CERTIFICATE OF LIABILITY INSURANCE (2)
ACORD~ CERTIFICATE OF LIABILITY INSURANC~rnJ6~l I DATE (MM/DDIYY)
06/06/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Carlisle Fields & Company, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 7910 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Clearwater FL 33758-7910
Phone: 727-797-0441 Fax: 727-725-3663 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Cincinnati Insurance Company
INSURER B:
Communitr Pride Child Care INSURER c:
Center 0 Clearwater, Inc.
1235 Holt Ave. INSURER D:
Clearwater FL 33756
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I'~f~ TYPE OF INSURANCE POLICY NUMBER b~HfiM~b5W~rE P8k~~1ri~rd~~WN LIMITS
GENERAL LIABILITY
f--
A X COMMERCIAL GENERAL LIABILITY
=::::J CLAIMS MADE ~ OCCUR
EACH OCCURRENCE
06/30/01
06/30/04
CPP0658641
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
f--
I--
GEN'L AGGREGATE LIMIT APPLIES PER:
n nPRO. n
POLICY JECT LOC
AUTOMOBILE LIABILITY
f--
COMBINED SINGLE LIMIT
(Ea accident)
A ANY AUTO
06/30/01
06/30/04
I--
CPP0658641
ALL OWNED AUTOS
BODILY INJURY
(Per person)
f--
SCHEDULED AUTOS
f--
X HIRED AUTOS
I--
X NON.OWNED AUTOS
f--
BODILY INJURY
(Per accident)
-
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
=l ANY AUTO
EXCESS LIABILITY
::::J OCCUR D CLAIMS MADE
I DEDUCTIBLE
I RETENTION $
WORKERS COMPENSATION AND
EMPbGY-liRS' LiABll~ - - - ~--- --- ____
AUTO ONLY. EA ACCIDENT
OTHER THAN
AUTO ONLY:
EACH OCCURRENCE
AGGREGATE
- ---- -.--- '----~
I TORY L1Mris I IUER'
uELEACH AcCiOEm---- $
EL. DISEASE. EA EMPLOYEE $
EL. DISEASE. POLICY LIMIT $
OTHER
I....... r:J "
DESCRIPTION OF OPERATIONSlLOCATIONS/r' n~rE~C~SI~ AHDE~Y ~~7 ~~
~.- ; If I~r - 7 2002 ! ,!
--, ..-;--;-:-;-;;--.J
NT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
I N I ADDITIONAL INSURED; INSURER LETTER:' I)
CANCELLATION
$ 300,000
$ 100,000
$ 5,000
$ 300,000
$
$ 600,000
$ 300,000
$
$
$
$
EA ACC $
$
$
$
$
$
$
AGG
CITYC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
OATE 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 OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
City of Clearwater
Real Estate Services Manager
Earl Barrett
P.O. Box 4748
Clearwater FL 33758-4748
I
ACORD 25-5 (7/97)
~tI jJ (0hl ~JD
v ~ V'" --- - {g)ACOR.DCO~RATION 1988
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