CERTIFICATE OF LIABILITY INSURANCE (6)
A~QBD...
CERTIFIC.
,TE OF LIABILITY INSL~t4NC~~~~ OA~E~~~~D~~
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA'I'ION
ONLY AND CONFERS 11I0 RIGHTS UPON THE CERTIFICA'I'E
HOLDER. THIS CERTIFICATE DOES NOT AMEND, Ex'J'END OR
ALTER THE COVEMGE AFFORDED BY THE POLICIES BELOW.
PROOUC~R
Real ~nsurors, Inc,
5005 W. Lau~el Streee, Ste 209
~~pa FL33G07-3836
Phoue:813-288-1000 Fax:813~281-2411
IIIISURI;RS AFFORDING COVERAGE
INSURED
Clearwater Gaze~~6 & Beach
Viaws Inc
25 Caus8way B1vd
Clearwater FL 33767-2064
INSURER A,
INSURER B;
INSURER C;
INSUReR D:
INSUReR C:
Southeru Owners InSu.anCQ Co.
COVERAGES
l'HE POLfClI:S OF INSURANCC LIST[;D OELOW !-lAVE BEEN Issueo to THE INSURCO NAMED ADOVF. FOR THE POLICY PERIOO INDlCATt:D, NOTWfTl-ISTANOING
ANY RCqUIRl:M[;:NT, TERM OR CONDitION 0,. ANY CONTRACT OR OTNER DOCUMENT W1'1'H RfSpfCTTO WHICH THIS CERTIFICATJ; MAY BE ISSUED OR
,.,AY PI:KTAIN, THEINSURANC~ AFFORDED BY THE POLICIES OESCRlBED HCRCIN IS SUDJECTTO ALL THE TBRMS, EXCLUSIONS AND CONDITIONS OF SUCH
roUCII:S, AGGRI:GATe LIMITS SHOINN MAY HAVE BEEN ReDUCCD DY PAlO CLAIMS.
'~~ ~,- ,- b~lfi'MU/DDrf'i'i i::Y'EitPlAAiION ---
TYPE OF INSURANCE POL.ICY NUMBER IJA'fE "M!II/tlDm\''' LIMITS
OENERAL LIABILITY EACH OCCURRENCE $ 300000
1-- .........--
A ~ COWORC"" G'_LL"'~ 20550972 08/11/03 08/11/05 FIR!; DAMAGE (Anyone lire) $ 50000
-== ~ CLAIMS MADE ~ OCCuR .........~,_.-
MED F.XP (Anyone person) S 5000
'~'....-
PERSONAL &. AOV INJURY $
C8NERALAGGRCGATC $ 300000
..., -
G~N'1, AGGRn LIMIT APnS PER: ~~!S-OOM~OPAGG S 300000
Xl POLICY. ~f.8i LOC
AUTOMOBILE LIADII,I'l"f COMBINCO SIN~ LIMIT
- rEa 3CCldetll, $
ANY AUTO
- ,~
ALL OWNED AUTOS BODILY INJURY
- (PI;I' p~r.:Qf1) S
SCHEOULED AUTOs
-
HIR(;D AUTOS BODILY INJURY
- (Per 3ee1~nl) $
NON.OWNED AUTOS
- .....
I- PROPERlY DAMAGF. S
(Per~lI'f1l)
QARAQE UABII.ITY AUTO ON!. y, EA ACCIDENl' S
1=1 ANY P.UTO ----
OTHF.R THAN lOA Ace S
.-
AUTO ONLY: AGG $
EXCESS L1ADILlTY EACH CCGURRt:NCE I:
tJ OCCUR o CLAIMS MADE AGGREOA.iE S
, -,
$
--I 0,.-
OI:DUCTIDl.l; $
~I ReTENTION s $
WORKERS COMPENSATION AND UMr,:S I IVe.7"
EMPLOYI1RS' LlA91LlTY . _"..- -,
C,L IiACMACClOENT $
, .T"'......
E.L DIllGAtCi ,I;A EMPLOyEE S
-.''''-
G,L DISliASIi . POLICy LlMrr S
OTHER
DESCRIPTION Of' OPERATICNSlLDCATIONSNI!HlCl.liSlliXCLUSlONS AtIt1ED BY ENOORSEMENT/SPliCIAI. PROVISIONS
CeX"tific:ate Holder is Addieional IDsured.
F.727-462-6957
CERTIFICATE HOLDER I y I ADDITIONAl-INSURED; INSURER LETTER: CANCELLATION
CLSu'-l SHOULD ANY OF THE ABOVE QESCRlBED pQUCIES BE CANCl!l.I.I:D aliFORE THE EXPIMTIO~
D"fE THSReOI', THE ISSUING INSURE,R WILL I!NDE!AVOR TO MAIL ...1L tlATS WRmEN
Clearwater Municipal NOTICE TO THE CERTIFICATI! HOI.DI!l't NAMll:1) iO THE I.EfT, BUT FAII.URE TO 00 SQ SHAI.I.
Mariua IMPOSE NO OBUGATlON (lR UADII,ITY OF AIIIY KlNll UPON THE INSURER, ITS AGENTS OR
2S Causeway Blvd.
C1aarwaeer :VI:. 33767 Rll:~ESENTAT1VES.
AUTHQRl%IiiQ RliPRESENTATIVE -/..
m./X ~ .
I Marci.a. M Lewis ~
ACORD 25~ (7/97)
@ACORDCORPORATION 1988
7.C1C1/IC1I1l'r1
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