CERTIFICATE OF LIABILITY INSURANCE (10)
A CORDm CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
6/24/08
PRODUCER Allied Specialty Insurance, Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
10451 Gulf Blvd. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Treasure Island, FL 33706 ~ei~:~H~H!~~~~!I!LC~TE DOES NR~_A~E_NEII~~J~ND OR
800/237-3355
INSURERS AFFORDING COVERAGE NAIC#
INSURED National Watersports, Inc. INSURER A: T. H. E. Insurance Company
7 Cristie Lane INSURER B:
Lake George NY 12845 INSURER C:
INSURER D:
INSURER E:
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 THETERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~~ ~E.'?:~ POLICY NUMBER POLICY EFFECTIVE P~!.'~Y EXPIRA nON LIMITS
~NERAl LIABILITY EACH OCCURRENCE $ 1,000,000
A X COMMERCIAL GENERAL LIABILITY M8LF8620 06/25/08 06/25/09 DAMAGE TO RENTED 50,000
$
I CLAIMS MADE [K] OCCUR MED EXP (Anv one oersonl $
I--- PERSONAL & ADV INJURY $ 1,000,000
I--- GENERAL AGGREGATE $ 1,000,000
n'LAGGREn LIMIT APflER: PRODUCTS - COM PlOP AGG $
POLICY ~~,?,: LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
f--
- ALL OWNED AUTOS BODtL Y INJURY
(Per person) $
- SCHEDULED AUTOS
- HIRED AUTOS BODtL Y INJURY
(Per accident) $
- NON-OWNED AUTOS
- PROPERTY DAMAGE $
(Par acc:ldenl)
~GE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
~ESSIUMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR 0 CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND 1~~Tf':T.~-., I IOJ~-
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $
~X~~,~~S~~~Jndar E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS I LOCAnONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMEIIIT I SPECIAL PROVISIONS
OPERATES WAVERUNNERS AT: ROCKAWAY GRILL
7 ROCKAWAY ST.
CLEARWATER, FL 33767
CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED AS RESPECTS THE OPERATIONS
. OF THE NAMED INSURED ONLY.
CITY OF CLEARWATER
25 CAUSEWAY BLVD.
CLEARWATER, FL 33767
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAnON
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAil ~ DAYS WRITTEN
NOllCE TO THE CERnFICA TE HOLDER NAMED TO THE LEFT, BUT FAILURE ro DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ns AGENTS OR
ACORD 25 (2001108)