CERTIFICATE OF INSURANCE (264)
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CERTIFICATEOFINSLJRANCE
CERTIFICATE NUMBER
CLE-001696175-01
PRODUCER
Marsh USA Inc.
TWO LOGAN SQUARE
PHILADELPHIA, PA 19103-2797
Attn: Healthcare.AccountsCSS@marsh.comlFAX: 212 948-1307
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POUCIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
00607 -PR IMA-CRIM E-08-09
CO~PANY
A NATIONAL UNION FIRE INSURANCE COMPANY OF
INSURED
CIGNA CORPORATION ET AL
1601 CHESTNUT STREET
TWO LIBERTY PLACE
PHILADELPHIA, PA 19192
COMPANY
B
COMPANY
C
COMPANY
o
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THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MM/DDIYY)
LIMITS
GENERAL UABlLlTY
c;QMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR
OWNER'S & CONTRACTOR'S PROT
GENERAL AGGREGATE $
PRODUCTS :COMP/()PAGG$
PERSONAl & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (An one erson $
COMBINED SINGLE LIMIT $
A1JTOMOBILE LIABIUTY
ANY AUTO
AlL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
APR 0'. 2008 BODILY INJURY $
(Per person)
BODILY INJURY $
R""f" , (Per accident)
'-'
S I' PROPERTY DAMAGE $
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY,
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
GARAGE LIABILITY
THE PROPRIETOR!
E'A.f'lTNE~E~TIVE
OFFICERS ARE: .
OTHER
A CRIME / FIDELITY
LOSS DISCOVERED
EL DISEASE-POLICY LIMIT
EL DISEASE-EACH EMPLOYEE
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
3898734
03/30/08
03/30/09
LIMIT
SIR / DEDUCTIBLE
$5,000,000
$2,500,000
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLESlSPECIAL ITEMS
CITY OF CLEARWATER, FLORIDA
ATTN: CITY CLERK
PO BOX 4748
CLEARWATER,FL 33758
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE W1U ENDEAVOR TO MAIL ---3Q DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES, OR THE
ISSUER OF THIS CERTIFICATE.
AUTHORIZED REPRESENTATIVE
Marsh USA Inc.
BY: Mary Radaszewski
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PRODUCER
Marsh USA Inc.
TWO LOGAN SQUARE
PHilADELPHIA, PA 19103-2797
Attn: Healthcare.AccountsCSS@marsh.com/FAX: 212 948-1307
DATE (MMIDDIYY)
Cl.8.o01pQ$}7fP01 03/28/08
COMPANIES AFFORDING COVERAGE
AOOI....IC>NAL......INEC>RIVIATI.QN.....
COMPANY
E
COMpANY
F
100607 -PRIMA-CRIME-08-09
INSURED
CIGNA CORPORATION ET AL
1601 CHESTNUT STREET
TWO LIBERTY PLACE
PHILADELPHIA, PA 19192
COMPANY
G
COMPANY
H
"IF EVIDENCE OF COVERAGE IS NO LONGER REQUIRED, KINDLY RETURN THE CERTIFICATE MARKED "NO LONGER REQUIRED", AND WE WILL
ADJUST OUR FILES ACCORDINGLY."
.~eFtnFI~Atl2..tlQQ)eFt.
CITY OF CLEARWATER, FLORIDA
ATTN: CITY.GLERK
PO BOX 4748
CLEARWATER, FL 33758
Marsh USA Inc.
Mary Radaszewski
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