CERTIFICATE OF LIABILITY INSURANCE (2)
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SENT BY: GaB;
SBO 399 3El9B;
FEB -5 - 04 1 3: r.;i;
PAGE 2/3
Client#:13438 CLEARCON/MU
ACORD... CERTIFICATE OF LIABILITY INSURANCE
lIATEI~
~
THIS CERTIFICATE JS ISSUED AS A MAlTER OF INFORMATION
ONLY AND CONfERS NO RIGHTS UPON THE ceRTifiCATE
HOLOU 'rHl$ CERTIFICATE OOE$ NOT AM!;."'!,), eXTEND OR
AL TEfl lHE COVERAGE AfFORDED BY THE POUClES BELOW.
PROOUC.&R
Gowrle, Barden & Brett, Inc.
70 Essex Road
Westbrook, CT 0649.
860 399-5945
Clearwater Community Sailing Assoc.,Inc:
1001 Gulf Blvd.
Clearwater, FL 33767
INSURERS AFFORDING COVERAGE
I~A. Foderallnsurance Company
~R8:
IN6UAER 0:
INSURER 0:
INSURER e
NAlCtI
20281
INSURED
COVERAGES
THE POlICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 'TO 'THE; INS\,lf(EO NAMEU AEiOV&..oR l11E" POLICY PiRlOO INClCATED. NOTWITHSTANDING
Al'N REQUII'\EMENT. TeAM OR CONDITION OF ANY CONTRACT 0I'l OTl'tli:R DOCUMENT WITH RESPECT TO WHCH THIS CER:!FICATE MAY BE ISSUED OR
MAY PeIlfAIN, 'tHE INSURANCF. AFFORDf.O BY TIlE POliCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLU31CNS AND CONDITIONS OF SUCH
POlICIES. AGGREGATE LIMrtS sl10WN MAY HAW ElEEN REDUCED BY PAD CLAIMS. ~
~' TYP&; DFltoIlIURANCI!! I'l)UCY NI,IM8!It ~ I.rMrTS
A ~ UABIUT'f 35823516NHO 11108103 11/DfI04 1'A(:1< 1.'l(:c;\}ffRf'...IIICe $1 000.800
1L TCIAL GENERALLIABIU1Y OAMAGE to~ $1 000 000
- CLNIdS ~ ~ OCCllR ~ (My -t*8<>n1 s10 000
~ ~ a.ArN 1N./VI'lY 51.000 aoo
- GENERAL AOOkiiG-'l ~ $2.000 000
~AOOFIEGATE lIMIT n"'~ PROOUC1'S . COMPIOP AGG .Included
POUCY n~~ LOC
~TOMc.w" lMIIILITY COMIlItoED SINGLE LIMIT $
IIJoIVAUTO lEa 8CCIlIen)
-
- ALL ()WIoI;D AUTOS BODIL't( INJURY
,.. plII1OII) ,
- SCHElM.EO AUTOS
- HIRED AUTOS IlOl)IL Y INJURY
S
NOtIf.OWNEOAU"t05 f1>et llCddeftl)
-
- PROPERTY DAMAGE .
(P<r aaci-l
R~LWV AUTO ONt. Y -I:A ACClDtNT $
NNAurO OTJolER "THAN EAACC S
AlJTOC>>lLY: Aoo $
DSl!IIUMi!lRi!LLA UABlUTY EACH OCCUMENCE ,
OCCUR 0 Cl..AlMSIo1ADE JoGGREGATe s
s
H ~UCT~E -- $
RETENIlON $ $
WORKERS COIIPBIlIAlICNAND l.wcs:r~~:.1 IO~'
awLO"'-' UI\IlIUT"f E.L, EACHACClDENT S
AIN PADPRlETOM'~QI,/t1Y~
OFFlCEMoliLl8ER EXCL\JOED? E,L, DISEASE. E'A EMPLOYEE S
~~I~~~S_ E.L. DISEASF.. Pnllr;v lllAlT S
01HE~
tJEaCRIPfION at' OPE__,l,OCATII;1NIII wtlll:l,iS '''~I.USIOI<<I j\pga\ IIYU!I)OMiMENT I SPECIAL I'RO\IIIlOHS
The city of Clearwater 18 named .. Additional Insured 88 respects General
Liability only.
City of Clearw.ter
25 CaUl5eWav Boulev;lrd
Clearwater 1 FL 33787
CANCELLAnON
lIItOUI.PNf'f Of 111! AlIOI/E lIbClU&IlD POIJCIl!S EIE ~LED IlEFOU THE IDCPlRAlIOH
DATI! ntl!R2Cl1'. THI! ISSUlNG Ill$URl!R WII..I. ENIlEAVOR TO IIlAIl. ....3JL 1IA.... WRIt'l'EN
NOTICEi TO l1iIi CaR"TII'lCATlii. HOLDEiR NMIED TO 1Me LEfT. BUT FAILURe TO DO sa 1I11ALL
lMPOSS NO OBLIGATION (ft LIABILITt OF AllY IlCINb IJPON 'l'HS . IQ AlIli!lll~ ~
CER11FICATE HOLDER
.
ACORD 25 (2001108) lot 2
tlS11870JM1t869
DAH
li ACORD CORPORATIOM 1988
~
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860 ~99 3696;
FEB-5-04 13:58;
IMPORTANT
If the certificatlil holder Is an ADDITIONAL INSUReD. the pohcy(ies) must be endorsed. A atatement
on lhi!; CBrtificate does not confer rights to the certifICate holder in lieu 01 such endorsement(s)-
If SUBROGATION IS WAIVED. subject toltietermsand conditions of the policy. certain policies may
requiro an endorsement. A statement on this certificate doeS not confer rights to the certificate
J,older in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance OIl the reverse &ide of this form does not constitute a contrat;l belWtietl
the issuing illSurer(s), authorized representatiVe Or producer. arn;\ the certificatlil holder. nor does it
i1flirmatiYely or negatively amend. extend or alter the coverage afforded by the policies listed thf.'reOn..
ACORD 25-5 (2.001/08) 2 of 2
tlS11870JM11869
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