CERTIFICATE OF LIABILITY INSURANCE (8)
ACORDN CERTIFICATE OF LIABILITY INSURANCE CSR AD I DATE (MMlDD/YYYY)
FOUNVIL 10/17/07
~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Greg Roe Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
9851 State Road 54 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
New Port Richey FL 34655
Phone: 727-376-0030 Fax: 727-376-2262 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Iti varport Insurance Camp.any 04377
Foundation Village INSURER B: Underwriters at Lloyd's
Neighborhood Fam1ly Center,Inc INSURER C:
Fam1~ Centers Inc.
918 oodlawn t. INSURER 0:
Clearwater FL 33756
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 SuCIl07 OC T 18 AM 11: 41
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS.
LTR NSR[ TYPE OF INSURANCE POUCY NUMBER DATE iMwDOiWj ''"8kTE'IMMlDDNYi' LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
-
A X COMMERCIAL GENERAL LIABILITY NIA1813818 10/01/07 10/01/08 PREMiSes 'tE~~~~ncel $ 100,000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5,000
- PERSONAL & ADV INJURY $1,000,000
- GENERAL AGGREGATE $3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $3,000,000
I ,nPRO- n
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
t--c- $1,000,000
ANY AUTO (Ee accident)
i------
ALL OWNED AUTOS BODILY INJURY
I-- $
A ~ SCHEDULED AUTOS NIA1813818 10/01/07 10/01/08 (Per person)
A ~ HIRED AUTOS NIA1813818 10/01/07 10/01/08 BODILY INJURY
A ~ NON-DWNED AUTOS NIA1813818 10/01/07 10/01/08 (Per accident) $
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY :r U" . AUTO ONLY - EA ACCIDENT
~'" $
R ANY AUTO , f,
OTHER THAN EA ACC $
^ DO () ~ AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY ,... EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE 0 lREC ORDSAND AGGREGATE $
U I'vE S ~VCS DEPT $
..
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND IT~~Y:;LI~WS I /UEIH-
EMPLOYERS' LIABILITY ER
ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE.. POLICY LIMIT $
OTHER
A Sexual/Prof Liab NIA1813818 10/01/07 10/01/08 Sxl/Prof 1,000,000
B Buildiner Cova 7255 02/22/07 02/22/08 BIder Cova 303,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
FAXED TO 727 562 4037.
CERTIFICATE HOLDER
CITY OF CLEARWATER
ATTN: MARIE ORSELLO
112 SO. OSCEOLA AVENUE
CLEARWATER FL33756
CANCELLATION
CITYCLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER W1U ENDEAVOR TO MAlL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAlLURE TO DO so SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
A 0 REPRESENTA
,
@ACORD CORPORATION 1988
ACORD 25 (2001/08)