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CERTIFICATE OF LIABILITY INSURANCE ~., - ACORDm CERTIFICATE OF LIABILITY INSURANCE CSR sc I DATE (MM/DDIYYYV) YOUNG-8 10/03/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Carlisle Fields & Company, Inc 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 BaA 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 NSR[ TYPE OF INSURANCE POLICY NUMBER POLICn, EFFEC.I~~ P6'k~CEY(~~bRt~~N LIMITS DATE MM/DDIYY GENERAL LIABILITY EACH OCCURRENCE $ 1000000 - B X COMMERCIAL GENERAL LIABILITY 3602SS2583991 10/01/05 10/01/06 PREMISES (Ea oc~~~nce) $ 100000 I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 3000000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000000 I 'nPRO- n Emp Ben. 1000000/3 POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 1,000,000 A X ANY AUTO 047436123 10/22/05 10/22/06 (Ea accident) - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - HIRED AUTOS BODILY INJURY f-- $ NON-OWNED AUTOS (Per accident) f-- f-- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 B tJ OCCUR D CLAIMS MADE 4602SS2581610 10/01/05 10/01/06 AGGREGATE $ 1,000,000 $ ~ DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND X I TORY LIMITS I IUJ~- C EMPl.OYERS' LIABILITY Z049904501 06/24/05 OS/24/06 $ 500000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ,",CCIDENT 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 Certificate holder is listed as an additional insured. *30 Days Cancellation applies to Worker's Compensation Policies, 10 Days Cancellation for all other policies - Applies to Florida Employees Only. CERTIFICATE HOLDER CANCELLATION CITYC-1 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 ESE NT A TIVES. RIZED REPR City of Clearwater City Attorneys Office P.O. Box 4738 Clearwater FL 33758-4738 PORATlON 1988 ACORD 25 (2001/08) rr~ iTV ATTrH). f\i r:.:v