CERTIFICATE OF LIABILITY INSURANCE (5)
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CERTIFICATE OF LIABILITY INSURANC~Ef:~~ DA~t;;~P'!o~
THIS CERTIFICATE IS ISSUED AS A MATrER OF INFORMATION
ONLY AND CONF!RS NO RIGHTS UPON THE CERTIFICATE
HOLDER. YHIS CEIUJ~ICAT~ DOES NOT AMEND. ~ND OR
ALTER THE COVERAGE; AFFORDE;D BY THE; POLICIE;S BEL.OW,
PRotIUl:ER
Ro~l ~neuror~. ~nc.
5005 W. Laurel Street, Ste 214
Ta=pa FL 33607-3836
Phone: 823-28B-1000 Fax:813-281-2411
INSUltED
INSURE;RS AFFORDING COVE;RAGE;
_I~.~~.~...._~_o~;he;cu O\nlers :Insurance co.
Clea~ater Gazette ~ Beach
Views :Ine:
25 Causeway ~lvd
C~ea:wate~ PL 33767-2064
I
INSURER 0:
INSURE;R C:
INSURm D;
INSUH~ E:
COVERAGES
TN!; POUC/l;$ OF INSURANCl::: L1sn:D Baow HAVE BEEN ISSUED 10 TliE INSURED HAMED ABOVE FOR 'tHE! POLICV I"ERlOO INOICA1'ED. NOTWrrHSTANDING
Aft( FiEQUIFiEMENT. TF.RM OR COfllOITlON OF ANY CONTRACT OR OTI~ER DOCUMENT WIDI RI;SP8:T TO V\ItIICH THIS CCRJ1FICATI:! MAY BE ISSUED OR ":\
MAY PERTAIN. 1M!:; INSURAHCl::: AFFORDl:::O BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL "tHE! iERMS. excLUSIONS AND CONorrlONS OF SUCH
t'OLICIE6. "IGGREGATF. LIMITS SHOMl MAY IoIAVE DEEN REDI.ICED BY PAID CLAIMS.
.INSR----.....w..- POUCY NUMBER ~W;"lMMlDDIYYi . I !lATE fMMlI:IOIYVI 1.1~1IT$
LTR 1YPE 01' INSURANCE
G~ERALLlABILfTY EACH OCCURflF.NCF. $300000
i-- 09/1.1/02
A ~ COMMI:RCIAL Gl:Nl::RAL L1ABlLfTY 20550972,RENEW~ 08/11/04 Fl~ DAMAGE (All)' f;rII: hI $50000
--l ClAIMS MADe I .JC I OCCUR MED EXP (Any 000 PlJISQI1) $ 5000
r8'lSONI\I.. & AOV INJURY S
- GENeRAL. AGGREGAn: $300000
.~LACC~nE~: APnS PER; PRODUCTS.COMP~PAGG $300000
...--.............
X .., POLICY J~ LOC
AUTOMOBILE LIABILITY COMBINEO SlNGt.E LIMIT
- 11:8 Bookf8nIl $
ANY AUTO
-
1- ALL OWNED AUTOS DODIL V INJURY
$
SCHEDULED AUTOS (Pl;orpe.-.)
i-- .~...._,_..-
1- HIRED AUTOS BODII. VIN,JURY
(f'llr lIt:ddllnl) $
NON-OWNED AUTOS
-- .,~
1- u_.__. .., PFIOPER'I'r DAMAGE $
(.... Bcclclanll
q=~=Lrrv Al1I'O OHL Y . F.A ACCIDENT I $
II' EAACC Is
OTHER THAN
AUTO ONLY: AGG Is
EXCI!S$ UABIUTY I:ACH OCCURJU:NCr::: S
=:J OCCUR 0 Cl,AIMS ~ADI; .
AGGR~TE $
-
$
,- - ~
==i OECUCTI9I.E $
RETEN'rlON s .. - $
WORKERS COMPEN9A'TlON ANti I TORY'LiMITsI iO~'
IiMPI.OY!lRS' UASlUTY E.L. EACH ACCIDENT Is
E:.L DISEASI! - E!A EMPLOYEe s
r:::.L OISI:'ASE - POUCY L1M IT I S
OTHER I
D~R1PTlON OF OPERATIONSII..OCATlONSM!HICIE5IIllCCLUSIONS ADDI!D BY IlNDORSEMIiNTISPECIAL PRO\IIS/ONS
Cer:ifiea:e Holder is Additicnal :tnsured.
F.727-462-695'7
CERTIFICATE HOLDER I y I ADDmONAL INSURED; INSURER ~ CANCELLATION
CLJilAR. -1 SHOULD APl'I' OF'nlE AB(l\/E OES(:mBED POUCII;S BIl c:ANCI;1.I...IOD BEFORE THE r;xJIlRATlON
DATE; THEREOF, 'tHE ISSUING INSURER WILL ENDEAVOR TO MAIL .;1.,0_ DAYS WRmEN
C~oarwate~ Municipal Marina N011CI TO THE CERTlFIGATIi HOLDER NAMED TO THE LEFT, BUT FAlLLlRE TO DO SO SHALL.
2S Causeway Blvd IMI'OSE NO 09UGAll0N OR L1ABIUTY OF ANY KINg UI'ON 'tHE INSURER, ml AGENTS OR
C1earwaeer FJ:t 33767 1Ulf'RE$IiN'l'A'TIVIi$.
AlJTHORIZtlD REPRES&NTATlW ~
0/11. AI. .
I Ma~cia M Lewi.s
ACORD 250S (7/97)
OACORD CORPORATION 1988
200/l00 'd
llv2l8Z8l8(X\f::l)
SvlO.,lnsuI lE'~C1
0L:9L (nHl)8002-92-Nnr
IMPORTANT
If the certificate holder Is an ADDITIONAL INSURED, the pollcy(los) must be endorsed. A stntement
on this certificate does not confer rights to the certificate holder I/'lUeu or such ondQl'$omont(s).
If SUBROGATION IS WAIVED, suble~ to tho torms and condlllons of the policy, certain policies may
require an endorsement. A statement on this cortlflcato doosnot confer rights to the certificate
holder In lieu or such endorsement(s).
DISCLAIMER
The CertifiC3te of Insumnce on the reverse side of this form does not consUMe a contract between
the Issuing Insurer(s), llUthorized representative or producer, and the cel1lflcale holder, nor does It.
affirmatively or negatively amend, extend or alter the covernge aft'omed by the pOliCies listed thereon,
ACORD 25-& (7/97)
600/600'd
LLv6L808L8(X\J.:\)
s...Io..lnsuI 11098
LL:9L (nHl)8006-96-Nnr