CERTIFICATE OF LIABILITY INSURANCE (7)
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-.......-.. .....-.--...
CERTIFICATE OF LIABILITY INSURANC~~~ DA~~;~~r;;;5
THIS CERllFICAiE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS 11I0 RIGHTS UPON THE CERTIFICAiE
HOl.DER, THIS CERTIFICATE DOES NOT AMEND, EXT!;;ND OR
ALTER THE COVERAGl':: AFi=OrtDED BY THE POLICIES 8eL-OW.
, PRcoUOSlll
Real Insurors, Inc.
SODS W. Laurel Screec, see 209
Tampa FL 33607-383G
Phone: 813-288-1000 Fax:813-281-2411
INSURED
IIIISURERS AFFORDING COVERAGE
Clearwacer Gazette << Beach
Views Inc
25 causeway Blvd
C1earwacer FL 33767-2064
I
COVERAGES
INSURI;R A:
INSURER 9:
INSURER C:
INSURER 0;
INSURER E;
Southern Owners Insurance Co.
THe POLICIl:.S OF INSURANCE LISTED llaQW HAVE BEEN ISSUED TO TIlE INSURDl NAMED ABOvE FOR THF. poucy PeRIOD INDICATt:O, NOTWITHSTANDING
ANY REQUIREMOIT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCU~IiNT WIlli ~ TO WHICH THIS CERTlFICA're MAV BE lSSui:D OR
MAY PERTAIN, THE INSUAANCE AFFORD!:;D BY THE POLICIES DESCRIBED HCRCIN IS SUBJECT TO AI.L THI; TERMS, exCLUSIONS AND CONDfTlONS OF SUCH
POlICII"S. AGGREGATE UMITS SI-lOWN MAY ~IAVr;: DlIN REDUCeo BY PAID CLAIMS.
... . liE" I"OLIOY.F,!XP1 ..
.l':iR TYPE! OF INSURANCE POLICY NUMBER DATlfirAM/OD/YV1 DArE'fMMI~~,.;lWN UMIf$
: -.":~ ~NEML UASILITY EACH OCCURRENce S 500000
~
A .X COMMERCIAL OENERAI.I.IAUILITY 20550972 Oa/11/04 08/22/06 FIR!:: DAMAGE (Any "".. Ib..) $ 50000
. , I CLAIMS MADE ~ OCCUR ME!) I:XP (AllY Qne ~Or'l) $5000
. .
PmSONAL & AOV INJURY $
f---.-
~ GJ;NI;RAL AGGReGATE $ 500000
~'L AGGREGA'tE LIIIIIT APPLIES PI;R: P~DUCTS' COMPIOP AGO $500000
Xl POLICY II ~~ n LaC
~TOMOBILE LlA81LITY COMBINED SINGlE LIMIT S
ANY AUTO It:R~~)
-
1- ALL OwNEO AUTOS I!lODIL Y INJURY :5
SCHEDULED AUTOS (Per Pl:_n)
~
f-- NIRJ:D AUTOS BODILY INJURY S
NON,OWNED AUTOs (Per accklenl)
i- ,.
1- "~ ?ROPCRTY DAMAClIo $
(P..r "'e~d"'lIl)
GARAGE \.IAlIll.lTY AlITO aNI. Y - EA ACCIDENT $
==J ANY AUTO OTHF,R TlotAN CAACC S
I'UTO ONLY: AGG S
-. .- EXCESS LlAElILITY EACH OCCURRENCe: S
?:: 0" OCCUR 0 CLAIMS MAOE AGGj'{EGATI; :I;
$
1=1 DECUCTlIlLE $
RETENTION $ S
wORKERS COMPENSATlON AND I "ORV LIMl'fl! I I.....!!."
!:;R
EMPLOYERS' UAfllLITY E.\.. EACN ACCIDOIT S
E.l.. DISEASE, CA r:MPLOYEE $
E.L DISEASE - POLIcY LIMIT $
OTHER
DESCRIPTION OF OPERATIONSlLOCAT10NS/VEHlCu.snoo:LUSlONS AtIDED av S1DORSEM~NTlSPl:CIAI. pROVISIONS
Cereif1cace Holder is AddicicUBl J:ns:uX'ad.
F.727-462-US7
i CERTIFICAtE HOLDER I y I ADDITIONAL IN$URI!D: INSURER LE'TTIlR: CAIIICElLA TION
.' CLEAR-l $"lQULD ANY OF THE ABOVE DESCNElED PQUCIES BE CANCEl.LED BEfORE THE EXPtIlATlOI
DATS TIlI:RIlOF. THE ISSUING INSUlU;R WILL ENDEAVOR TO MAIL .1.IL- DAYS ~I~
Clearwater MUnicipa1 Mll:iuB NOTICE TO THI: CERTIFICATE HOLDER NAMEtI TO THS LEFT, OUT FAILURE TO cO SO 19HALL
2S causeway :Plvd IwoOSE tlO OPUc;;AllQN OR LIABILITY OF ANY KINO UPON THl! INSURER. ITS AGENTS OM
clearwlltl!!lr FL 33767 R!;P~SENTATlVI;$.
AUTl-lQRlZI"D RllPRESENTAllVE L iF. .
, Marcia M Lewis /J?t)1. :k:1
ACORD 25-S (7197)
<e1ACORD CORPORATION '988
L00/L00'd
LL176L868L8(X'9.:1)
s..Io..lnsuI 1e~lJ
178:80 (03M)S006-90-lnr