CERTIFICATE OF INSURANCE
willi s
CERTIFICATE OF LIABILITY INSURANCE Page 2 of 3
DATE
PRODUCER
877-945-7378
willis North America, Inc. - Regional Cert Center
26 Century Blvd.
P. O. Box 305191
Nashville, TN 372305191
INSURERS AFFORDING COVERAGE
INSURED
Central parking System of Florida, Inc.
100 S Ashley Dr Ste 1220
Tampa, FL 33602
INSURER A: Lumbermens Mutual Casualty Company 22977-001
INSURERS: American Home Assurance Company 19380-001
INSURERC: Great American Alliance Insurance Company 26832-000
INSURER 0: Illinois National Insurance Co.
INSURER E:
DESCRIPTION OF OPERA T10NSlLOCA TIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
23817-002
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. Coverage is
limited by the terms and conditions of any written agreement between
Named Insured and Additional Insured, and in no event shall Named
frisuredorits:i-nsurer be-n-ab1.e'-for the act {is r -or-6mssiorf( s), negligent
or otherwise, of Additional Insured, its agents, servants or
employees.
Excess Garagekeepers
K2HD326491 10/01/2002 10/01/2003
Royal Indemnity Company
$9,000,000.
Crime
81148611G
10/01/2002
10/01/2003
$1,000,000 Employee
Theft Premises,
Transit, Deposit
Forgery, Computer
Theft
Federal Insurance Company
pier 60 Lot, North Lot 32-1 and South Lot 32-2, Clearwater, FL; Loc. #251, 714
self-park spaces
ADDITIONAL INSURED:
City of Clearwater, its officials, employees and volunteers
This insurance shall apply as primary insurance as respects the additional
insureds named above for whom the Named Insured has agreed by written contract
to provide insurance on a primary basis and, any other insurance available to
-stichpersons-namedabove shan. -:De-excessed not-c6n~rlbtitorywi~lCen.e----
insurance afforded by this policy to such persons named above.
Except with respect to the Limits of Insurance and any rights or duties
specifically assigned to the first Named Insured, this insurance applies
separately to each insured against whom claim is made or "suit" is brought.
The General Liability policy provides standard contractual liability subject
to policy terms, conditions, exclusions and limitations.
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Coll:561141 Tpl:126364 Cert:2266189
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CERTIFICATE OF LIABILITY INSURANCE Page 1 of 3
DATE
PRODUCER
877-945-7378
10/08/2002
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.
willis North America, Inc.
26 Century Blvd.
P. O. Box 305191
Nashville, TN 372305191
- Regional Cert Center
INSURERS AFFORDING COVERAGE
INSURED
Central Parking System of Florida, Inc.
100 S Ashley Dr Ste 1220
Tampa, FL 33602
INSURER A: Lumbermens Mutual Casualty Company 22977-001
INSURERB: American Home Assurance Company 19380-001
INSURERC: Great American Alliance Insurance Company 26832-000
INSURERD: Illinois National Insurance Co.
23817-002
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~~: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
D D
A ~NERAL LIABILITY 5AA059483 10/1/2002 10/1/2003 EACH OCCURRENCE $ 1. 000.000
eX- 3MERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 100 000
.... -. ..,... 'ClAlMSMADE-tij OCCUR ".----..-. - . '.. -MEt) EXP (Anyone person)'- -$u --.-
I--
I-- PERSONAL & ADV INJURY $ 1. 000.000
GENERAL AGGREGATE $ 10.000.000
I--
n'LAGGREAE LIMIT AP~ PER: PRODUCTS - COMP/OP AGG $ 2 000 000
POLICY P'~R,:: X LOC
B ~TOMOBILE LIABILITY 5349528 (AOS) 10/1/2002 10/1/2003 COMBINED SINGLE LIMIT
$ 1,000,000
B eX- ANY AUTO 5349529(TX) 10/1/2002 10/1/2003 (Ea accident)
B I-- ALL OWNED AUTOS 5349530 (VA) 10/1/2002 10/1/2003 BODILY INJURY
$
SCHEDULED AUTOS (Per person)
I--
I-- HIRED AUTOS BODILY INJURY
$
NON-OWNED AUTOS (Per accident)
I--
I-- PROPERTY DAMAGE $
(Per accident)
RAGE LIABILITY AUTO ONLY - EAACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
C EXCESS LIABILITY UMB5654311 10/1/2002 10/1/2003 EACH OCCURRENCE $ 5.000.000
[iJ OCCUR D CLAIMS MADE AGGREGATE $ 5 000 000
$
8 DEDUCTIBLE $
X RETENTION $ 10 OOC $
B WORKERS COMPENSATION AND 3322464 (AOS) 10/1/2002 10/1/2003 X I T~~~T~.J,~~ I 10TH-
EMPLOYERS' LIABILITY ''''R
~. - --.- . .. 33 2 ~.~I?J) Cc:A) ---.. 10L!L~_0.Q2 '., ~1011!~.QJL~_ E.L. EACH ACCIDENT L ..h.QQQ....O 0 O~
. -~_._--- --"-- _._.__.__~~4--
D 3322466 (MA,NY,WI) 10/1/2002 10/1/2003 E.L. DISEASE - EA EMPLOYEE $ 1. 000.000
E. L. DISEASE - POLICY LIMIT $ 1 000 000
A OTHER J5D005314 10/1/2002 10/1/2003
Garagekeepers Legal $1,000,000. Limit
Liability (Primary)
DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS !~"'-",'.r-~1. fE"~
Lot 251/Clearwater, FL .", " """\"U
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CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION Except 10 days 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
City of Clearwater IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Attn: Tracy Bruch REPRESENTATIVES.
POBox 4748 AUTHZEPRES~,t'
c1ea1rwater, FL 34616
ACORD 25-S (7/97) Coll:561141 Tpl:126364 cere':2266189j" , @ACORDCORPORATION1988
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).
.,....[)ISCL.Anv1~8
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:561141 Tpl:126364 Cert:2266189