CERTIFICATE OF LIABILITY INSURANCE (7)
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ACORD..
CERTIFICATE OF LIABILITY INSURANC~:r~G1q DA~E~~~D~S
THIS CERnFICATE IS ISSUED AS A MAllER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATe
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEIIID OR
ALTER lHE COVERAGE AFFORDED BY THE POLICIES BEl-OW,
PRODUCER
Real Xnsu~OrS, lnc.
5005 W. Laurol Str88~, Ste 209
Tampa FL 33607-3836
Pbon.:813-A88-1000 ~ax:813-281-2411
INSU~EO
INSURERS AFFORDING COVERAGE
:aait:: House LLC
POBOX 3025
clearwat::e~ Beacb ~L 33761-8025
I
COVERAGES
INSuRfR A:
INSURER el
INsuRER C:
INsuRER 0:
INsuReR e:
Weste:n World In$ Co
~urlin~on xns Co
mc POUCICS OF INSUAANCG LlsreD BELOW HAVE BEEN ISSI,I;O TO THE INSURED NAMED AtIQVE FOR THE POLICY PERIOD INOICAn:Il. NOTWITHSTANDING
AllY R!;.QUIRCMENf, TERM OR CONOITION 01' ANY CON'I'RACT OR OTHSR DOCUMENT \YITH RESPECT TO WHICH THIS CERTIFICATE MAY DE lSSUCD OR
MAY peKTAIN, THE lNSURANCJ:l Al'FOROl!D 8'1' THE POLICIIiS O~SCRlBED HEREIN IS SUBJECTTO ALL Tl1E TERMS, EXCLUSIONS ANO CONDrTlONS OF SUCH
POLICIES. AGGRECA'fe LIMITS SHOWN MAY HAvt: BEeN REDUCED BY PAlO CLAIMS.
1iI!l~ ,...,.F>E OF INSURANCE POUCY NUMBER el]!offEFF~~i ON'
LTR DATE MMlDDIYY DATE rMIIIDorNI UMlTS
~ERAL. LIA81UTf rrACH OCCURRENCE $ 500000
A ~ COMMERCIAL GENERAl.. LlADILITY NPP956908 07/0J./05 07/01/06 FIR!: DAMAGE (AnY one mo) $ 50000
:=I CLAIMS MADE ~ DCCUR Ii1ED r:xP (Any OIIe pen;on) $ 5000
1-- PIORSONAL oS AOV INJURY $500000
GENr:RALAGGREOATE $ 500000
~
~ til'LAGGREn ;:: APnSPCR: ~~ODU~,COMProPACO 5500000
T. .l ,"
'X POUCY JECT lOC
.:t6 . ~OMOBILE LIABIUlY
,t., ~1 COMBINED SINGLE LIMIT $
I---- Am AUTO (~ accident)
--
I---- PoLL OWNED AUTOS IlODIL Y INJuRy
(p"r pel'SllI\) $
i- SCHEDULED AUTOS
- HIREO AUTOS 90DIL Y INJURY
[Per aeddon!) $
- NON.()WNCO AUTOS
P'ROPER1Y DAMAGE $
{Per acckIenll
GARAGE UA8lUTY AlITO ONLY, EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACe $
AUTO ONLY: 1'000 $
ExCESS, UAalLI'IY EACl10CCURRENCE $
::J"oceulll D CLAIMS MAD!; AGGREGATe $
~
$
=1 DEDUCTIIlLE $
RETENTION $ $
WORKl!~$ COMPENSATlON AND I fO'R~'aMl~1 IUFr"
ER
':<'" ~. EIJIPLOVaur LIABIU1Y E,L EACH AC:C1OENT $
'1:; ,: E.L, DISEASE - EA EMPLOyEE $
:"'~. :
E,L, DISI;ASl!. POLICY LIMl'r S
OTHI1iR
B Liquor L:l.al:Ji1:1. t:.y S03BOOS452 07/01/05 07/01/06 Limit. $500,000
Acrcrrecrat:.e $500.000
DESCRIPTION OF OPEAATlONSlLOCATlONSlVElilCl.ESlEXCLUSIONS Al)OIlD BY ENDORSEMENTISPliCIAL PIIQVI$lONS
City of Clearwater is Additional Insured.
Location: 46 Causeway Blvd, SJ.ip 156, Clearwater Beach Fl 33767.
~.727-46J.-S6S9
CERTlFICA T~ HOLDER I y I I'DDITlONAL INSURED: INSURER l.E1"1'6R: ,~ CANCELLATION
CCL~- SHOULO ANY 011 THE ABOVE DESCRlDUD POUClES BE CANCELLED BEFOIl!! TJou: ~PlRATlO
Cit.y of C!learwater DATI! THEREOF, THE ISSUINQ IIIISURER WILL ENDEAVOR TO MAIL .l.O- DAYS W~I1T~N
~!sk Management Dept NO'1'lCE TO THE CeRTIFICATE HOLDER NAMEO TO THE LEFT, BUT FAILURE TO DO sO llHAl.L
Marine & Aviation Dept IftlPOSE 11I0 OBLIGATION OR LIABILITY OF ANY KIIIID UPON THE INSURIlR,ITS AGENTS OR
25 Causeway
'" . Clearwater vL 33767 RfPRESENTATIVES.
-~. . AUTliORli:EtI ItIil"RI;$ENTATIVE ;( .:
....' /YJ. ht.
I Marei.a M Lewis
. ACORD 2S-S (7/97)
CACORD CORPORATION 1988
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