CERTIFICATE OF LIABILITY INSURANCE (4)
..
ACORD..
CERTIFICATE OF LIABILITY INSURANC~~l DA~~;~~~
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CER'IlFICATE
HOLOG:R. THIS CERTl~ICATE DOG:S NOT AMG:ND. EXTG:ND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUC[R
aea1 %n~u:o~s, %nc.
5005 W. Laurel Street, Ste 214
T~a ~~ 3360'-3836
Phones 813-288-1000 P&xIS13-281-2411
INSURERS AFFORDING COVERAGE
INSURED
Clearwater Gazette & Beach
V1.ews l:nc
2S ~ausflway Blvd
C~ea:wace~ ~L 33767-2064
IN$URERk Sguthe:rn Owne~s :Insu:Z:Ollnce Ca.
IIj$URER D:
INSURER C:
INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEI) ABOVE FOR THE POI.ICY PERIOD NDICATED, NOTWITHSTANDING
Am RmUIRl!MI::NT, TI::RM OR CONDmON OF AN'( CONTRACT OR OTHI!R DOctJM[!NT WITH Rl!SPECTTO WHICH THIS CERTIfiCATE MAY liE 155UED OR
MAY P1:IUAIN. iHE INSlJAANCl! AI'I'ORDl:tl BY THE I'OLICIES Di:SCRIBE/) HEREIN IS SUaJECT TO All THE TERMS, exCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGAlE UMITS S140Vl'N MAY I-lAVE DEI:N REDUCED BY PAID CLAIMS.
INSR TYPE DFINSURANCE POUCYNUMBER WX;'iXt~YE I ~~~~~~.. LIMITS
LTR
~NERAL LlABIUTY CACH OCCURRalCE $ 300001)
A X COMMeRCIAL GeNeRAL LIABILITY 20550972 08/11/0:a 08/11/03 r.tRJ: DAMAGC (Any one Hrel $ 50000
I CLAIMS MADe [!] OCCUR MCD CXP l~nyone pel'!lllfl) $ 5000
I-- PERSONAL & ADI/ INJURY $
I-- GI;NERAI. AGGRl:GAlE $ 300000
Ca.'L ACCRi::OATE llMl'r APPLIES PER: PRODUCT6.COMP~PAGG $ 30000D
X I POLICY I ' I ~~ r' ILOC
AUTOMODlUi UADlU1Y COMBII'ED SINGLE LIMIT
I-- S
Am AUTO (ra "'odd"",l)
I--
I-- ALL OWNI:D AUTOS DOOIL Y IHJURY $
SCHEDlJ~F.l) AUTOS (Par PC''''''")
- _"~"'_,......."-""'-
HIRED AUTOS HODll Y INJURY $
NON-QWNCD AUTOS (Per accl~ent)
- 1$
I PROPERTY DAMACE
(rer accl:lent)
GARAGE LIABIUTY AUTO ONLY -t:A ACCIDt:HT' $
==i ANY AUTO OTl11:R TI1AN Ell ACe $
AUTO ONLY; AGG $
EXCESS LIABILrlY EJlCH OCCURRENCE Is
~ r' I CLAIMS MAOI:
OCCUR ACCAEOAfI! Is
$
~ DEDUCTIDLIi $
,.
RETENTION S $
WOIllK\;R$ COMPI!NSATlQN AND I TOflY LIMris I IO~~-
EMPLOYERS' UABILITY Ii.L. EllOoI ACCIDENT is
E.~-OISEASJ; .1iA IiUPLOVliE $
F..L. OISF.ASF. . POLICY L1Mrr S
OTHI!R
DescRIPTION OF OPERATIONSIJ.OCATIONSlVEHICLESlEXC:LUSlONB ADDED BY ENgc)RSEMENTI8I'ECIAL PIWVlSICINS
Certificate Ro1der is Additional InsuX'ed.
S9/l7/02P.727-462-6957
CERTIFICATE HOLDER I y I ADDITIONAL IHSURm; INSURER LETmR: ___ . CANCELLATION
CLEAR'-1 SHOULD AN'( OF THE ABOVE DI;$CRIBED POUc;:Il;$ B" (:AH(:....~I;D BI;FQRIi T"'S; r;xplIU-TlO~
DATE THEREOF. THE ISSUIIIIG INSUFlE~ WILl. ENDEAVQ~ TO MAL 10 OATS WRI11'EIII
C~earwater MUni~ipa1 Marina NOTICE TO TliE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DD SO SHALl.
:as Causeway :Blvd IMPOSE NO OBLIGATION OR LIADIUTY OF ANY KIND UPON THE IHSURl!R. ITS AGI!HTS OR
C1ea:rwaee:r: FIe 33767 REPReSENTATIVES.
~. ...
I Ma:z:ocia K Lewis 77J.. P? L~_
ACORD 25-5 (7/97)
@ACORD CORPORATION 1988
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IMPORTANT
If I/'le certificate holder Is an ADDITIONAL INSURED, the pollcy(lcs) must be endorsed. A statement
on this certificate does not confer r1ghl$ 1.0 !he eenlReate holder In lIou of such cndorscmont(s}.
If SUBROGATION IS WAIVED, subject to the tcnns and conditions of the policy, cermin policies may
roqulro an ondorsomonl A statement on this certificate does not confer rights to the certificate
holder In tlou of such cndorscmcnt(s),
DISCLAIMER
The Certificate of Insurance On the reverse side of this form does not consUlUte a contract between
the Issuing Insurer(s), authorized represenllltive or producer. and the certificate holder. nor does it
affIJmatlvoly or negatively amend, extend or alter the covemge afforded by the policies listed thereon.
ACORD 25-8 (7/97)
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