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PUBLIC MURAL GRANT AGREEMENT (4)PUBLIC MURAL GRANT AGREEMENT This Grant Agreement is made and entered into on this ip day of July, 2026 between the Clearwater Community Redevelopment Agency, whose address is: 100 S Myrtle Ave., 3rd Floor, Clearwater, FL 33755, ("CRA"), and Hannah Lorra Arts ("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 July 1, 2026 and continue through August 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 any permits or permissions are secured to install a mural(s) on the Let's Go Carting building located at 500 N Fort Harrison Ave, Clearwater, FL 33755 ("Building"). 2.1 The Artist shall enter into a separate written; agreement with Elseed Family Trust ("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 August 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 $9,200 (nine thousand two 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 ($6,200) 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 August 30, 2026, and maintained on the property until July 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 Hannah Lorra Arts 7508 N Cameron Ave. Tampa, FL 33614 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. HANNAH LORRA ARTS tlauutaiv Lama. Hannah Allred Artist CITY OF CLEARWATER 9esuus. t'a#w- Jesus Nino (Jul 6, 2026 10:01:47 EDT) Jesus Nino CRA Director Approved as to form: Oweh K,ohlep Owen Kohler (Jul 5, 2026 11:15:17 EDT) Owen Kohler Interim City Attorney Attest: Rosemarie Call City Clerk 4 PUBLIC MURAL GRANT AGREEMENT Hannah Lorra Arts Let's Go Carting Final Audit Report 2026-07-06 Created: 2026-07-02 By: Amber Brice (amber.brice@myclearwater.com) Status: Signed Transaction ID: CBJCHBCAABAAOialuaPOckRPTF7hjCO_VQMkNffH2CUV "PUBLIC MURAL GRANT AGREEMENT Hannah Lorra Arts Let' s Go Carting" History 5 Document created by Amber Brice (amber.brice@myclearwater.com) 2026-07-02 - 2:37:57 AM GMT I Document emailed to Hannah Allred (artbyhannahlorra@gmail.com) for signature 2026-07-02 - 2:38:01 AM GMT 5 Email viewed by Hannah Allred (artbyhannahlorra@gmail.com) 2026-07-02 - 2:42:38 PM GMT 6o Document e -signed by Hannah Allred (artbyhannahlorra@gmail.com) Signature Date: 2026-07-02 - 2:44:04 PM GMT - Time Source: server - Signature Appearance Selected: MOBILE _IMAGE Po Document emailed to Owen Kohler (owen.kohler@myclearwater.com) for signature 2026-07-02 - 2:44:06 PM GMT 5 Email viewed by Owen Kohler (owen.kohler@myclearwater.com) 2026-07-02 - 2:44:09 PM GMT de Document e -signed by Owen Kohler (owen.kohler@myclearwater.com) Signature Date: 2026-07-05 - 3:15:17 PM GMT - Time Source: server - Signature Appearance Selected: TYPE C'.0 Document emailed to Jesus Nino (jesus.nino@myclearwater.com) for signature 2026-07-05 - 3:15:20 PM GMT 5 Email viewed by Jesus Nino (jesus.nino@myclearwater.com) 2026-07-05 - 3:15:33 PM GMT do Document e -signed by Jesus Nino (jesus.nino@myclearwater.com) Signature Date: 2026-07-06 - 2:01:47 PM GMT - Time Source: server - Signature Appearance Selected: TYPE ElAdobe Acrobat Sign 0 Agreement completed. 2026-07-06 - 2:01:47 PM GMT Adobe Acrobat Sign Exhibit A AGREEMENT TO COMMISSION PUBLIC MURAL This agreement is entered into this 13 day of May , 2026 by and between Hannah Allred of Hannah Lorra Arts (hereafter called "Artist") and Jason Corbett of Let's Go Carting, LLC (hereafter called "Owner"). 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 500 N Fort Harrison Ave, Clearwater, FL 33755 (hereafter called "Building"). b. The Owner agrees to allow the Artist to paint Artwork on the Building. The dimensions and location(s) of the Artwork will be Exterior Perimeter Wall that faces N Fort Harrison & Georgia Streets, & Tall Cinderblock wall that faces Georgia St 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. II. 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. III. 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, laws, 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. Owner 05/13/2026 Date 14r1 -44j May 13, 2026 Artist Date F C' pcpao.gov/property-details?s=152909369360000010&xmin=-9217390.380849559&ymin=3245207.84412001&xmax=-9217173.01... 00 AO The Launchpad - Home © City Manager's Office... ATE Mission Square M Gmail It Mail Outlook N Neighborly Software m Code of Ordinances 1... } y • » d All Bookmarks Mike Twitty, MAI, CFA Pinellas County Property Appraiser Q Select Language Home Search - Exemptions - Tools I Forms I Data - How Do I... - Learn About - Contact Us - Parcel Summa as of 29- un -2026 .. Parcel Ma. t. f Parcel Number 09-29-15-36936-000-0010 Owner Name ELSEED, SAMEH R TRE ELSEED, EMAN G TRE More Property Use 2742 Automobile, Motorcycle, Farm Machinery, Tractor Trailer Dealership Site Address 500 N FT HARRISON AVE CLEARWATER, FL 33755 Mailing Address 2805 SOUTHPOINTE LN TAMPA, FL 33611-5331 Legal Description Exhibit B r', Exhibit C ACcRO® `./ CERTIFICATE OF LIABILITY INSURANCE DATE (M/2026YYY) 07/01/2026 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 Verifly Insurance Services, LLC DBA Thimble Insurance Services 174 West 4th Street, Suite 204 New York, NY 10014 https://support.thimble.com/ CONTACT THIMBLE https://support.thimble.com/ NAME: PHONE FAX (AIC. No. Est): (A/C, No): E-MAILDSS: support@thimble.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Specialty Insurance Company 22608 INSURED Hannah Lorra Arts 7508 N Cameron Ave, Tampa, FL, 33614 artbyhannahlorra@gmail.com INSURER B : IBL-FKEGQEF5AC INSURER C : 07/31/2026 11:59 PM EDT INSURER D : $ 2,000,000 INSURER E : INSURER F: https://www.thimble.com/check-policy-status/ X OCCUR 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 LTR TYPE OF INSURANCE ADDL INSD SUBR VD POLICY NUMBER POLICY EFF MM/DDYYY) I/Y POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y IBL-FKEGQEF5AC 07/13/2026 12:00 AM EDT 07/31/2026 11:59 PM EDT EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100 000 $ 5,000 MED EXP (Any one person) PERSONAL &ADV INJURY $ 2,000,000 GE X 'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRC JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE UABIUTY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVEN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below / A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ $ $ $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space isrequired) WARNING: THE GL POLICY IS NOT A COMPLETION BOND. IT PROVIDES COVERAGE FOR BODILY INJURY, PROPERTY DAMAGE, AND PERSONAL AND ADVERTISING INJURY. IT DOES NOT GUARANTEE THE COMPLETION OF WORK BY A CONTRACTOR. (con't on form Acord 101) CERTIFICATE HOLDER CANCELLATION Sameh and Eman ELSEED ELSEED FAMILY TRUST 11561 Wellman Dr Riverview, FL 33578-3766 1 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 yYK/6) ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORO® AGENCY CUSTOMER ID: artbyhannahlorra@gmail.com LOC #: 1 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Verifly Insurance Services, LLC DBA Thimble Insurance Services NAMED INSURED - Hannah Lorra Arts 7508 N Cameron Ave, Tampa, FL, 33614 artbyhannahlorra@gmail.com POLICY NUMBER IBL-FKEGQEF5AC CARRIER National Specialty Insurance Company NAIC CODE 22608 EFFECTIVE DATE: 07/13/2026 12:00 AM EDT ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER• Acord 25 FORM TITLE: Certificate of Liability Insurance Description of Operations (con't) Episodic Coverage (THSN CG 02 03 02 21) for policy number IBL-FKEGQEF5AC until 07/31/2027 11: 59 PM EDT ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Acc R�® i.... ---- CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07/01/2026 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 Verifly Insurance Services, LLC DBA Thimble Insurance Services 174 West 4th Street, Suite 204 New York, NY 10014 https://support.thimble.com/ CONTACT THIMBLE htt s://sU ort.thimble.com/ NAME: p pp PHONE FAX (A/C. No. Ext): (A/C, No): ADDRESS: support@thlmble.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: National Specialty Insurance Company 22608 INSURED Hannah Lorra Arts 7508 N Cameron Ave, Tampa, FL, 33614 artbyhannahlorra@gmail.com INSURER B : IBL-FKEGQEF5AC INSURER C : 07/31/2026 11:59 PM EDT INSURER D : $ 2,000,000 INSURER E : INSURER F : https://www.thimble.com/check-policy-status/ X1 OCCUR 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF IMM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y IBL-FKEGQEF5AC 07/13/2026 12:00 AM EDT 07/31/2026 11:59 PM EDT EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE X1 OCCUR AMAGE RENTED PREMISESO(Ea occurrence) $ 100 000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 2,000,000 GE X 'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRC JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below y / N / A PER ETH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Isrequired) WARNING: THE GL POLICY IS NOT A COMPLETION BOND. IT PROVIDES COVERAGE FOR BODILY INJURY, PROPERTY DAMAGE, AND PERSONAL AND ADVERTISING INJURY. IT DOES NOT GUARANTEE THE COMPLETION OF WORK BY A CONTRACTOR. (coni on form Acord 101) CERTIFICATE HOLDER CANCELLATION City of Clearwater Attn: CRA PO Box 4748 Clearwater, FL 33758-4748 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 Y") ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORO® AGENCY CUSTOMER ID: artbyhannahlorra@gmail.com LOC #: 1 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Verifly Insurance Services, LLC DBA Thimble Insurance Services NAMED INSURED Hannah Lorra Arts 7508 N Cameron Ave, Tampa, FL, 33614 artbyhannahlorra@gmail.com POLICY NUMBER IBL-FKEGQEF5AC CARRIER National Specialty Insurance Company NAIC CODE 22608 EFFECTIVE DATE: 07/13/2026 12:00 AM EDT ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: Acord 25 FORM TITLE: Certificate of Liability Insurance Description of Operations (con't) Episodic Coverage (THSN CG 02 03 02 21) for policy number IBL-FKEGQEF5AC until 07/31/2027 11: 59 PM EDT ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD