CERTIFICATE OF LIABILITY INSURANCE
(J.....Q._-t. C___lL-
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 06/21/01
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 (MM/DDJYY)
PRODUCER
Fax: 727-725-3663
INSURERS AFFORDING COVERAGE
INSURED
INSURER A:
Cincinnati Insurance Company
INSURER 8:
Community Pride Child Care
Center of Clearwater, Inc.
1235 Holt Ave.
Clearwater FL 33756
INSURER c:
INSURER 0:
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.
INSR POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMfDDIYY) DATE (MM/DDIYY)
GENERAL LIABILITY EACH OCCURRENCE $ 300,000
-
A X COMMERCIAL GENERAL LIABILITY CPP0658641 06/30/01 06/30/04 FIRE DAMAGE (Any one fire) $100,000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone perEll) $ 5,000
PERSONAL & ADV INJURY $ 300,000
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 600,000
I POLICY n PRO- nLOC
JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $ 300,000
A ANY AUTO CPP0658641 06/30/01 06/30/04 (Eaac:dd8nt)
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per pen,on)
-
X HIRED AUTOS BODILY INJURY
- $
X NON-OWNED AUTOS (Peraccldant)
-
PROPERTY DAMAGE $
(Pefaccident)
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
=1 N<Y AUTO EAACC $
OTHER THAN
AUTO ONL Y= AGG $
EXCESS LlABIUTY EACH OCCURRENCE $
~ OCCUR D ClAIMS MADE AGGREGATE $
$
~ DEDUCnBLE $
RETENTlON $ $
I we STATU- I lOTH-
WORKERS COMPENSATION AHD TORY LIMITS ER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT $
---- --.---.--.---- ----,,-- -- _._,,--- --.-- ----- --_._._--~._,-- -- --- -'--- --- -- ---- 1= I nlf:lI=A.C:I= _ 1=4 I=t.API nVI=E $ -
E.L. DISEASE - POLICY LIMIT $
OTHER
, PROVISIONS
DESCRIPTION OF OPERAnONSlLOCr;J:EHB"~USIO
~ ill! 7 n ~Yi !~ ~I!
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:L'.I --- i'l
of ' 11'1/
-, J 1 ,; I
1II'
JUN 2 2 2001 I ,J
I U
I
I .--I
--'---'. >-- i
CERTIFICATE HOLDER II . ... . CANCELLATION
N. ADDmONAL INSUREO? INSURER LETTE =
CITYC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAHCELLED 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 FAILURE TO DO SO SHALL
Real Estate Services Manager
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Earl Barrett
P.O. Box 4748 REPRESENTATIVES,
Clearwater FL 33758-4748 ~"jJ (0hJ ~ 1D
I
ACORD 25-S 7/97 v V --.- @ACORDCO'RP'ORATION 1988