CERTIFICATE OF LIABILITY INSURANCE
ACORDru CERTIFICATE OF LIABILITY INSURANCE Page 1 of 3 I DATE
10/02/2001
PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
willis Service Center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. O. Box 305191
Nashville, TN 372305191 INSURERS AFFORDING COVERAGE
INSURED Central Parking System of California, Inc. INSURER A: First Specialty Insurance Corp. (34916-000)
dba Allright San Diego INSURERB:American Home Assurance Company (19380-001
Parking, Suite 303
555 W. Beach Street INSURERC:Westoort Insurance Corporation (34207-000)
San Diego, CA 92101
INSURER D:
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.
I~f~ TYPE OF INSURANCE POLICY NUMBER pJ>l#lr:~8~~IE Pg~fl,~~o'J~~N LIMITS
A ~NERAL LIABILITY PGL221233 10/01/2001 10/01/2002 EACH OCCURRENCE $ 1 000,000
X. COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 100 000
.- ',' 8-CLAltIIISMADE-[iJ'OCCUR" i-. ---. ---- ---- ~'- -- -...- .- '- MEDEXP (Anyone person) -.---
- $
PERSONAL & ADV INJURY $ 1 000 000
-
GENERAL AGGREGATE $ 2 000 000
r--
1~'~rL AGGREGATE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $ 1 000 000
nPRO.
POLICY JECT LOC
B ~TOMOBILE LIABIUTY 5348783 (TX) 10/01/2001 10/01/2002 COMBINED SINGLE LIMIT 1,000,000
$
~ ANY AUTO (Ea accident)
r-- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
r--
..x.. HIRED AUTOS BODILY INJURY
$
..x.. NON"OWNED AUTOS (Per accident)
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
::=j ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
C EXCESS LIABILITY PRB01016905 10/01/2001 10/01/2002 EACH OCCURRENCE $ 10 000 000
~ OCCUR D CLAIMS MADE AGGREGATE $ 10 000 000
, $
:::l DEDUCTIBLE $
X RETENTION $ 10 00 $
B WORKERS COMPENSATION AND 5277467 (AOS) 10/01/2001 10/01/2002 I T~~~D"JHs I 10TH.
EMPLOYERS' LIABILITY ER
E.L. EACH ACCIDENT $ 1 000 000
--,.. .- -._- ---- --'--'""'-.- ---- ,---~ - ---- -- -----,_.. ,-. - --- .- ---,- ECUlSEASE ~EA-EMPLOYEE $ T OOlr()()O~
E.L. DISEASE. POLICY LIMIT $ 1000 000
A OTHER Garage Liability PGL221233 10/01/2001 10/01/2002 1,000,000
(Primary)
DESCRIPTION OF OPERATIONSlLOCATIONSlVEHlCLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
NAMED INSURED (S) :
Central Parking System, Inc.
The Certificate Holder is included as an Additional Insured, except to
Worker's Compensation, only to the extent of the negligent performance
of activities for Additional Insured by Named Insured. Cover~ge is
limited bv the terms and l"nn':H to; nn.. nf" An" . n
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION Except 10 daya for non.payment
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
City of Clearwater REPRESENTATIVES.
Attn: TraceK Bruch
P.O. Box 474 AUTZPRES~
clealrwater, FL 33758
ACORD 25-S (7/97) Coll:232739 Tpl:42882 Cert'!'848033 f" @ACORDCORPORATION 1988
-
willis
PRODUCER
CERTIFICATE OF LIABILITY INSURANCE Page 2 of 3 10/0D;/~001
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.
877-945-7378
willis Service Center
26 Century Blvd.
P. O. Box 305191
Nashville, TN 372305191
INSURERS AFFORDING COVERAGE
Central Parking System of California, Inc.
dba Allright San Diego
parking, Suite 303
555 W. Beach Street
San Diego, CA 92101
INSURED
INSURER A: First
(34916-000
(19380-001)
(34207-000
INSURERC: West
INSURER 0:
INSURER E:
DESCRIPTION OF OPERATIONS/LOCATIONSlVEHICLESJEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Named Insured and Additional Insured, and in no event shall Named
Insured or its insurer be liable for the act(s) or omission(s), negligent
or otherwise, of Additional Insured, its agents, servants or
employees.
Excess Garagekeepers
RHD320712 10/01/2001 10/01/2002
Royal Indemnity Company
$9,000,000.
Crime
81148611G 10/01/2001 10/01/2002
$1,000,000 Employee
Federal Insurance Company Theft Premises,
Transit, Deposit
Forgery, Computer
Theft
CA - Worker's Compensation
5277468 10/01/2001
10/01/2002
Issuing Carrier: 19380-001 (NASH)
American Home Assurance Company
Employer's Liability:
Each Accident
Disease - Policy Limit
Disease - Each Employee
$1,000,000
$1,000,000
$1,000,000
5277469 10/01/2001
10/01/2002
TN - Worker's Compensation
Issuing Carrier: 19429-001 (NASH)
Insurance Co. of the State of PA
American International Companies
Employer's Liability:
Each Accident
Disease - Policy Limit
Disease - Each Employee
$1,000,000
$1,000,000
$1,000,000
S277470 10/01/2001
iO/01!2002
Worker's-Comperlsafion
MA, NY & WI
Issuing Carrier: 23817-002 (NASH)
Illinois National Insurance Co.
Employer's Liability:
Each Accident
Disease - Policy Limit
Disease - Each Employee
$1,000,000
$1,000,000
$1,000,000
Bid Purposes - Clearwater Beach, 180 South Gulfview Blvd., Clearwater, FL
Additional Insured: City of Clearwater
Coll:232739 Tpl:42882 Cert:848033
Page 3 of 3
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).
.. PI.sC_LAIMER.
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)
Coll:232739 Tpl:42882 Cert:848033