CERTIFICATE OF LIABILITY INSURANCE (3)
-"i~C(JRDN CERTIFICATE OF LIABILITY INSURANC~~~lWE I DATE (MMlDDIYY)
12/11/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Lupfer-Frakes Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
222 Church Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Kissimmee FL 34741
Phone: 407-847-2841 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Firemans Fund Child Care
INSURER B:
Head ~tart Child Development INSURER C:
& Fam1lr Services, Inc. "
6698 68 hAve. INSURER D:
Pinellas Park FL 33781-5063
I INSURER E:
COVERAGES
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 I
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
I~f~ b~'r\r?M~b~7l~YE P.9.L!~V:~t:'.!':!~IION LIMITS i
TYPE OF INSURANCE POLICY NUMBER DATE MMlDDIYVI
GENERAL LIABILITY EACH OCCURRENCE $ 1000000 ,
f--
A ~ COMMERCIAL GENERAL LIABILITY MXG80787643 01/01/02 01/01/03 FIRE DAMAGE (Anyone fire) $ 100000
=:J CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ *5000
I---
~ Multicover PERSONAL & ADV INJURY $ 1000000
GENERAL AGGREGATE $2000000 I
I---
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000000
n n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500000
I---
A ~ ANY AUTO MXG80787643 01/01/02 01/01/03 (Ea accident)
ALL OWNED AUTOS BODILY INJURY
f-- (Per person) $
SCHEDULED AUTOS
I---
HIRED AUTOS BODILY INJURY
f-- (Per accident) $
NON-OWNED AUTOS
I--- ,
f-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I TORY'UMITS I IU~~-
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $
'-' .-- """,' --- - ---- - ",' ,.0 '- -- E.L DISEASE -EA !::M!"LOYEE .$.-_ ------- "---..".----- ~..
E.L. DISEASE. POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Additional Insured Endorsement applies in favor of City of Clearwater for
the fOllowing location:
City of Clearwater, 701 N. Missouri, Clearwater, FL
** 10 days for Non-Payment of Premium
CERTIFICATE HOLDER I y I ADDITIONAL II I~D; INSu~ LWEIJi 1lll re' I.: ~ ELLA TION
! 0 IS ,'n I', I,' l~~ D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA TIO~
1
! <! HEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ...3Jl.!. DAYS WRITTEN
City of Clearwater L~ ~'_~_8?O:11 E TO THE CERTlRCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Attn: Earl Barrett '1MPt E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Engineering Dept.
P. O. Box 4748 REPI ESENTATIVES.
Clearwater FL 34618-'7~'m r:il:(,:f,c:r_~~:,. ffi AUTH RIZED REPRESENTATIVE LA) lu1 J 1 f' Afr1j.{ s
I : ' ,,, ", 1', I . ~ ' i ~' 1 ;,", -r .]/~
I L . Lll, \.. r,.c::;::;,:::'::...'..2:o:~:i: I ~,~
ACORD 25-S (7/97) @AC~D CORPORATION 1988