CERTIFICATE OF LIABILITY INSURANCE (3)
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CERTIFICATE OF LIABILITY INSURANC~~~l DA~E;=O
THIS CERTIFICATE ;S 'ED AS A MATTER OF INFORMATION
ONLY AND CONFERS N dGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
AI. TER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
PROOUC
Real Insurors, Inc.
5005 W. Laurel Street, Ste 214
Tampa FL 33607-3836
Phone: 813-288-1000 FaxI813-281-2411
INSURERS AFFORDING COVERAGE
INSURED
Clearwater Gasette . Beach
Views Inc
25 Causeway Blvd
Clearwater PL 33767-2064
1NStJRERA: Southern Owners Insurance Co.
INSURER B:
INSURER c:
INSURER D:
INSURER E:
COVERAGES
THE POlICIES OF INSURANCE LISTED BELOW HAVI: BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTliER DOCUMENT WITH ~ TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL TliE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVI: BEEN REDUCED BY PAlO ClAIMS.
II~": TYPE OF INSURANCE POlICY NUMBER DATE~ DAT~~ UWTS
GENERAL LlABIUTY EACH OCCURRENCE S 300000
I--
A X COMMERCIAL GENERAL LIABILITY 20550972 08/11/00 't!l.~/Ol fH DAMAGE (Any one ftrw) S 50000
I CL6JMS MADE [!] OCCUR ~ EXP (Anyone peB<<I) S 5000
PERSONAL & AfN INJURY S
~
GENERAL AGGREGATE S 300000
I--
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMPIOP AGG S 300000
Iil POLICY n ~~c?i n LOC
~OMOBlLE UABlUTY COIoI8INED SINGLE LIMIT S
ANY AUTO (& 8Cdden1)
>--
>-- ALL OWNED Al/TOS BODlL Y INJURY
S
SCHEDUlED AUTOS (Per person)
'--
- HIRED AUTOS BOOll Y INJURY
S
NON-OWNED Al/TOS (Per acddenl)
-
PROPERTY DAMAGE S
(Per 8CddenI)
GARAGE LIABlUTY AUTO ONLY. EA ACCIDENT S
~ -ANY AlITO OTHER THAN EA ACt; S
AUTO ONLY: AGG S
EXCESS UABlUTY EACH OCCURRENCE S
:=J OCCUR D CI.AIMS MADE AGGREGATE S
=1= s
s
s S
WORKERS COWENSATION AND I TORY LIMITS I IW
EMPLOYERS' LlABIUTY EL EACH ACCIDENT S
EL DISEASE . EA BoFLOYEE S
EL DISEASE . POlICY LIMIT S
OTHER
DESCRIPTION OF OPERATIONSlLOCATIONSIVEHICLESlEXClUSlONS ADDED BY ENDORSEMENTISPECW. PROVISIONS
Certificate Holder is Addit!ona""'1...naaured.
S 7/11/00 II
CERTIFICATE HOLDER I y I ADOITIONAL INSURED; INSURER LETTER: CANCELLATION
CLEAR-1 SHOULD AI('( OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WLL ENDEAVOR TO MAIL 10 DAYS WRITTBt
Clearwater Municipal Marina NOTlCE TO THE CERTIFICATE HOLDER NAMED TO THE lB'T, BUT FAILURE TO DO so SHALl
Attnl Catherine IIFOSE NO OBUGATION OR UA8LITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
25 Causeway Blvd RECEIVED
Clearwater PL 3376 REPRESENTATIVES.
"':Il Hollowav hJ_ ~ L A/J /Jjp"f_
I I \ I I l~, Stuart W.
' {t,
ACORD 25-5 (7197) , CACORD CORP07fndN 1988
CITY CLERK DEf'ARTMENl
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~
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IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the poIicy("leS) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the tenns and conditions of the policy, certain policies may
require an endorsement A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this fonn does not constitute a contract between
the Issuinginsurer(s), authorized representative or producer, and the certificate holder, nor does it
affinnatively or negatively amend, extend or alter the coverage afforded by t/'le policies listed thereon.
ACORD 25-5 (7/97)