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PINELLAS COUNTY FLORIDA BOARD OF COUNTY COMMISSIONERS SEE NO SUCH LLC ENTITY 3 Axis

PINELLAS COUNTY FLORIDA BOARD OF COUNTY COMMISSIONERS SEE NO SUCH LLC ENTITY 3 Axis

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PINELLAS COUNTY FLORIDA BOARD OF COUNTY COMMISSIONERS SEE NO SUCH LLC ENTITY
PINELLAS COUNTY FLORIDA BOARD OF COUNTY COMMISSIONERS SEE NO SUCH LLC ENTITY

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Published by: TruthPress on Nov 16, 2013
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06/28/2014

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Named Insured Pinellas County Board of County Commissioners, LLC Policy Number EAF765958-12 Issued By AXIS Surplus Insurance

Company This endorsement changes the policy. Please read it carefully. Policy Period 03/01/2012 to 03/01/2013

Endorsement Number 3 revised Effective Date of Endorsement 03/01/2012 Endorsement Issue Date 02/08/2013

It is hereby understood and agreed that the following changes are made to the broker manuscript policy: Amend Insured Corporate Address to: 400 South Fort Harrison Avenue, 3 Floor, Clearwater, FL 33756 Amend Sublimits of Liability: $11,889,591 Business Income to $11,889,591 Gross Earnings Amend Endorsement No. 17 to read 16 Amend Endorsement No. 18 to read 17 Endorsement No. 17 is amended as follows: Lexington Insurance Company endorsement listing is amended as follows: - Ware and Terrorism Exclusion Endorsement NMA2918 is deleted - 19 Amendatory Endorsement is added - 20 Exclusion Endorsement is added - 21 Service of Suit Endorsement is added - 22 Deleting Occurrence Definition from PR9014 - Terrorism Exclusion Certified and Non-Certified 96544 (04/08) Axis Surplus Lines Insurance Company Policy No. EAF5085512 endorsement listing is amended as follows: - Schedule Limit of Liability – Endorsement 19 – ES 138 0106 is added - Minimum Earned Premium Clause – Percentage Endorsement 21 – ES 106 0106 is added - Scheduled Limit of Liability Deletion – Endorsement 20 – ES 713 1008 is added - Additional Policy Exclusions – ES 002 0106 is deleted Ironshore Specialty Insurance Company - Defined Peril Millennium Endorsement applies IS.PROP.END.012 is deleted - Defined Peril Millennium Endorsement applies IS.PROP.END.021 is added Weschester Surplus Lines Insurance Company Policy No. D3737562003 - SLPD (03/08) – Policy Declarations is added Landmark American Insurance Company - RSG 94030 1003 – Exclusion and Limited Additional Coverage is added - RSG 96004 0210 – Exclusion and Limited Additional Coverage for Fungus is added
rd

ES 026 0106

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RSG 96005 0108 – Exclusion of Terrorism is added RSG 96014 0504 – Exclusion of Pathogenic or Poisonous Biological or Chemical Material is added IL 0017 1198 – Common Policy conditions is added Notice – Rejection of Terrorism Coverage – RSG 99018 1211 is deleted

Arch Excess & Surplus Insurance Company - 00 EXP0078 00 05 06 Occurrence Limit of Liability Endorsement is added United National Insurance Company - IL0003 (11/85) Calculation of Premium is deleted - IL0003 0907 Calculation of Premium is added Westchester Surplus Lines Insurance Company Policy No. D37394518001 - ACE0668 (06/11) – Claims Adjustment is added - ACE007 (06/10) Cancellation Clause is deleted - CC-3R19 (07/97) General Endorsement – Schedule of Underlying Insurance is deleted - ACE0204 (05/10) Fungus, Wet Rot, Dry Rot and Bacteria Exclusion is deleted Axis Surplus Lines Insurance Company Policy No. EAF76595812 - State Fraud Statements – LI-FS 001 0211 is deleted - State Fraud Statements – LI-FS 001 0411 is added - Excess Schedule Limit of Liability – ES181 0106 is deleted - Service of Suit Clause – SOS-CW (07-04) is deleted - Service of Suit Clause – SOS- FL (07-04) is added - Specifically Excluded Flood zones – Endorsement 20 - ES 088 0106 is added Liberty Surplus Insurance Corporation - Policy Jacket is added - LISI - CPD001-0511 is added

All other terms and conditions remain unchanged.

Authorized Representative

ES 026 0106

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