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CERTIFICATES OF INSURANCE CONDON MEEK INC 1211 COURT ST CLEARWATER FL 34616-5897 COMPANY A BANKERS INS GROUP INSURED MARINA GIFTS & SOUVENIRS CARPENTER ENT INC 25' CAUSEWAY BL CLEARWATER FL 34630 COMPANY B COMPANY C COMPANY D :~&9!_~!!~~~~~;~iil~~~1~~~~im1tllli@1~~~~~~~~~~~~~~;~il'l~ii~~i~lm$iI'$;' ::;.iW.!IDi:::~ ,.' ..:... ~iWiim~~lli~mlQ.~t*r.~ ....~<~. . THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXClUSIONS AND CONDmONS OF SUCH POUClES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POUCY EFFECT1VE POUCY EXPIRATION DAn:: (llMlDDlVY) DAn:: (MMJDD/YY) GENERAl. UABIUTY 09490265900 X COMMERCIAL GENERAl.. LIABILITY ClAIMS MADE 00 OCCUR OWNER'S & CONTRACTOR'S PROT 5/19/96 5/19/97 LIMITS GENERAl.. AGGREGATE $ 1 000 00 PRODUCTS. COMPIOP AGG . 1 000 00 PERSONAL & ADV INJURY $ 1 000 00 EACH OCCURRENCE . 1 000 00 FIRE DAMAGE (Any one file) . MED EXP (Any one person) $ 1 00 COMBINED SINGLE LIMIT . BODILY INJURY . (Per person) BODILY INJURY . (Per &OCIdent) AUTOMOBILE UABIUTY ANY AUTO AU. OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE . GARAGE UA8IL1rY ANY AUTO AUTO ONlY . EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE EXCE88 LIA8lLI'rY fOBM______ OTHER THAN UMBREU..A FORM W0RKER8 COMPEN8A11ON AND EMPLOYERS' LIA8lLI'rY 09490265900 5/19/96 STATUTORY LIMITS EACH ACCIDENT . DISEASE. POLICY LIMIT . DISEASE. EACH EMPLOYE . 5/19/97 LI 1,000,000/ THE PROPRIETOR! PARTNERSlEXECUTIVE OFFICERS ARE: OlllER INCI.. EXCL * See Below DESCRIP110N OF OPERAOONSJLOCATlONSIVEHICLESISPEClALITEII8 GLASS COVERAGE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED - SUBJECT TO COMPANY FORMS ::t€MJmg.~15.:tll~ftMMMmffff:lfMmltMMmlt:MtH.*t'itMw.Mm!mk.J.~tt4;1.l<HHW&MMM@tM;NM1NlilWttMM%MfuMnMlliMiiMlifii:iilli:tili:: SHOULD /1M'( OF THE ABOVE DE8CRIBED POLICIES BE CANCELLED BEFORE 11tE CITY OF CLEARWATER HARBORMASTERS OFFICE 25 CAUSEWAY BLVD CLEARWATER FL 34630) 0_ I Eileen Benne ~ .'io.&ijpWmi:::r....:::::.:.:.:..:..lt:l:mt::lmtflt:f:tllftlltlmttIttllmMll1M1Hl\11Rltft:'tft:tt:l:miIfltH::::::::::fl::t:f:tm::t:tl:,j:m::H1HRWmmrffJ.'Kp":'.JibJfQ.Wi'Q.iji'ft&HtiifiJ: EXPIRA110N DAn:: THEREOF, THE ISSUING COMPANY WI.J. ENDEAVOR TO MAIL .l.O- DAYS WRITTEN NOnce TO THE CERTIFICATE HOUlER NAMED TO 11fE LEFT, BUT FALURE TO MAL SUCH NO NPOSE NO OBUGATION OR UABIUTY OR · t ~";~~!!~"!!~!I!!~!!~!!'~!!~":~'!~!:!~~!!!!~~![C;~i~4 SIDE OF THIS FORM. BANKERS INS GROUP . MARGBO-3 E HH.HHHHHHHH' HHi!FFEc'tiViEHH H H' .HHHH. H.HHHHH HHiEXPlRAtioif . .'H'..H.P"n:H'H . H ...T1.~IL . .. HH H.HHP"TE;. . H'H."H" .."I1MI;. . X. AM . X .12:01 M1 H?L~r;jI94HH 12: 01 PM ...6/},9Ir;j4H NOON . THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED ....~. H ~O~~~~ .~~~.~~I~I~GP~~~~.~O:... !\.f> J?:r,. :I:~1\ T:I: () Ii... .. . DESCRI'110N OF OPERATlONSNEHlCLESlPROPERTY (Including Locatlon) FIRE LIABILITY CGL '. .~E~~.~. .A(;.~~~C3~~~.......... . ~ .1. J.. () ()O ,. ()() 0 . PRODUCTS - COM PlOP AGG. $1 000 000 ,........................................... ..... .......J..............,............ ~~~SO~~~.AJ)~: I~URY .$~L()()()LO(l() · EACH OCCURRENCE H.' H H$},,()(){),O(lO . ARE DAMAGE (Any one flre) $ ..................... . . MEn. EXPENSE (Any one peraon) COMBINED SINGLE LIMIT BODILY INJURY (Pet' Peoson) BODILY INJURY (Pet' aecldent) PROPERTY DAMAGE MEDICAL PAYMENTS .................. .................................... ................... ..................................................... PRODUCER . COMPANY .. .HHHHHHHHHHHHHiiiNDERNiiH CONDON MEEK INC 1211 COURT ST CLEARWATER FL 34616-5897 CODE SU~ODE 81722 INSURED.. . MARINA GIFTS & SOUVENIRS CARPENTER ENT INC 25 CAUSEWAY BL CLEARWATER FL 34630 ~9V~Mij~..;.'i :::::::::::;:::::;;:::;::::::::::::;::::::~:j:::~:~:i!!!!!j:~::!!::!i!~::::!:!!:!i~~:::!:!;i, .". ..... ",.. ... ............, ....",. .....,................. . .'....................,........,........ .:.-'....-:...:.:::. ........... '..........--"..."...."".... .;.:,:.;.:.:::::::::;:;::::>:~:?i:i:U)CHJi!<!H<::i!i~~i:!: ,......',.,'.;:;.:::.; .:.;.:.::;:::::i:;;:.;';..... ;::::::;:;::"'::.;';,._.... ......,'. ::.:::.:. ";:::;;:.;::.:.;;;,;.:.:.:.:.:.: TYPE OF INSURANCE COVERAGEIFORMS . PROPERTY CAUSES OF LOSS. ..... ..............Contents.~Rep lacement"'Cost BASIC BROAD. X SPEC. AMOUNT 57,000 GENERAL UABIUTY ClAIMS MADE X OCCUR. OWNER'S & CONTRACTOR'S PROTo . · RETRO DATE FOR ClAIMS MADE: AUTOMOBI.E UABUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY PERSONAL PROTo UNINSURED MOTORIST AUTO PHYSICAL DAMAGE DEDUCTIBLE COLLISION: OTHER THAN COL: EXCESS UABLlTY UMBRELLA FORM OTHER THAN UMBRELLA FORM . ALL VEHICLES : SCHEDULED VEHICLES . ACTUAL CASH VALUE RETRO DATE FOR ClAIMS MADE: : STATED AMOUNT . OTHER EACH OCCURRENCE AGGREGATE SELF-INSURED RETENTION STATUTORY LIMITS EACH ACCIDENT DISEASE-POLICY LIMIT DISEASE.EACH EMPLOYEE WORKER'S COMPEHSAT1ON AND EMPLOYER'S UABUTY SPECIAL CONDmoNSlOlltER COVERAGES SUBJECT TO COMPANY FORMS INCLUDES GLASS COVERAGE <NAME&. ADDRESS)' ..... ..-....- .--.........."... ...... ..... ....... . .-...'..,...._.-.....-.-..-.-............_-.-.._-.---.....-...-...-..-.-.'--.-.-.....'...-.-...-.-.-.-.'.-..,'....'.-.-..-....',.-.....-.-.',......-.-.-....-..-.-.-...-,-'.'..-.-.-.--:.-.-.'.:- ......................,.............,...-.-...-.--,..-...-...-....-......'.--.......'-............. .....,'..........._'.--...,_......... ....-.-......-....-........'...,. . ................... ... .,......................."---...-...,..... ..... . ........ ....-.-..-....-.-..-.-...............- ...........".. .....-- .....-...-"...........,.... .-........,.......-.-,...--.-......-. ..... ......-..... ........--. .............,..--. "HH" MORTGAGEE HH..L~OSS PAYEE > LOAN. .,............,...............,.....,......,.. ......'......,...............,.,....,...."... ...........-...............,....,......-..,.. ... ......... ..............."............... .......................... .... ..-. -.. ...............-... . ................ X ADDrnONALINSURED CITY OF CLEARWATER HARBORMASTERS OFFICE 25 CAUSEWAY BLVD CLEARWATER FL 34630 L1MttS'..}>".,"""" . COIN9UR. 80 s1 000 $ $ $ $ $ $ $ $ S $ $ $ > AUlltORIZED REPRESENTATIVE c. ;;;;.. ~ 2/) ( 7 ". /.:s.- ~ <...... Eileen Benner )<.. o. -"- . 1'---- ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,2,,,,):",,,,,,.,c,,,,,.,,.-.c.,,,' .. ..,. ....~_.. ."... ...... .. ... ... "....c.. '.,.....'.....",>"'"..,'.~.,...R~QRP()RAJI()Nt~9o Aqg.~gt~R$.rti!Q)}(.....>.....".,.,.,.,.. . A.~.tltl.. ............G..E.R.ffi.I..E.I.~.7f~E.:(7jE..lfJS(j8INGE!.....:.:.:. .;:;..:;::)::);~):{~;:(~~):;;:):);:::;H:;{::H::::::: ' ......... .......... 8 08 9 4 THIS CERTlRCATE IS ISSUED A A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTlRCATE HOLDER. THIS CERTlRCATE DOES NOT AMEND, EXTEND OR At TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ISSUE DATE (MM/DOIYY) PRODUCER CONDON MEEK INC 1211 COURT ST CLEARWATER FL 34616-5897 COMPANIES AFFORDING COVERAGE MARINA GIFTS & SOUVENIRS 25 CAUSEWAY BL CLEARWATER FL 34630 COMPANY A LETTER COMPANY B LETTER COMPANY C LETTER COMPANY D LETTER COMPANY E LETTER BANKERS INS GROUP INSURED THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POUCY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONOlTlON 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. TYPE OF INSURANCE POUCY NUMBER POUCY EFFEC11VE POUCY EXPIRATION: DATE (MMIOOIYY) DATE (MMIOOIYY) UMrTS 09490265900 5/19/94 5/19/95 : GEN~~.~.(;(;.R.~(;~!~..........5~L9.qC?L9qC?.. ~ PR()[)lJ<::.T~~~/OP AGG. ....5~f.9q9L9q9.. . PERSONAL & AnV. INJ~RY..:~~L9.(?9,C?(?9 : EACH OCCURRENCE : 51 000 000 ...:.......,..............t............... ~ ~~~.?~~~~ (~~"~) : 5 ......... ... MED. EXPENSE (Any one person) . S 1 0 0 0 CLAIMS MADE X : OCCUR. OWNER'S & CONTRACTOR'S PROTo AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEO AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY UMRREUA FORM OTHER THAN UMBREUA FORM COMBINED SINGLE 5 LIMIT BODILY INJURY S (Per penon) RODIL Y INJURY S (Per ooolderrt) PROPERTY DAMAGE 5 EACH OCCURRENCE 5 AGGREGATE S WORKER'S COMPENSATION EACH ACCIDENT S AND EMPLOYERS' UABIUTY DISEASE-POLICY LIMIT S DISEASE-EACH EMPLOYEE 5 ornER DESCRIPTION OF OPERA TlONSILOCA TlONS/VEHlCLESlSPECIAL ITEMS SUBJECT TO COMPANY FORMS INCLUDES GLASS COVERAGE ADDITIONAL INSURED ATIMA - LANDLORD - CERTIFICATE HOLDER CITY OF CLEARWATER HARBORMASTERS OFFICE 25 CAUSEWAY BLVD CLEARWATER FL 34630 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY Will ENDEAVOR TO EPT MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE CITY CLlRK D.. LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHAll IMPOSE NO OBUGATlON OR LIABIlITY OF ANY KIND UPON THE COMPANY, ITS AGENTS' OR REPRESENTATIVES. L/L~., ( . . , . ",...""... ," .........- -, .. .... "............,....-...........-,......'.-............................................................................-. ..,.....................................................,.......................................................................,...............................................,.,.................................... .., ................... ..... .... A.te... ::iINStJilllJll:::':i.I[I!I!II!ii:ii .. .. .'.?::::::::::::::::::?;:::'::::.' '.::1:\:.:::::::.::::' ....: ~UE DA11!(MtM)DIVYl ::::::::::::::::::::::::::::.'\:::::::::::::::::::::::::::::::::::::::::::))):):: ..... ",.....:::....... . .)::))(.:...:::'..'.::::::::'.:. .:. ..........7./.:t. .f3.1. ~.~... THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. . ....................................-..............................,................... ......................-....................-..... PRODUCER 'COMPANY : -..uER NO. CONDON MEEK INC 1211 COURT ST CLEARWATER FL AfCEIVED 34616 - 5 J U L 2 0 1994 .....?~I~:I~~:~~~.I88UED TO EXT9fD COVERAGE ~ THE ABOVE NAMED SU~ODI! ' X, COMPANY PER EXPIRING POUCY NO: APPLICATION ... ......c;lTY..CL~~~..I>.~~~.~: DE.CRiPTiOiiio;;OPEiiA~OPERTY.ji;iOiiiii;ijji.OCtiiOnj' ....... . FIRE LIABILITY CGL BANKERS INS GROUP : MARGBO-3 E ............. ......... .Efiii!C"iiW......................... .. .,....... ..:.... ...... .EXPMAtiON............. ...... .PAll;..............:............. .l!M~)(1'NA .. ................ QA~............ .:. x. .:::1 NIl: 12 : ol...:..PfA...L...~I:t..~I~.~...... . NOON CODI! 81722 'MiliREO' .. ........................... MARINA GIFTS & SOUVENIRS CARPENTER ENT INC 25 CAUSEWAY BL CLEARWATER FL 34630 .COYWGES<< .. ,........,.......-..",....... ..........................-.. ......."....,.................,........................,...-....-.--..,. .....,...............,............................................... ..... . ......... ................................................. . .. .. ............................................... .. .................................... . .... ..... . ... ........... "'<<:,,::::::,".liii:'$:> ,DEDUC'TaI! COlNSUR. AMOUNT TYPE OF I'ISURANCE COVERAOEIFORMS PROPERTY CAUSES OF LOSS' ... ... .......contenfs~Repiacement...Cost. BROAD: X SPEC. 57,000 250 80 CLAIMS MADE : X: OCCUR OWNER'S & CONTRACTOR'S PROTo ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE UABIUTY , ALL VEHICLES : SCHEDULED VEHICLES '.~~~.~.~()~~~~~.... ..... .:.~~ .f.g.c:>.9..f..CJ..c:>.CJ. .~.~~!~.::-.~~~~~.~()~~:.~! .f.g.c:>. () .f..CJ..c:>.9... : PERSONAL & ADV. INJURY :'1 0 0 0 00 0 .................... ................... .,.. .....,... ... ....,. .... ......... :~.()<:lc,~R.F.'~~............:..~.:t..,9.qq.,.()qq.. . : ~~.E~~().e. .(':':! ~ .n.,:,I.. ..:. ~......... ... ......... : MED. EXPENSE (Any one peI8OI'l) :'1 000 :~.~~I~.~.~~~~.~'!................... :~':lI.L~.~.U.~~(.~..~J...:............ :".o.~I~~.~~~~.~~.~):.~......... : PROPERTY DAMAGE : . MED.IeAl.PAYMENTs.........'.......... . PERSONALij;,Ju.RYPROi' ..:i........ ......... .....................-................. : UNINSURED MOTORIST ' . ..................... :. : ACTUAl CASH VAlUE RETRO DATE FOR CLAIMS MADE: AUTO PHY8ICAL DAMAGE DEDUCTIBLE COWSION: . STATED AMOUNT . UMBRELLA FORM OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: 'OTHER EACH OCCURRENCE . AGGREGATE . SELF-INSURED RETENTION . STATUTORY LIMITS EACH ACCIDENT . DISEASE-POLICY LIMIT . DISEASE.EACH EMPLOYEE . WORKER'S COMPENSATION AND EMPLOYER'S UA8LITY SPECIAL COHDmoN8/0THER COVERAGES SUBJECT TO COMPANY FORMS INCLUDES GLASS COVERAGE ..N,4lil$..,40QRESS::........., ,.._-,---,.....,....................'........'.'..........-..................'. ...."".....-.-.-.......... ....... ..........._............'................................_................'..................... . . . . . - - . . . . . . . . . . . . . . . . . . . . . . . . - - . . . . . . . . . . . . . . . .........."....,.............,......."........ . ...... ..'.....,.....-.............................................-.......... .. ........................ .... ............ ....... ...._..-.-.....-...........-.-....-'.-.'....'.. ......................-..... .....................-....... ...................... -..... ...........-................. ............................ ............... ............ .... ....................... ...,......-.-_... .............:.:.:.:.:.:.:.:-:.:.:.:...:.;':.:.:.:.:.:.:.:-:-:-:.:-:.:-:.:.:.:-......:.:.:-:.:.:.:-:-:.;.:.:-:.:.:-......... ..................................................... .................................................... .."............... .,..............,..... . ... .......................... .... ............ .......... ...... ................. .................. . . . . . . . . . . . . . . . . . .................. ................. .................. .................... -......... . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . - . ..........................................-...................................-_...,.. .......................................... .......,....,....".................... ........,..."..................... . . .... ,-....,................ . ................ : MORTGAGEE :X: ADDmONAL INSURED CITY OF CLEARWATER HARBORMASTERS OFFICE 25 CAUSEWAY BLVD CLEARWATER FL 34630 iO~~OS8 PAYEE .A~~Q:.t.~'ttMr/:::: ................. ...,............. ....-.. ---.. .............. ....-..... ................. . . . - .,. - . . - , . . . . . . . . . . . . .. ---.'........."...... .... ....- .. ............. ............ - ................. ...... ...... ............ .. ......... - -.......... - . . . . .. . . ................. ...........................,....... . . . . . . . . . . . . , . . . . . ........... ...... .. ...........-........................ ............. ,.... ........,.......... .................... ................... . . . . . . .. .... .. ... ....... ;:::::::::::;:::::::::;::::::::::::::.:::::.:.:.:::::::::::::::::::::.:.: ~ i~~~~jJH) \: AuntORlZED REPRE8EHTA11VE Eileen Benner '. BANKERSINGURANCECOMPANY I ST. PETERSBURG, FLORIDA IRE eEl V E D BUSINESSOWNERS POLICY DECLARATIONYL 2 5 1994 <:; ;o!iNEW r--- Renewal of Number ;, Policy No. BP 09-4902659-00 Named Insured and Mailing Address INo.. Street. Town, or City. County. State. ZlpCodel Condon-Meek, illc. CITY CLERK DEPT. Agent#09/81-722 Carpenter Enterprises, Inc. dba Marina Gifts 25 Causeway Blvd. Clearwater, FL 34630 Policy ~eriod: From 5/19/94 to 6/19/95 at 12:01 A.M. .Stahdard Time at your mailing address shown above. .Exceptlons: 12:00 noon In Michigan. New Hampshire. North Cerollna and Puerto Rico. IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. ..:io.~fNt~~6.i~d~ii~16N::::::::[:[[[[:[:::,:::::.::::::::::::.!![::::::::::::::!:::.:::i::::::[::i:::::::::::!::::::::[i:::::i:[[:[::::::::::::j:::i:i:i:::::::::::::::::::::::i:[:::i::[::::,[::::::::::::,:::::::i[::::[::::::[:::::::::::::::::::::::::::[:'::::::[::::::::[:[:[:::[::::::::[:::[::::::[[::::[::::::::::::::[::::::::::::::::::::::::::::[::j:::i:::::::::[i:::i!:::::::::::i[::::::::::::[:i!::::,:i:::,.:::::!......:::::!:::)\:':::i:!!:,:' FORM APPLICABLE Standard .x. Special Joint Venture _ Partnership ..x. Organization (Any Other) Limits of Insurance for Buildings (Coverage A) . Actual Cash Value - Buildings Option (Y/N) . Automatic Increase - Building limit (Percent) BuslneS8 Personsl Pro Br (Coverage B) Deductible $250. % % % $67000. . $ Optlonel Coveragell - Applicable only If an "X" III IIhown below: 1. Outdoor Signs 2.)( Exterior Grade Floor Glass 3. - Burglary and Robbery (Standard Form only) or - Money and Securities (Special Form only) 4. = Employee Dishonesty 5. Mini-computer 6. - 7. !::!ttAifilit,tAN6iMmi6it::~Iv.AA~Nts!:::::::@[:i:::::::::::':::[::::::::::::::::::::::::::::::i:::@::i:::::i:::::::::::::i:,::::::::!i:ii:i::::::::::::,i::::::::i::::m:::::::,:::::::.i::.:!.::,!:::::::::::::'::':::::!!;:,::%::!m::::i::i::::::::::::::::ii:::::':':::mt:i:::i::,::::::::i:::!::::,:::'i:::!::!::::'::'::::::[i[:::j:::::::::::;::!:!'!,:::.::!::::'::::.:::!::!:!::::,:.::::::!:.:'::.:::::!!:!:: $ 591. $ $ $ $ Limits of Insurance l)er occurrence Square Feet Inside the Premises Outside the Premises per occurrence per occurrence ." Except for Fire Legal Liability, each paid claim for the following coveraQes reduces the amount of insurance we provide during the a Iicable annual eriod. Please refer to Para ra h 0.4. of the Buslnessowners Liabili Covera e Form. Limits otlnsurance liability. and Medical Expenses Medical Expense Fire Le al Liabilit Countersigned: July 19, 1994 an EMPA TF $ 4.00 FCS $ .74 epresentatlve .. THESE DECLARATIONS, TOGETHER WITH THE COVERAGE FORMIS) COMMON POLICY CONDITIONS AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. Requesls for seMce IInd qUllSlionl reglnllng coverlgll should" direclld 10 your Iglnt. In Ihl liven I of In Imergllncy wh.rll you Irl unlbl.lo con, Ilcl your Iuenl, JOu mey conllcl us dhcllv It the foUoWIn, number: 18131823-4000. W. Irl unllbl. to Icc.pl .collllct" Clns. JDt 195 O.X lEd. 1-87) Includell copyright materiel of 'llIurlnellll,,1c1l OfficI, nc~ with It II permllllon. Copyright. 'naurlnel ServlclI OfflcI,lne~ 1984. 198& .. J r '~- ..; I I ; Policy Number: BP 09-4902659-00 BUSINESSOWNERS THtS ENDORSEMENT CHANGES Tl-IE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies Insurance provided under the following: BUSINESSOWNERS POLICY SCHEDULE* Deslgnatfon of Premises (Part leased to You): 25 Causeway Blvd. Clearwater, Fl 34630 Name of Person or Organization (Additional Insured): City of Clearwater Harbormasters Office 25 Causeway Blvd. Clearwater, Fl 34630 Additional Premium: $30. A. The following Is added to Paragraph C. WHO IS AN INSURED In the Businessowners liability Coverage Form: This Insurance does not apply to: 4. The person or organization shown In the Schedule Is also an Insured, but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you and shown In the Schedula. 1. Any woccurrencew that takes place after you cease to be a tenant In the.. premises described In the Schedule. 2. Structural alterations, new construction or demolition operations performed by or for the person or organIzation designated In the Schedule. B. The following exclusions are added: " *Informatlon required to complete this Schedule, If not shown on this endorsement, will be shown In the Declarations. - BP 04 02 01 87 Copyright, Insurance Services Office, Inc., 1984, 1985 CERTIFICATE OF INSURANCE , oi..Af6.. U--1.--~ I Issue Date 03/27/92 =============================================================================== (25-S 3/88) Producer BURKE-LEHMAN INSURANCE, INC. 2173 N.E. COACHMAN RD. CLEARWATER~ FLORIDA 34625 TELEPHONE(~13)441-4914 FAX*442-2409 Code Sub Code 'This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certiflcate does not amendiextend or alter coverage afforded by the po icies below. Comgany Letter A--------- SEIBELS BRUCE GROUP Company Letter B------ Company Letter C--------- ,Company Letter D--------- - ------------ - ;eompany. Letter E-------- ClIYCLERKDEPT... I , . ~-------------------------------- V Insured Marina Gift & Souveniers Car~enter Enterprises Inc DBA 25 Causeway Blv~.,Rooms 5 & 9 Clearwa'ter,-flnrid a-34b3()., ".., ,,'-- COVERAGES======================================================================= This is to certify that Rolicies of insurance listed below have been issued to the insured named above for the period indicated notwithstanding any require- ment, term or condition of-any.-eontract or other document l&J.ith respect--to .,- ,~hich 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. ------------------------------------------------------------------------------ Exp DatelLiability Limits --------:----------------- :General Aggregate 03/14/9311,000~000 Prod-Lomp/Ops Agg Per.& Adver. Inj. Each Occurence 1,000.1000 Flre uamage 50,000 Medical E:.:pense 5,000 C:Type of Insurance Policy Number Eff Date -:------------------------ --------------- -------- 'GENERAL LIABILITY A x Commercial General CB07477068 03/14/92 Liability Claims Maoe x Occur. Owner's & Contractors Protective ------------------------ --------------- -------- -------- ----------------- Comb. Single Lim. I , I , IBodily Injury : (Person/Accident) I , : Property Damage I I 1 I I ------------------------1---------------:-------_1_-------:------------------ EXCESS LIABILITY: : :Occurr. Aggregate I , I , , I Other than Umbrella : : : ------------------------1---------------:-------- --------1------------------ WORKER'S COMPENSATION : : lStatutory AND : I : Each Acc EMPLOYER'S LIABILITY: : lDis. Lim ::-~I-c~D i 5-.. E.mp-n~__n_ ------------------------:---------------;--------:--------1------------------ OTHER I : l : I I I I I I I I I I I I I I I I AUTOMOBILE LIABILITY Any Auto All O,",ned Au tos Scheduled Autos Hired Autos Non-Ovmed Autos Garage Liability DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS======== Exterior grade floor glass included CERTIFICATE HOLDER ------------------------------------------------------------------------------ City of Clearwater ATTN: Risk Management P.O. Box 4748 Clearwater,Florida 34618-474S Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail 30 days written notice to the certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. :~ _ _ _ ~:=_ ~~~~c==_~_ ~..= ===~ _ _ _ _ _ _ ~.~ ~~=~~~~~~~~~~EN~~~C{~~~~!~~~~~~~~~~ ________________________________________~~_____~1~~________ (J) jQ-O/3-0 /