CERTIFICATE OF LIABILITY INSURANCE (3)
~ ,~/26/2005 13:40
Barber Agency
Jeanette Ferqueron~Catherlne YellIn
2/2
ACORll.
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDNYYYl
4/26 2005
THIS CERTIFICATE IS ISSUED AS A MAnER 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.
PRODIJCER
I Barber Agency
I 2321 SR 580
Clearwater,FL,33763
/ 727-733-9385
INSURED Harbor Barber & Beauty Salon Inc.
NAIC#
25 Causeway Blvd
Clearwater I FL 33767
,727-443-5918
COVE RAG ES
! THE POLICIES OF INSUR~CE LISTED BEL:JW HAVE BEEN ISSLED TO THE INSURED NAMED ABOVE FOR THE cOLlCY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMEN"', TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTiFICATE MAY BE ISSU=D OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED hEREI\lIS SUBJECT TO ALL THE TER\1S, EXCLUSIONS AND CONDITIONS OF SiJCH
POLICIES. AGGREGATE LIMITS SHOWN rvlAvHAVE BEEN REDUCED BY PAJDCLAIMS
,It:: IN$RC TYPE OF IN POLICY r-IUIABER DA~E MM/DD/YY
'I ; ~~~~~L LIABILITY
; ~M\I1E~CIALGENERAL L:ABILITY
I ,,! EE "'""~c 00 O~"' ITBD
, I : GEI\'L AGGREGATE LIMIT APPLIES PER'
. X POLICY ~ ~~fi LOC
AUTOMOBILE LIABILITY
LI' ANY AUTO
I ALL OWNEO AUTOS
H SCHWULED AUTas
'--- HIRED AUTOS
tl NON-OWNEDAUTOS
INSURER B:
I INSURER C:
INSURER D:
I INSURER E:
~RAGE L1ABIU-:-y
,I ANY AUTO
EXCESSiuMBRELLA L1ABUTY
~ OCCUR 'I CLAIMS MADE
DEJUCTIBLE
RETENTION
I wnRKERSCO';1PENSATIONAND
EMPLOYERS' LIABILITY
AilI,Y PRO~F:l.:;TORIPARTNERIE)(EClJT.....-E
; OFF'rCER/14EPABER EXCLUDED?
. If yes, describe under
, SPECIAL PROVISIONS Oelo.,
OTHER
'TBD
I
25 Causeway Blvd Clearwater, FL 33767
Cert~ficate holder is 1isted as additional insured
i
I
CERTIFICATE HOLDER
City of C1earwater
25 Causeway B~vd
C1earwater, FL 33767
CANCELLATION
SI-IOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T1-E EXPIRATIO~
DATE T~EREOF. THE ISSUING INSURER WILL =NDEAVOR TO MAIL~ DAYS WRITTEN '
NOTICE TO THE CERTIFICATE HOLDER NAMED TO TfiE LEFT. BUT FMLURE TO DO SO SHAll I '
IMPOSE NO OBLlGA~ION OR LIABILITY OF ANY KIND UPOr-l THE INSURER, ITS AGEI\TS OR
REPRi:SENTATIVES. I
AUTHORIZED REPRESENTATI
I
ACORD 2S (2001/08)