CERTIFICATE OF LIABILITY INSURANCE (4)
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STAHL & ASSOCIATES
INSURANCE INC.
8200 SEMINOLE BLVD
SEMINOLE
... DATE (MMIDD/YY)
07/29/02
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORNlATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEtIID OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
PRODUCER
FL 33772
COMPANY
A
NATIONAL INSURANCE COMPANY
INSURED
CRABBY BILL'S
C/O OFFICE OF
1901 ULMERTON
CLEARWATER
CLEARWATER BCH
LISA SMITHSON
ROAD STE 750
FL 33762
COMPANY
B
BURLINGTON INSURANCE COMPANY
COMPANY
C
THIS IS CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POUCY EFFECTIVE POLICY EXPIRATION
DATE (MMIDDIVY) DATE (MMIDDIVY)
LIMITS
GENERAL LIABILITY CLPO 1 00998
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [][] OCCUR
OWNER'S & CONTRACTOR'S PROT
7/20/02
7/20/03
GENERAL AGGREGATE $2 , 000 , 000
PRODUCTS. COMPIOP AGG $1, 0 0 0 , 0 0 0
PERSONAL & ADV INJURY $1, 000, 000
EACH OCCURRENCE $1, 000, 000
FIRE DAMAGE (Anyone fire) $ 1 0 0 , 0 0 0
MED EXP (Anyone person) $ 5, 0 0 0
1,000,000
COMBINED SINGLE LIMIT $
AUTOMOBILE LIABILITY CL POlO 0 998
07/20/02 07/20/03
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
X NON-OWNED AUTOS
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY. EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE
CANCELLA T ON AGGREGATE
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
CE ~~WLLftO~mR
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
B0358Q510245
07/20/02 07/20/03
EL EACH ACCIDENT $
EL DISEASE-POLICY LIMIT $
EL DISEASE.EA EMPLOYEE $
1,000,000 OCCUR
2,000,000 AGGREGATE
THE PROPRIETORl
PARTNERs/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
LIQUOR LIABILITY
AC RD 25-S (1/95)
ACORD CORPORATION 1988
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS
CERTIFICATE HOLDER IS LISTED AS AN ADDITIONAL INSURED LANDLORD
CITY OF CLEARWATER
MARINE DEPARTMENT
25 CAUSEWAY BLVD
CLEARWATER FL 33767
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
R EPRESEIllTA~ES.