CERTIFICATE OF LIABILITY INSURANCE (8)
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7274672771
GREENWOOD COMMUNITY
PAGE 02
1":~ORQrw CERTIFICATE OF LIABILITY INSURANCE
GAGl ....
PlDe OS-lg-200S
......... THIS CERnFfCATE IS ISSUED AS A MATTER OF INFORMATION
BROWN & BROWN PINELLAS/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIftCATE
HOLDER. THIS CBmFlCATE DOES NOT AMEND. EXTEND OR
224605 P:(866)467-8730 F: (877)538-8526 Af.TER THE COVERAGE AffORDED IY THE POUCIf!S 8S.OW.
P. O. BOX 29611 INSURERS AFFORCING COVERAGE
CHARLOTTE He 28229
...... INlUIU A: Hart ford Ins Co of the Southeast
IN~" Hartford Underwriters Ins Co
GREENWOOD COMMUNITY HEALTH INIUAER c:
1.108 NORTH MARTIN LtJ'l'HER KING AVENUE ~"D:
CLEARWATER. PL 33755 ''''UAER I.
COVIRAGIS
THE POlICIES OF INSURANCE USTED BROW HAVE IEfN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANOCIIIG
ANY RE<lUlAEMfNT. TERM OR COHOITION OF MY CONTRACT OR OTHER DOCUMeNT WITH RESPECT TO WHICH THIS CERTIFICATE MAY If ISSUED OR
MAY PERTAIN. THE INSURANCe Al=FOADED BY THE POUCIES DESCRIIED HEREJN IS SUBJECt TO AU THE TEAMS, EXa.USfONS AND CONDITIONS OF SUCH
POLICIES. ~TE liMns SHOWN MAY HAVE BEEN AEOUaD BY PAlO Q.AIMS.
1'YNOf MUUllIa f8UCY_
___ UIlIU\'
COMMEACIAL ClENEAAL ~LlTY 21 SBA BM23 86
C~MI MADE 00 OCCUR
Business Liab
05/02/05
.......
I fACHOCCUIlRENCE ,.1,000,000
05/02/06 I FtAEcw.tAGEIAnv_ firel 1.300,000
I MEOEllP/Aftr_--.J J .10,000
I PERllONAlUOVIN,Ju"" 1.1,000.000
I G&NEIW.AGGIlIGATE /.2,000,000
I PRCIOUCTI . COMPIOP AGG I ,2 , 000 , 000
AU1OMOIII.I LIAMIIY
A MY AUTO
AU. OWNED AUTOS
SCHEDULED AUTOS
HlAQ) AUTOS
NOI\I.OWNEO AUTOS
21 SBA BM2386
1 C:~ SHlIQE UMlT
05/02/05 05/02/06 ~~
j lIODll. Y ItIJUIlY
. !Pet_.-oI
jlOOlL Y IllUURY
, "'"'......,
/.1,000,000
/.
I.
PfIOPERTY OAMAClf
Cl'Wr .........1
.
_UMUn
MY AUTO
.... UAIIUIV _
OC:CUII U CLAIMS IMOE
I fACH OCCUMENCE
I A8GllfQATE
I
I
I AUTO DIll. Y . fA ACCIDIiNT J.
EA Ace ,
AGG ,
I .
I.
I .
/ ,
OnEIl THAN
AUTO ONLy,
0E0uCT18t.I
"ETENTlON .
..... COIIf8U'IIDlIl MIl
B 1IIfLOYBa' UMUn'
21 WEC GC3515
10/03/04 10/03/05
U.. EACH ACClOENT
1.1.. 0IIfAIE .I!A EMPLOYU
E.L, OIs&A8E . POLICY LMT
01IfB
........_OF...,.....4OCA~..Ol"..... __.., ~L' .-.__
Those usual to the Insured's Operations.
CERnFlCATE HOlDER
. j ~"'-_LUlIIII:
CANCELLATION
OUlD ANY OF THE "lOVE OESCAI8eD POUCIES If CANCEllED BEfORE THE
f'lRATIOflI DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WfllTTEN NOTICE 110 DAYS FOR NON-PAYMENn TO THE CERTtFlCATE
R NAMED TO THE Lff:T. aUT f..\llURE TO I)() SO SHALL IMPOSE NO
BlIG.\TlON OR l.IA8IUTY OF ANY KIND UPOJI THE INSURER, ITS AGENTS 0fI
ATIVES.
City of Clearwater Florida
Attn: Diane Huford
112 South Osceola Avenue
Clearwater, FL 33756
ACORD 2&.S 171871
~SX~.,..~~
'" ACORD CORPORAnON 1888