CERTIFICATE OF LIABILITY INSURANCE (3)
ACORDm
CERTIFICATE OF LIABILITY INSURANC~~~!~ T DA~E~~~~ro~
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.
PRODUCER
Wallace Welch & willingham Inc
300 First Avenue South, 5th Fl
P.O. Box 33020
St. Petersburg FL 33733
Phone: 727-522-7777 Fax:727-521-2902
INSURERS AFFORDING COVERAGE
INSURED.
Directions for Mental Health
1437 South Belcher Rd
Clearwater FL 33764
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
Mental Hlth Risk Retention Grp
zenith Insurance Company
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.
Ir'f~ TYPE OF INSURANCE POLICY NUMBER !:gflf~.':r.f~mYl: PP.L.!IiV:.':N.'lRAWN LIMITS
DATE MMlDD DATE '(f\lM/DDIYY
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
-
A X COMMERCIAL GENERAL LIABILITY CCLOO1206 01/15/03 01/15/04 FIRE DAMAGE (Anyone fire) $ 300,000
X I CLAIMS MADE D OCCUR MED EXP (Anyone person) $ 5,000
~ Non-Owned Auto PERSONAL & ADV INJURY $1,000,000
GENERAL AGGREGATE $3,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $3,000,000
I n PRO- nLOC
POLICY JECT
AUTOMOBILE 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 $
~ ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
::::J OCCUR D CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X I f~R,?'LlMY;:sl IUE~-
B EMPLOYERS' LIABILITY WC26013 05/01/02 05/01/03 $ 100,000
E.L. EACH ACCIDENT
~ --" -- _. . ~ - -. - ----- .- --- .. ~ ELoISEP.sE - EA EMPLOYEE $100;00o---~-
E.L. DISEASE - POLICY LIMIT $ 500,000
OTHER
DESCRIPTION OF OPERATIONSlLOCATlONSNEHICLESlEXCLUSlONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
.
CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
CLWTRPO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATlO~
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ..1L DAYS WRITTEN
Clearwater Police Dept. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Attn: Janet Skinner IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
645 pierce Street
Clearwater FL 33756 REPRESENTATIVES.
I AUTH~~~./
ACORD 25-S 7/97 / c
@ ACORD CORPORATION 1988