CERTIFICATE OF LIABILITY INSURANCE (3)
ACORDN
CERTIFICATE OF LIABILITY INSURANCE
Carlisle Fields & Company,
P.O. Box 7910
Clearwater FL 33758-7910
Phone: 727-797-0441
Inc
CSR DB
COMMU-1 06/12/03
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.
DATE (MMlDDIYY)
PRODUCER
Fax: 727-725-3663
INSURERS AFFORDING COVERAGE
INSURED
INSURER '"
Cincinnati Insurance Company
INSURER B:
Community Pride Child Care
Center of Clearwater, Inc.
1235 Holt Ave.
Clearwater FL 33756
INSURER c:
INSURER D:
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 8EEN REDUCED BY PAID CLAIMS.
INSR POLICY EFFECnvE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDJYY) DATE (MMlDDJYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE .300,000
-
A X COMMERCIAL GENERAL LIABILITY CPP0658641 06/30/01 06/30/04 FIRE DAMAGE (Any Dnelire) .100,000
.. I ClAIMSMADE ~ OCCUR MED EXP (Anyone pGl'8On) . 5,000
. . 300,000
PERSONAL & ADV INJURY
GENERAl AGGREGATE .
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMPIOP AGG . 600,000
h POLICY n PRO- nLOC
JEer
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
I-- .300,000
A ANY AUTO CPP0658641 06/30/01 06/30/04 (Ea accident)
I--
ALL OWNED AUTOS BODlL Y INJURY
I-- .
SCHeDULED AUTOS (""'P8""")
I--
~ HIRED AUTOS 800IL Y INJURY
.
~ NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE .
(Per acddent)
RG=::~ AUTO ONLY. EA ACCIDENT $
EA ACe .
OTHER THAN
AUTO ONLY: AGG .
eXCESS LIABILITY EACH OCCURRENCE .
tJ OCCUR o ClAIMS MADE AGGReGATE .
.
R~~ .
RETENTION . .
I we STATtJ.. I 10TH-
WORKERS COMPENSATION AND TORY LIMITS ER
-'-- .- EMPLOYERS'lIABILlTY - -
------ -- -------.---.--.. ----,- - -- - --- ---- --- --..-- =--.~- ______0 ___ ------- ~-_.-'-~--- --- -..-- --
E.L. DISEASE. EA EMPLOYEE .
E.L DISEASE - POUCY LIMIT .
OTHER
1-1 ~~ffinWlB --..
DESCRIPTION OF OPERATIONSlLOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVIStONS l.I
~ ~ I 6 m .-I
CITY OF CLEARWATER
PUBLIC WORKS ADMINISTRATION
CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
CITYC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
-
City of Clearwater NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAJLURE TO DO so SHALL
Real Estate Services Manager
Earl Barrett IMPOSE NO OSUGATlON OR LlABtuTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P.O. Box 4748 REPRESENTATJVES.
Clearwater FL 33758-4748 ~,j1 ( rh J ~~ J n
I
ACORD 25-S (7/97) v - v.... -- @l"ACORD CO"RP'ORATION 1988