CERTIFICATE OF LIABILITY INSURANCE (5)
.
ACORD.. CERTIFICAT OF LIABILITY INSURANl OP IDJ~ DATE (MMlDDIYYYY)
" LITTL-1 02/25/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Mutual Insurance Agency at Clw HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 1779 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Clearwater FL 33757
Phone: 727-446-6064 Fax:727-442-9751 INSURERS AFFORDING COVERAGE NAlC#
INSURED INSURER A: Auto OWners Ins Co 09703
INSURER B:
Bruce Litt1er1 Inc. INSURER c:
25 Causeway B vd. INSURER 0:
Clearwater FL 33767-2064
INSURER E:
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.
LTR NSR[ TYPE OF INSURANCE POLICY NUMBER P_ql:!~~~FFECJ~E I Pgk~CEY(~~~~~N LIMITS
DATE MMlDDNY
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
-
A X X COMMERCIAL GENERAL LIABILITY 91-130168-00 04/01/08 04/01/09 PREMISES 'tE~~~~~nce) $ 50000
1 CLAIMS MADE [.iJ OCCUR MED EXP (Anyone person) $ 5000
- PERSONAL & ADV INJURY $ Excl.
- GENERAL AGGREGATE $ 1000000
!il'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $
X .nPRO- n
POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accidenl)
e--
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
- HIRED AUTOS BODILY INJURY
$
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(Per accident)
~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
~ OCCUR D CLAIMS MADE AGGREGATE $
$
~ ~EDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X ITcmY"LI~li'S I jUe{t
A EMPLOYERS' LIABILITY 17 20664154 02/24/08 02/24/09
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 100000
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100000
~~~~I~tS~~V~~?ONS below E.L. DISEASE - POLICY LIMIT $ 500000
OTHER
A Plate glass 04/01/08 04/01/09 ACV
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Gift shop, including all rooms.
City of Clearwater is named as an Additional In.ured.
COVERAGES
CERTIFICATE HOLDER
CANCELLATION
City of Clearwater
F727-462-6957
Bill Morris - Harbormaster
25 Causeway Blvd
Clearwater FL 33767-2604
CITYO 0 1 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 KIN JJPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
John Ga
@)ACORDCORPORATION 1988
ACORD 25 (2001/08)