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181-Metropolitan Systems, Inc. .. A COROTM CERTIFICAT~OF LIABILITY INSURANCE CoN-/6i I DATE (MM/DDIYYI 6/26/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ACORDIA EAST - TAMPA BAY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 31666 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tampa, FL 33631-3666 727-796-6666 INSURERS AFFORDING COVERAGE INSURED INSURER A: Hartford Insurance Co of SE Metropolitan Systems Inc. GREAT AMERICAN INSURANCE CO Etal INSURER B: 3014 Horatio Street INSURER C: Zenith Insurance Co-DB ~ampa FI 33609 INSURER 0: INSURER E: o~ COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.!N9TWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE1vb\Y BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND Cll>lIIDlTIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. '-0 I~i': TYPE OF INSURANCE POLICY NUMBER ~~~~Y EFFECTIVE PRk!f~Y EXPIRATION L1MR., A GENERAL LIABILITY 21UENLC8904 7/01/01 7/01/02 EACH OCCURRENCE -; 1000000 ~ FIRE DAMAGE (Anyone fire) r; ~. c--X- COMMERCIAL GENERAL LIABILITY 300000 I CLAIMS MADE W OCCUR . MED EXP (Anyone person) I" ~. 10000 PERSONAL & ADV INJURY \ 1000000 r-- GENERAL AGGREGATE --:: r-- :l$ 1000000 n'L AGGREn LIMIT APn PER: PRODUCTS - COMP/OP AGG $ 1000000 POLICY ~~~T LOC A ~TOMOBILE LIABILITY 21UENKZ9602 7/01/01 7/01/02 COMBINED SINGLE LIMIT lEa accident) $ 1000000 ANY AUTO r-- ALL OWNED AUTOS BODILY INJURY r-- $ c--X- SCHEDULED AUTOS (Per person) L HIRED AUTOS BODILY INJURY $ L NON-OWNED AUTOS (Per accident) - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ =1 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ B EXCESS LIABILITY UMB1287683 7/01/01 7/01102 EACH OCCURRENCE $ 2000000 =xJ OCCUR o CLAIMS MADE AGGREGATE $ 2000000 $ 8 DEDUCTIBLE $ X RETENTION $ 10000 $ C WORKERS COMPENSATION AND 12506 3/03/01 3/03/02 T~~,STAT~;J IOTH- T Y LIMIT ER EMPLOYERS' LIABILITY .- E.L. EACH ACCIDENT $ 500000 E.L. DISEASE - EA EMPLOYEE $ 500000 E.L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED WITH REFERENCE TO GENERAL LIABILITY INCLUDING HOLD HARMLESS/ INDEMNIFY CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION CITY OF SANFORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL -1.Q.. DAYS WRITTEN ATTN: CITY CLERK NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL P.O. BOX 1778 IMPOSE NO OBLIGATION OR L1ABIL~NY KIND UPON ~SURER/S AGENTS OR SANFORD, FL 32711 REPRESENTATIVES. .' ~, .... AUTHORIZED REPRESENTATIVE !:?~;~,'f~4r0~A- I ACORD 25-S (7/97) 7- 70 ~ €I ACORD CORPORATION 1988 ,. IMPORTANT ~, c::::> , sa: 2:;: ::: .' If the certificate holder is an ADDITIONAL INSURED, the policy(iesl must be endorsed. A state~t. on this certificate does not confer rights to the certificate holder in lieu of such endorsement(sl. '0 2il If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policie!! may require an endorsement. A statement on this certificate does not confer rights to the certiffeite holder in lieu of such endorsement(sl.' ~. -<( DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(sl, authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (7/971 .A CORDTM ACORDIA EAST - TAMPA BAY P.O. Box 31666 Tampa, FL 33631-3666 727-796-6666 ---- CERTIFICATr JF LIABILITY INSURAN ~E CoN-(~f DATE~7;~~~~Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER INSURED INSURERS AFFORDING COVERAGE Metropolitan Etal 3014 Horatio Street Tampa FI 33609 COVERAGES INSURER A: INSURER B: INSURER C: INSURER 0: INSURER E: Hartford Insurance Co of SE GREAT AMERICAN INSURANCE CO Zenith Insurance Co-DB 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~~: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A ~NERAL LIABILITY 21UENLC8904 7/01/00 7/01/01 EACH OCCURRENCE $ 1000000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 300000 I CLAIMS MADE W OCCUR MED EXP (Anyone person' $ 10000 I-- PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 1000000 I-- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000000 n POLICY -n ~~~T n LOC A ~TOMOBILE LIABILITY 21UENKZ9602 7/01/00 7/01/01 COMBINED SINGLE LIMIT 1000000 (Ea accident) $ f-- ANY AUTO f--- ALL OWNED AUTOS BODILY INJURY $ ~ SCHEDULED AUTOS (Per person) ~ HIRED AUTOS BODILY INJURY (Per accident) $ ~ NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) qAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ B EXCESS LIABILITY BIND405086 7/01/00 7/01/01 EACH OCCURRENCE $ 2000000 ~ OCCUR D CLAIMS MADE AGGREGATE $ 2000000 $ ~ DEDUCTIBLE $ X RETENTION $ 10000 $ C WORKERS COMPENSATION AND 12506 3/03/01 3/03/02 I WC STAT~~ I IOJ,tl- EMPLOYERS' LIABILITY E.L, EACH ACCIDENT $ 500000 E,L, DISEASE - EA EMPLOYEE $ 500000 E.L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED WITH REFERENCE TO GENERAL LIABILITY INCLUDING HOLD HARMLESS/ INDEMNIFY WORKERS COMPENSATION-FLORIDA OPERATIONS ONLY CERTIFICATE HOLDER I I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF SANFORD DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ---1Q.. DAYS WRITTEN A TTN: CITY CLERK NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL P.O. BOX 1778 IMPOSE NO OBLIGATION OR LIABILITY O~ND UPON THE INSU" ITS2ENTS OR SANFORD, FL 32711 REPRESENTATIVES. L!. AUTHORIZED REPRESENTATIVE t'/-? ~ .~J-?'- y~ I .r-/ A'" ,/ -/' ACORD 25-S (7/97) 7- 70 tr'ACORD CORPORATION 1988 -.- - IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (7/97) .. .. :iIDlill.~tillij:jifiill:::III..lliiijliiij::/} .. DATE (MMIDDIYY) 6/27/97 PRODUCER Acardia SE, Central Fla Divsn P.O. Box 31666 Tampa, FL 33631-3666 THIS CERTlflCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONfl::RS NO RlGJITS UPON THE CERTIflCA TE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE INSURED COMPANY A Hartford Insurance Co 0 COMPANY Metropolitan Systems Inc ETAL 3014 Horatio Street B Hartford Insurance Company COMPANY c Riscorp Insurance Company D JJ.Q~M(i~::::::::::::':::::::::::':::::::::::I::::::::I:::::::::::::::::::t:::I'::tt:::I::::::::':::III:::::t:::::::::I:::::::::::::::::t:::::::::::::::::,:::::::,:::::::::::mt:::::::::::::::::::::::::I::::::::::::::::::::::::I::::::::::::::::::::I'::::t:I{::::I::::::::::::::::::::::::I:::::::::::::::::::::::::::::::jjj:t::::::::::j::j::j:j:j:::::::,:::::::j::::::I::I:t::j:::::::j:::::::j::'t::::::::j:t:::::::::::::::':'::::::::::::::::::'jj::I: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED, NOTWITIIST ANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTlflCATE MA Y 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. Tampa FI 33609 COMPANY CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF. DATE (MMIDDIYY) POLICY EXP. DATE (MMIDDIYY) LIMITS A GENERAL LIABILITY COMM. GENERAL LIABILITY CLAIMS MADE [KJ OCCUR OWNER'S & CONTRACT'S PROT 21UENLC8904 7/01/97 7/01/98 GENERAL AGGREGATE PROo.cOMP/OP AGG. PERS." AnV.INJURY EACH OCCURRENCE flRE DAMAGE(One Fire) MED EXP(Any one person) 10000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (per accident) PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO AUTOONLY.EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EXCESS LIABILITY B X UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 21XHULB9907 7/01/97 7/01/98 EACH OCCURRENCE AGGREGATE 1000000 1000000 X STATUTORY LIMITS 100000 500000 100000 C 12506 3/03/97 3/03/98 EACH ACCIDE~rf THE PROPRIETOR! PARTNERSIEXECUTlVE OFflCERS ARE: INCL EXCL DlSEASE.POLlCY LIMIT DISEASE-EACH EM PL. OTHER DESCRIPTION OF OPERA TlONS/LOCA TIONSIYEHlCLES/SPECIAL ITEMS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED WITH REFERENCE TO GENERAL LIABILITY INCLUDING HOLD HARMLESS/ INDEMNIFY WORKERS COMPENSATION-FLORIDA OPERATIONS ONLY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF SANFORD A TIN: CITY CLERK P.O. BOX 1778 SANFORD, FL 32711 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DA YS WRITTEN NOTICE TO THE CERTIflCA TE HOLDER NAMED TO THE LEfT, BUT fAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF Ai'')' KIND UPON THE COMPANY, ITS A OR REPRESENTATI AUTHORIZED REPRESENTATIVE ", AC:ORD2S'S(:3J!J3l< ..':'::::::.': ....... ....::::<::7~ -- -- -- --- - -m'- - - ':)tJ 02511 A.~.tlll.~ r CERTIFICA ll~, OF INSURANCE '''\: ISSUE DATE (MM/DD/YY) Amer ican Bus iness Ins, P.O. eox 31666 Tampa, FL 33631-3666 SE 11/0l,Ql THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. -! PRODUCER COMPANIES AFFORDING COVERAGE f~~~NY A Mt. Hawley Insurance Co. INSURED f~~~~Y B Metropol itan Systems Inc. eta I 3014 ~oratio Street Tampa FL 33609 COMPANY C LETTER Mt. Hawley Insurance Co. COMPANY D LETTER Commerce I"!utua I COMPANY E LETTER COVERAGES 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) A GENERAL LIABILITY MCL021227 10/31/93 10/31/94 GENERAL AGGREGATE $ 1000000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ 1000000 CLAIMS MADE X OCCUR. PERSONAL & ADV. INJURY $ 1000000 OWNER'S & CONTRACTOR'S PROTo EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Anyone fire) $ :'0000 MED. EXPENSE (Anyone person) $ ~()OO AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON-OWNED AUTOS GARAGE LIABILITY PROPERTY DAMAGE $ C EXCESS LIABILITY OUL016005 10/31/93 10/31/'14 EACH OCCURRENCE $ 1000000 X UMBRELLA FORM AGGREGATE $ 1000000 OTHER THAN UMBRELLA FORM D 12506 03/03/93 03/03/94 STATUTORY LIMITS WORKER'S COMPENSATION FLO~IOA OPERATIONS ONLY EACH ACCIDENT $ 500000 AND DISEASE-POLICY LIMIT $ 500000 EMPLOYERS' LIABILITY DISEASE-EACH EMPLOYEE $ ')t\()()()() OTHER DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HULDER IS NAMED AS ADDITIONAL INSURED WITH REFERENCE TO GENERAL LIABILITY I~CLUOING HuLD hARMLESS/ INOFMNIFY CERTIFICATE HOLDER CANCELLATION CITY CF SANFORD ATTN: CITY CLERK P.O. BOX 1778 SANFORD, FL 32711 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL --.l.{L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR L(JmILlTY10F ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESE~~E + aP6u:;/~~- @ACORD CORPORATION 1990 ACORD 25-S (7/90) 0'2-5 11 L ,- I '8 I A.~.tltlt. CERTIFICA Tr ~F INSURANCE ISSUE DATE (MM/DD/YY) American Business Ins, SE P.O. Box 31666 Tampa, FL 33631-3666 3/18/93 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER COMPANIES AFFORDING COVERAGE COMPANY A LETTER Mt. Hawley Insurance Co. INSURED Metropolitan etal 3014 Horatio Tampa COMPANY B LETTER Systems Inc. COMPANY C LETTER Mt. Hawley Insurance Co. Street FL 33609 COMPANY D LETTER Commerce ~Iutual COMPANY E LETTER COVERAGES 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. DESCRIPTION OF OPERA TIONS/LOCA TIONSIvEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED WITH REFERENCE TO GENERAL LIABILITY INCLUDING HOLD HARMLESS / INDEMNIFY CERTIFICATE HOLDER CITY OF SANFORD ATTN: CITY CLERK P.O. BOX 1778 SANFORD, FL 32711 CANCELLATION RECEIVED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO G0 MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE MAR 26 1993 "j LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR I. n_5} LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ~ .11 AUTHORIZED'REPRESENTATIVE;, ;.:;/. /" - ..'~~:~~.c~.~N=:C't'{;41\~~~{7': ::, (,/ .. .rJ(%;~~';"ACORiiC<iRPciRATION ,.., 7- 70 ACORD2S=S"(7/90)"';":fc1",..t, '. B PROPOSAL - AGREEMENT WHEREAS, it is everywhere recognized that physical rest is essential to human well being as well as. welcomed by all peop Ie, the CITY OF .i ;?IV r?'/C t) I F~ D/f / IJ,,(J , hereinafter referred to as the "City," has determined that the installation and presence of a public seating service within the corporate limits of the City would fulfill a collateral public transportation need and be of continuing benefit to the general traveling public, and to others, and WHEREAS, the City is charged with the public interest and, accordingly, as a proprietary function is desirous of having placed within its corporate limits, at transit stops and/or at other points of pedestrian convenience or necessity, benches designed for comfortable seating in order that such benches may inure to the convenience and enjoyment of those who use public transportation, and of others; and WHEREAS, METROPOLITAN SYSTEMS, INC., a corporation, hereinafter referred to as the "Service Company," is engaged in the manufacture and installation of benches as an ordinary and desirable incident of city and county streets; and and the I;:. u.) r 111,+ LJ 5 U J.." ($ ," f .)',..11,' ,c(;1~ /) 7#,-". (' ,/' .. WHEREAS, the vl:].A- f-l,< IJ .- S t" 111 III-'r.. / '- ,7~1 'Ie.! l: c- j' r?" J r I hereinafter referred to as the "Clubs," are desirous of sponsor- ing or co-sponsoring as a community project for the benefit and accommodation of the general traveling public, and of others, the placement of benches at transit stops and/or at other points of pedestrian convenience or necessity within the corporate limits of the City and, to that end, have en- tered into agreements with the Service Company. NOW, THEREFORE, in consideration of the premises, the Clubs and the Service Company join in making the follow- ing proposal to the City, whereby, upon the acceptance of such proposal by the City, the said desires of the City and of the Clubs can be realized: 1. The Service Company, its successors and assigns, shall install and at all times hereunder shall continue to furnish benches, as hereinafter provided, upon public space within the corporate limits of the City (as now constituted or hereafter enlarged) in a quantity sufficient, in the judg- ment of the City reasonably exercised, to establish a public seating service within the City for the benefit of the gener- al traveling public as well as for the benefit of others. In order to fund such public seating service, the Service Company, its successors and assigns, shall have the right, granted by the City, to lease display space on said benches, as hereinafter provided, for both public service and commer- cial messages. 2. Benches placed within the corporate limits of the City, as herein provided, shall be governed by and subject to the following general criteria: a. No bench shall be more than forty-three (43) inches high nor more than seventy-four (74) inches long nor more than twenty-eight (28) inches wide. b. Construction shall be of concrete and wood or of equivalent materials. DATE /-/3-9',;2... ITEM ;J.;;" B . c. Benches shall be placed at transit stops and/or at other points of pedestrian convenience or necessity and such placement shall be subject to review by the City so that no bench shall be permitted to cause a public sidewalk to be closed to pedestrian passage or to create a hazard or to otherwise be detrimental to the public safety. d. No bench, unless otherwise authorized, may be placed so that the angle of its long di- version in relation to the curb line shall be greater than thirty degrees (300), and no bench, unless otherwise authorized, may be placed so that it is closer than eighteen (18) inches to the face of the curb. e. Not more than one (1) bench displaying a commercial message or intended for the dis- play of a commercial message shall be per- mitted at a particular location. f. Display space shall be restricted to the backrest area of the bench and shall not be greater than six (6) feet in length and two (2) feet in height. No commercial message displayed thereon shall appear other than on the front or rear surface of such backrest area. Should any message be deemed objection- able in the judgment of the City reasonably exercised, then, upon notice to the Service Company such message shall forthwith be re- moved by the Service Company. Should any bench fail to conform to the above gener- al criteria or should a property owner object to the presence of a bench abutting his property then the City may order the Service Company to remove such bench and, that failing, may remove same at the expense of the Service Company. 3. The City shall reserve the right to, upon notice to the Service Company, order the removal of any particular bench which the City, in its judgment reasonably exercised, believes not to be located to the public benefit. Should the Service Company fail to remove such bench then the City may remove same at the expense of the Service Company. 4. The benches which are the subject of this proposal shall remain the property of the Service Company and the Service Company shall maintain said benches in a good and substantial state of repair. 5. The Service Company shall at all times hereunder maintain public liability insurance and shall provide the City with a Certificate of Insurance as evidence of same; the insurance shall be in the minimum amount of One Hundred Thousand Dollars ($100,000.00) for individual injury and Five Hundred Thousand Dollars ($500,000.00) for more than one injury resulting from one accident and Fifty Thousand Dollars ($50,000.00) for property damage and if and when such minimum amounts become deficient, in the judgment of the City reasonably exercised, then such amounts shall be appropriately increased upon the written request of the City. Further, within the above stated insurance limits, the Service Company shall indemnify and save harmless the City from and against all claims, losses and expenses, including court costs and reasonable attorney's fees, arising out of or re- sulting from any wrongful or negligent act on the part of - 2 - B J , the Service Company in the installation and maintenance of benches hereunder. 6. It is intended that the program for the placement and continued maintenance of benches established by the accep- tance of this proposal by the City be quasi-commercial in nature, accordingly, such program shall be sponsored or co- sponsored by the Clubs, however, notwithstanding anything herein to the contrary, such sponsorship shall be the Clubs' only right and obligation hereunder. The benches shall be referred to as the "Clubs' benches." Should the Clubs at any time and for any reason be compelled to withdraw as spon- sors of the public seating service established by the accept- ance of this program by the City so as to leave no sponsoring organization for such program then the Service Company shall within a reasonable time thereafter join with another civic, service or charitable organization or organizations as spon- sor of such service and the City shall be notified of such sponsorship. 7. Should the Service Company be found to be in default of any of the conditions herein, it shall be given notice in writing and a reasonable time, not to exceed thirty (30) days, to correct same. In the event that the Service Company should fail to correct such default within a reasonable time after receipt of notice of same the City may, at its option, terminate the rights and obligations created by the acceptance of this proposal upon the giving of ninety (90) days notice in writing to the Clubs and to the Service Company. Should such termination duly occur, or should the rights and obliga- tions to provide public seating as set forth herein cease for any other reason, then the Service Company shall be allowed an additional six (6) month period to remove its benches. 8. Where notice to the Service Company and/or to the Clubs is required or otherwise given pursuant to the agree- ment created by the acceptance of this proposal by the City it shall be in writing, sent by registered or certified mail, to the relevant principal office(s) with return receipt(s) requested. 9. It is expressly understood and agreed that the rights and obligations created by the acceptance of this proposal by the City shall remain in full force and effect for a period of twelve (12) years from and after the date of such acceptance and, thereafter, so long as the Service Company performs as provided herein and so long as the Clubs, or either of them including successors, if any, sponsor the public seating service established herein, then, and in that event, such rights and obligations shall self-extend and renew for like periods without restriction upon the same terms, covenants and conditions. 10. Should anyone or more of the provisions hereof be found invalid or unenforceable by a court of competent jurisdiction then such provision or provisions shall be null and void and shall be deemed severed from the whole and such finding shall be without effect upon the remaining provisions which remaining provisions shall continue in full force and effect provided that the rights and obligations of the parties contained herein are not materially prejudiced and that the intentions of the parties continue to be effective. 11. The agreement created by the acceptance of this proposal by the City supersedes all prior negotiations, under- standings, representations or agreements between the parties hereto, whether written or oral, with respect to the subject matter contained herein and with respect to the area intended hereunder. - 3 - B 12. It is understood and agreed that the agreement created by the acceptance of this proposal by the City shall take effect one hundred and twenty (120) days from and after the date of such acceptance and that time shall be of the essence of such agreement. It is further understood and agreed that such agreement shall not be conditioned upon the City being served by a mass transit system. 13. Should the City desire to have transit shelters installed at designated transit stops within its corporate limits which shelters are to be funded by the display of commercial messages, the Clubs, together with the Service Company, shall have the right of first refusal for the in- stallation and operation of such shelters together with the disp lay space thereon. !l: t LJ. . Gk4~K.^,~ ~v!rt~.~ . 14. And the further condi tions :,7j#~ ('itldi.! #4'i "wA.(c A f,I'r ~. 7'~~ CiZ 0': .s I.fV"~AI(7) wterllll-,,-r .r~r-~..~b ~pe;>.. .6.e/Vc.t"J ~o ik ,,J$~'''-f/) ~t,l-A< Ci.J'f/N ~ ~ J.,w,J+o""'; A,,!CII pF.,fJ,< (J/';1!J-<F"J.re 405 :hl< /J{)o#.r'''owill ,il,j';.n,cAl ,tJ1t~"'<,Flttd !~~~). SI9IlJ S~VrN (7) P-e~e..I,-c.$ .s 't4"~ ,u trI4</",,e.-f D~.,tA</v'''', c. r,~ 1(~~~flH.J,.J", Se~I.n('t:' .Cff,~fe,.",,~).It.J.~~ ~~ "IV~~~ €M. ~. l..flo odAP~y ^1 ~~ .-01 Af>4i~{lAitUJ ~~\ IN WITNESS WHEREOF, the parties hereto have caused this instrument to be executed in their respective corporate names by the persons duly authorized to sign in their behalf. SIGNED, SEALED AND DELIVERED IN THE PRESENCE OF: ATTEST: :dil/i)Z" h:~EAL) Wresi ent ATTEST: (~tttll(j, Secret ry JV J/ i",Il jL' -€' ,JI,f ,.;/ r ('L.J t? t' f' 5",4;/ 1..> /!.. I) _7: ft' l' CLUB By P~~t.::S .ufl,M.~ (SEAL) ATTEST: ~;?:'~ ~ secretary -(SEAL) ATTEST:~~(~&m~ it." C erk J (SEAL) CITY Date of Acceptance by City of S/h./ {I,' f 1J ~ sufficiency: ~~M/ /99.;2.. - 4 - B PROPOSAL - AGREEMENT WHEREAS, it is everywhere recognized that physical rest is essential to human well being as well as. welcomed by all people, the CITY OF .s t!?JJJrf),.e J) /~.) o/'fl lJ.4l , hereinafter referred to as the "City," has determined that the installation and presence of a public seating service within the corporate limits of the City would fulfill a collateral public transportation need and be of continuing benefit to the general traveling public, and to others, and WHEREAS, the City is charged with the public interest and, accordingly, as a proprietary function is desirous of having placed within its corporate limits, at transit stops and/or at other points of pedestrian convenience or necessity, benches designed for comfortable seating in order that such benches may inure to the convenience and enjoyment of those who use public transportation, and of others; and WHEREAS, METROPOLITAN SYSTEMS, INC., a corporation, hereinafter referred to as the "Service Company," is engaged in the manufacture and installation of benches as an ordinary and desirable incident of city and county streets; and WHEREAS, the S/J,A/t:o;e IJ -{'efh JJV~'/v ,fl'9'jC! ~ 8".5 r"vd. , r , and the II!. uJ 1))41 ;4,)15 Q /..vS () f' SJI? II .cO/iZ.-)) '7 pC. hereinafter referred to as the "Clubs," are desirous of sponsor- ing or co-sponsoring as a community project for the benefit and accommodation of the general traveling public, and of ~ others, the placement of benches at transit stops and/or at other points of pedestrian convenience or necessity within the corporate limits of the City and, to that end, have en- tered into agreements with the Service Company. NOW, THEREFORE, in consideration of the premises, the Clubs and the Service Company join in making the follow- ing proposal to the City, whereby, upon the acceptance of such proposal by the City, the said desires of the City and of the Clubs can be realized: 1. The Service Company, its successors and assigns, shall install and at all times hereunder shall continue to furnish benches, as hereinafter provided, upon public space within the corporate limits of the City (as now constituted or hereafter enlarged) in a quantity sufficient, in the judg- ment of the City reasonably exercised, to establish a public seating service within the City for the benefit of the gener- al traveling public as well as for the benefit of others. In order to fund such public seating service, the Service Company, its successors and assigns, shall have the right, granted by the City, to lease display space on said benches, as hereinafter provided, for both public service and commer- cial messages. 2. Benches placed within the corporate limits of the City, as herein provided, shall be governed by and subject to the following general criteria: a. No bench shall be more than forty-three (43) inches high nor more than seventy-four (74) inches long nor more than twenty-eight (28) inches wide. b. Construction shall be of concrete and wood or of equivalent materials. DATE /-/3-9,;2... ITEM ;J.;J.. B c. Benches shall be placed at transit stops and/or at other points of pedestrian convenience or necessity and such placement shall be subject to review by the City so that no bench shall be permitted to cause a public sidewalk to be closed to pedestrian passage or to create a hazard or to otherwise be detrimental to the public safety. d. No bench, unless otherwise authorized, may be placed so that the angle of its long di- version in relation to the curb line shall be greater than thirty degrees (300), and no bench, unless otherwise authorized, may be placed so that it is closer than eighteen (18) inches to the face of the curb. e. Not more than one (1) bench displaying a commercial message or intended for the dis- play of a commercial message shall be per- mitted at a particular location. f. Display space shall be restricted to the backrest area of the bench and shall not be greater than six (6) feet in length and two (2) feet in height. No commercial message displayed thereon shall appear other than on the front or rear surface of such backrest area. Should any message be deemed objection- able in the judgment of the City reasonably exercised, then, upon notice to the Service Company such message shall forthwith be re- moved by the Service Company. Should any bench fail to conform to the above gener- al criteria or should a property owner object to the presence of a bench abutting his property then the City may order the Service Company to remove such bench and, that failing, may remove same at the expense of the Service Company. 3. The City shall reserve the right to, upon notice to the Service Company, order the removal of any particular bench which the City, in its judgment reasonably exercised, believes not to be located to the public benefit. Should the Service Company fail to remove such bench then the City may remove same at the expense of the Service Company. 4. The benches which are the subject of this proposal shall remain the property of the Service Company and the Service Company shall maintain said benches in a good and substantial state of repair. 5. The Service Company shall at all times hereunder maintain public liability insurance and shall provide the City with a Certificate of Insurance as evidence of same; the insurance shall be in the minimum amount of One Hundred Thousand Dollars ($100,000.00) for individual injury and Five Hundred Thousand Dollars ($500,000.00) for more than one injury resulting from one accident and Fifty Thousand Dollars ($50,000.00) for property damage and if and when such minimum amounts become deficient, in the judgment of the City reasonably exercised, then such amounts shall be appropriately increased upon the written request of the City. Further, within the above stated insurance limits, the Service Company shall indemnify and save harmless the City from and against all claims, losses and expenses, including court costs and reasonable attorney's fees, arising out of or re- sulting from any wrongful or negligent act on the part of - 2 - ... B the Service Company in the installation and maintenance of benches hereunder. 6. It is intended that the program for the placement and continued maintenance of benches established by the accep- tance of this proposal by the City be quasi-commercial in nature, accordingly, such program shall be sponsored or co- sponsored by the Clubs, however, notwithstanding anything herein to the contrary, such sponsorship shall be the Clubs' only right and obligation hereunder. The benches shall be referred to as the "Clubs' benches." Should the Clubs at any time and for any reason be compelled to withdraw as spon- sors of the public seating service established by the accept- ance of this program by the City so as to leave no sponsoring organization for such program then the Service Company shall within a reasonable time thereafter join with another civic, service or charitable organization or organizations as spon- sor of such service and the City shall be notified of such sponsorship. 7. Should the Service Company be found to be in default of any of the conditions herein, it shall be given notice in writing and a reasonable time, not to exceed thirty (30) days, to correct same. In the event that the Service Company should fail to correct such default within a reasonable time after receipt of notice of same the City may, at its option, terminate the rights and obligations created by the acceptance of this proposal upon the giving of ninety (90) days notice in writing to the Clubs and to the Service Company. Should such termination duly occur, or should the rights and obliga- tions to provide public seating as set forth herein cease for any other reason, then the Service Company shall be allowed an additional six (6) month period to remove its benches. 8. ~fuere notice to the Service Company and/or to the Clubs is required or otherwise given pursuant to the agree- ment created by the acceptance of this proposal by the City it shall be in writing, sent by registered or certified mail, to the relevant principal office(s) with return receipt(s) requested. 9. It is expressly understood and agreed that the rights and obligations created by the acceptance of this proposal by the City shall remain in full force and effect for a period of twelve (12) years from and after the date of such acceptance and, thereafter, so long as the Service Company performs as provided herein and so long as the Clubs, or either of them including successors, if any, sponsor the public seating service established herein, then, and in that event, such rights and obligations shall self-extend and renew for like periods without restriction upon the same terms, covenants and conditions. 10. Should anyone or more of the provisions hereof be found invalid or unenforceable by a court of competent jurisdiction then such provision or provisions shall be null and void and shall be deemed severed from the whole and such finding shall be without effect upon the remaining provisions which remaining provisions shall continue in full force and effect provided that the rights and obligations of the parties contained herein are not materially prejudiced and that the intentions of the parties continue to be effective. 11. The agreement created by the acceptance of this proposal by the City supersedes all prior negotiations, under- standings, representations or agreements between the parties hereto, whether written or oral, with respect to the subject matter contained herein and with respect to the area intended hereunder. - 3 - , . I B 12. It is understood and agreed that the agreement created by the acceptance of this proposal by the City shall take effect one hundred and twenty (120) days from and after the date of such acceptance and that time shall be of the essence of such agreement. It is further understood and agreed that such agreement shall not be conditioned upon the City being served by a mass transit system. 13. Should the City desire to have transit shelters installed at designated transit stops within its corporate limits which shelters are to be funded by the display of commercial messages, the Clubs, together with the Service Company, shall have the right of first refusal for the in- stallation and operation of such shel~~ together with the display space thereon. .A~~ I 'tlll~. 'Wi 14. And the further condi tions :4j;~ tlLoI4ss#4/L "''''.('c A 6-,l'r -r'. '1'-4~ Ci.J, 6P S vViTA/(7) w,erllll-,,." .r~p~tA.~b ~.,.,.o .6.e,t.JC+<'J "'0 k '~$~Li.v/) .Bt'!-A< Ci.J'I/# ~,(e J""~JlJ+(JIIt1';A~~A pF.;J,<. O/..J11J-<.F,IJ'-O 4,$ ~.4< /)p..,,,;f'pw,,) "ihjl-.n,clI-l "'te~"'<,FlftJ~ {~~rf"). S~I() St'v~11 (7) IJetJe),<'$ ,$IA.I~ ,IJ 1'-1 tIS</II,e-f D~rl,</v'u, C. ~~IH-J~," Se,~I,ne~ CvtJfenwrl').ltt~J> ,IIe-e~ V;.l(H-~ ~ ~ <77T~~ 0 a~ Il11 ~cA.aM, /W<U~ <<P tt<hUJ ,""!,(,.I('Wj 1r IN WITNESS WHEREOF, the parties hereto have caused this instrument to be executed in their respective corporate names by the persons duly authorized to sign in their behalf. SIGNED, SEALED AND DELIVERED IN THE PRESENCE OF: ATTEST: By L) ATTEST:_\(~~lC1 Secret ry JvJlI~~ j.tJof)","IfJI; (l~,,;t5 I)/" ),1;/~o~1) :;:""C! CLUB BYp~t,;S .Jd...aM~ (SEAL) ATTEST: ~ i':'J~ secretary (S EAL) ATTEST:~. A{~ ..ty C erk (SEAL) Date of Acceptance by City of S,q~ {o e h ! ~~ /3, /?tJ;2.. sufficiency: - 4 - . - <------"'------------ -~.,"~--~--_.~...~.-~~----_._._.~ ---- ~-~-_._-~.~~ ~ -------- ..-. -+- - ..~- ------.--'---. Co~~erce Mutual lnsuranc@ Co~pany 1680 Fruitville Ro.d Sarasota. FL 34236 ~J-tOO ~ ~ciw RE: Me~ber 12506 (10 Day Notice) METROPOlilAN ADVERTISING COMPANY 3014 HORATIO STREET TAMPA. FL 33609- The above insured's Worker's COMpensatIon insurance will cancel on 01/22/94. Please contact the insured if a new c~rti~icate of in~urance 35 n~eded. el Pt., DF :jt\ f~F OR l) t-Tl"N: ,:!T'f CLERr. P.O. BO,~ 177,?' SANFORD, FL 32711 1 ACORQM CERTIFICATE OF LIABILITY INSURANCE I DATE IMM/DDIYYI 6/27/07 PRODUCER 727-796-6666 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wells Fargo Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southeast, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 31666 Tampa. FL 33631-3666 INSURERS AFFORDING COVERAGE INSURED INSURER A: WESTFIELD INSURANCE COMPANY Metropolitan Systems Inc etal Zenith Insurance Co-DB 3014 Horatio Street INSURER B: Tampa FL 33609 INSURER c: INSURER 0: I INSURER E: COVERAGES ~ 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER ~9S~\~tf~%;t~~ Pg}!iEY,~J:~~~~~ LIMITS LTR A GENERAL LIABILITY CMM16B6631 7/01/07 7/01/08 EACH OCCURRENCE $ 1000000 - X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE IAny one fire) $ 150000 I CLAIMS MADE US] OCCUR MED EXP IAny one person) $ 10000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000 ~ POLICY .h ~~9T n LOC A AUTOMOBILE LIABILITY CMM 1 686631 7/01/07 7/01/08 COMBINED SINGLE LIMIT - $ 1000000 .-2L ANY AUTO lEa accidentl ALL OWNED AUTOS BODILY INJURY - $ ~ SCHEDULED AUTOS (Per person) ~ HIRED AUTOS BODILY INJURY IPer accidentl $ ~ NON-OWNED AUTOS I--- PROPERTY DAMAGE $ {Per accident! GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS LIABILITY CMM1686631 7/01/07 7/01/08 EACH OCCURRENCE $ 4000000 ~ OCCUR D CLAIMS MADE AGGREGATE $ 4000000 $ =;:i DEDUCTIBLE $ X RETENTION $ 0 $ B WORKERS COMPENSATION AND l831250615 3i03/07 3/03/08 I WC STATU- T IOTH- X TORY LIMiTS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE $ 1000000 E.L. DISEASE - POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTICICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCelLED BEFORE THE EXPIRATION CITY OF SANFORD DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ----1Q. DAYS WRITTEN ATTN: CITY CLERK NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL P.O. BOX 1778 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR SANFORD, FL 32711 REPRESENT Ji&fVES. /J - '"'"~~../ I UiI" _ _ ACORD 25-5 (7/97) 45- 38 ~ V I @ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) mllst be endorsed. A statement on this certificate does not confer rights to the certificate holder in liell of sllch endorsement(s). If SUBROGATION IS WAIVED, sllbject to the terms and conditions of the policy, certain policies may reqllire an endorsement. A statement on this certificate does not confer rights to the certificate holder in liell of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitllte a contract between the isslling insllrer(s), allthorized representative or prodllcer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (7/97)