CERTIFICATE OF LIABILITY INSURANCE (73)
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YACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYY)
2/27/08
P~ODUCER 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
P.O. Box 31666 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tampa, FL 33631-3666 INSURERS AFFORDING COVERAGE
INSURED Cumbey & Fair, Inc. INSURER A: Florida Retail Federation SIF
2463 Enterprise Road INSURER B:
Clearwater FL 33763 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. AGGREGAJE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~SR TYPE OF INSURANCE POLICY NUMBER r:l!WYu~~~Tt,,~ P8);1.f~Y,;"xJ)~TJ~~ L1MIT,5
TR
GENERAL LIABILITY EACH OCCURRENCE $
f--
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $
I CLAIMS MADE D OCCUR MED EXP (Anyone person) $
f-- PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
I--
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
II POLICY n ~~g;- n LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
I-- $
ANY AUTO (Ea accident)
f--
f-- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per personl
I--
HIRED AUTOS BODILY INJURY
~ $
NON-OWNED AUTOS (Per accident)
,--
f-- . PROPERTY DAMAGE
(Per accldentl $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
tJ OCCUR 0 CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
A WORKERS COMPENSATION AND 52024651000 3/16/08 3/1 6/09 lWCSTATu-l IOTH-
X TORY LIM'TS ER
F.:Il/IPlOYERS' LIABILITY --
E.L. EACH ACCIDENT $ 1000000
E.L. DISEASE - EA EMPLOYEE $ 1000000
E.L. DISEASE - POLICY LIMIT $ 1000000
. OTHER
.
DesCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
FL STATUTE MANDATES 10 DAYS CANC NOTICE FOR NONPAYMENT OF PREMIUM.
CERTIFICATE HOLDER I I AODITIONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF CLEARWATER DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAlL ~ DAYS WRITTEN
Yr - -. -. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
PO BOX 4748 IMPOSE NO OBLIGATION DR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
CLEARWATER FL 33758-4748 REPRESero;t'iiVES. ~ J .
AUTH~EPRESENUII~_V'" II'
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ACORD 25-S (7/97)
46-38
@ACORD CORPORATION 1988