 1,000,000.00 DESCRIPTION OF OPERATIONS ! LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The Certificate Holder is Sergeant Allen Moore Community Partnership, Inc.. This Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement. All Additional Insured privileges apply only if required by written agreement between the Certificate Holder and the insured, and are subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION Sergeant Allen Moore Community Partnership, Inc. 1275 Wood Ave Clearwater, FL 33755 LIVE CERTIFICATE Click or scan to view 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 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACRD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 03/23/2026 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). 'RODUCER CONTACT ext First Insurance Agency, Inc. )O Box 60787 )alo Alto, CA 94306 NAME: (AI PHC,ONENo. Ext►: (855) 222-5919 FAX (AIC, No): E-MAILDRSS: support@nextlnsurance.com INSURER(S) AFFORDING COVERAGE INSURERA: Next Insurance US Company NAIC 16285 ,VSURED Jrman Design LLC DBA N. Carlos) 144 Highland Cir V1cDonough, GA 30253 INSURER B : INSURER C : INSURER D : INSURER E INSURER F : :OVERAGES CERTIFICATE NUMBER: 797337848 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. ISR TR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X X NXTKLWKQVR-03-GL 01/18/2026 01/18/2027 EACH OCCURRENCE $1,000,000.00 - CLAIMS -MADE X OCCUR PRTORENTED PREMISES ((Ea occurrence) $ 100,000.00 MED EXP (Any one person) $5,000.00 PERSONAL & ADV INJURY $1,000,000.00 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PRO )ECT PER: LOC GENERAL AGGREGATE $2,000,000.00 PRODUCTS - COMP/OP AGG $2,000,000.00 $ AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY - _ _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY X X NXTKLWKQVR-03-GL 01/18/2026 01/18/2027 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $1,000,000.00 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ 3 WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y YN NIA NXTKLWKQVR-17-WG 01/18/2026 01/18/2027 X STATUTE OTH- ER E.L. EACH ACCIDENT $1,000,000.00 E.L. DISEASE - EA EMPLOYEE $ 1,000,000.00 E.L. DISEASE - POLICY LIMIT $1,000,000.00 IESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) rhe Certificate Holder is City of Clearwater. This Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement. All Additional Insured privileges apply only If required by written agreement between the Certificate Holder and the insured, and are subject to policy terms and :onditions. '.ERTIFICATE HOLDER CANCELLATION ity of Clearwater ttn: CRA D Box 4748 learwater, FL 33758 LIVE CERTIFICATE El 41.1•• off• 67-41,+; Click or scan to view 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 1(:ARII 9E t9n1t;/fR1 O 1988-2015 ACORD CORPORATION. All rights reserved. Tho A(flPf names and Innn aro ranictarad markt of A(:ARIl