CERTIFICATE OF LIABILITY INSURANCE (13)
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY)
03/31/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
HRH of Philadelphia ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
600 W. Germantown Pike HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 300
Plymouth Meeting, PA 19462-9998 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A:. Liberty Mutual Fire Insurance Com pan 23035
Global Spectrum LP INSURER B:
3601 S. Broad Street INSURER c:
Philadelphia, PA 19148 INSURER 0:
INSURER E:
Client#: 84252
1GLOBSPE
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.
II~M ~~~: TYPE OF INSURANCE POLICY NUMBER p'?}~~~~~~E ~~fl,~~~~N LIMITS
_ . ~NERAL LIAI!ILlTY ~rFCF EACH OCCURRENCE $
. - - "- IVE" .. -R~~~~~J!f",~ENTEQ . "
COMMERCIAL GENERAL LIABILITY l " $ ...... '.' . .
I CLAIMS MADE D OCCUR ~._. ,or
MED EXP (Anyone person) $
APR 0 l 2008 PERSONAL & ADV INJURY $
-
- GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: or"-rlAL REC DRDSAND PRODUCTS - COM PlOP AGG $
'I nPRO- n
POLICY JECT LOC - .. .-- --"""'
Ll:v..~.~;"\IIVI: ... ,
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
-
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
==i ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
~ OCCUR D CLAIMS MADE AGGREGATE $
$
==i DEDUCTIBLE $
RETENTION $ .,' ,,- - .. $
A WORKERS COMPENSATION AND WC2631509643028 03/30/08 03/30/09 X I T~~-N~J,~;, I IOJ~-
EMPLOYERS' LIABILITY $1,000000
ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000000
If yes. describe under $1.000000
SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS WS ~ C:~ ~
Re: Harborview Center; 300 Cleveland Street; Clearwater, FL 33755
City of Clearwater, Florida is included as Additional Insured where Q., M.G oc...u....- f a.-J%-
required by contract, solely with respect to the operations of the Named ~
Insured.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF CLEARWATER DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL --3Q.... DAYS WRmEN
112 S. OSCEOLA AVENUE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
CLEARWATER, FL 34618-0000 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
A'd,ORIZED REPRESEN~
~ - /l -
" .....-,....
ACORD 25 (2001/08) 1 of 2
#M407768
1 JVAN
@ ACORD CORPORATION 198f
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-5 (2001/08) 2 of 2
#M407768