The URL can be used to link to this page

CERTIFICATE OF LIABILITY INSURANCE (14) ACORD,. CERTIFICATE OF LIABILITY INSURANCE ~dI1J~8 I DAT~~7;;~) 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 Carlisle Fields & Company, LLC P.O. Box 7910 Clearwater FL 33758-7910 Phone: 727-797-0441 Fax:727-725-3663 INSURERS AFFORDING COVERAGE Young Women's Christian Of Tampa Bay 655 Second Avenue South st. Petersburg FL 33701 COVERAGES Assn INSURER A INSURER B: INSURER C: INSURER D INSURER E: Progressive Commercial Markel Insurance Company Zenith Insurance Company NAIC# 10193 INSURED 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. IN"K ~~[ POLICY NUMBER ~~';!~1~~.~fES;}lYE P2!:!PEY(f~!,IRA T~~N LIMITS LTR TYPE OF INSURANCE DATE MMIDDml DATE MMIDDNY GENERAL LIABILITY EACH OCCURRENCE $ 1000000 - .PR~'MlSfSEc~~~~~oC~l 13, X COMMERCIAL GENERALUABILlTY 36(t~s.S~5a~~9_:i.._ ...'. ......01/9J198.. __.9J./Q1lQ.9 $:1,0.000_0 ::r ;~IM~ MA~E [iT ~~CUR MED EXP (Anyone person) $ 5000 - PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $ 1000000 Xl n PRO- nLOC Emp Ben. 1000000/3 X POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 - A ANY AUTO 047436126 11/08/07 11/08/08 (Ea accident) - ALL OWNED AUTOS BODILY INJURY -- $ X SCHEDULED AUTOS RECEI\ fED (Per person) - HIRED AUTOS BODILY INJURY - (Per accident) $ NON.OWNED AUTOS - JUN 2 5 2 ~OB ---- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY OF ICIAL RECOR ~SAND AUTO ONLY - EA ACCIDENT $ ==l ANY AUTO lEI ;ISLATIVE SRV( S DEPT OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $1,000,000 B ~ OCCUR D CLAIMS MADE 4602SS2581613 01/01/08 01/01/09 AGGREGATE $1,000,000 $ ~ DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND I TORY LIMITS I lu~r- ER _ ..C. EMPLOYERS' LIABILITY ~O 4 9 ~.o_45 0 5_~~ c _..9.6} 24LQ.lL ,Ofj!24{Q9 $ 500000 ANY-PR6PRiETORIPARTNERlEXEGUTIIIE- E.L EACH ACCIDENT -. .-. OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $ 500000 If yes, describe under E. L DISEASE - POLICY LIMIT $ 500000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Clearwater Official Records and Legislative SVCS Cyndie Goudeau City Clerk P.O. Box 4748 Clearwater FL 34618 CANCELLATION C I TYO- 4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE 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 CERTIFICATE HOLDER ACORD 25 (2001/08) PORATION 1988 ACORDN CERTIFICATE OF LIABILITY INSURANCE OP ID TG I DATE (MMfDDIYYYY) YOUNG-8 06/23/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ~ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Cari:isle Fields & Company, LLC 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 NAIC# INSURED INSURER A: Progressive Commercial 10193 INSURER B: Markel Insurance Company Young Women's Christian Assn INSURER C: Zenith Insurance Company Of Tampa BaI 655 Second venue South INSURER 0: St. Petersburg FL 33701 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. 'LTR lNSR[ POLICY NUMBER PD~,;!~1JfFE_CTlV.~ P8k!fEYf~~b~J!r~N LIMITS TYPE OF INSURANCE DATE MMfDDJYYI- GENERAL LIABILITY EACH OCCURRENCE $ 1000000 - DAMAGE B X COMMERCIAL GENERAL LIABILITY 3602SS2583993 01/01/08 01/01/09 PREMISES (Ea occurence) $ 100000 ,., ----_.-- --- -- .. 'l'CLAIMSMADE-'[!j OcCUR" __C_'" _ ___ ... ---- -- - ----- --' '.. - .- ...... MED EXP (Anyone person) .' $5UOO...... ..... PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPfOP AGG $ 1000000 Xl .n PRO- nLOC Emp Ben. 1000000/3 POLICY JECT i AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $1,000,000 A ANY AUTO 047436126 11/08/07 11/08/08 (Ea accident) - ALL OWNED AUTOS BODILY INJURY - RECEI VED $ -~ SCHEDULED AUTOS (Per person) .- I HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS JUN 2" ~OOB (Per accident) - --~~-_._- - PROPERTY DAMAGE $ ---. (Per accident) GARAGE LIABILITY "" I I '" ."" u._ AUTO ONLY - EA ACCIDENT $ R ANY AUTO LEGISLATIVE SR~ CS DEPT EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $1,000,000_~ B KJ OCCUR D CLAIMS MADE 4602SS2581613 01/01/08 01/01/09 AGGREGATE $1,000,000 $ ~ DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND TTORY LIMITS I IUJ~- C EMPLOYERS' LIABILITY Z049904505 06/24/08 06/24/09 $ 500000 ^..v ~IEcTOWPAlITNEP.tEXEC.UTLIlE...:.-.~ E.L. EACH ACCIDENT ._-..- __~____L_._ - ,----- -- -- -_.-- - _._--..~--------- ----- ---.'--- -,-_.-- --~~._..._~.._~~~.~~~= -='"-~---~_.=.~._~=-~ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500000 If yes, describe under E. L. DISEASE - POLICY LIMIT $ 500000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS City of Clearwater is listed as additional insured with respects to the General Liability only. CERTIFICATE HOLDER CANCELLATION CITY005 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN City of Clearwater Risk Mgt Janet Skinner 645 Pierce Street Clearwater FL 33756 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANV KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001/08) PORATION 1988