CERTIFICATE OF LIABILITY INSURANCE (3)
"t
ACORDTM CERTIFICATEloF LIABILITY INSURAN,J;E
DATE
PRODUCER
7
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
AIM Insurance Group, Inc.
AIM INSURANCE AGENCY
P. O. Box 860
INSURERS AFFORDING COVERAGE
INSURED
Clearwater Group A.A.
P.O.Box 518
Clearwater, FL 33757
INSURER A:
INSURER B:
INSURER C:
INSURER D:
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
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~fl: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
A ~ERAL LIABILITY CPS03S0BOS 12/08/2000 12/08/2001 EACH OCCURRENCE $
1 COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 1
r-- ~ CLAIMS MADE W OCCUR MED EXP (Anyone person) $ r;;nnn
y PERSONAL & ADV INJURY $
GENERAL AGGREGATE $ 4~~~~~~
n'L AGGREFl LIMIT APFlS PER: PRODUCTS - COMP/OP AGG $ -.
POLICY ~~gT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
~
~ ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
~
~ HIRED AUTOS BODILY INJURY
$
NON-OWNED AUTOS (Per accident)
~
PROPERTY DAMAGE $
(Per accident)
~AGE LIABILITY AUTO ONLY. EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
:J OCCUR D CLAIMS MADE AGGREGATE $
$
=1 DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I WCSTATU- I IOJ~'
EMPLOYERS' LIABILITY $
E,L. EACH ACCIDENT
--,- -----.- - - .. ---- ------~-~- --~----- .... -.- --- --'---.-- E,L, DISEASE - EA EMPLOYEE $ -- .
-""-- ----.-.. -----
E,L. DISEASE - POLICY LIMIT $
OTHER
- ~ ~ ~ ~ W ~ """"'
r
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS L
~ DEe I I 2000 1....-0'
tHY Of CUARW;\UR
PUBliC, WQRKS ADMiNISlRATlON
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION 1 n-n....". . ~__ 111'___ _~ 1)_......
Earl Barrett-Real Estate Services SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City or Clearwater DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL U- DAYS WRITTEN
Attn: Earl Barrett Eng. Dept. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
P.O. Box 4748 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
Clearwater, FL 34618 REPRESENTATIVES,
~~ENTATIV~ ~~1
I \. 1.. f\.-A.1 1 XI ) "T.ll
J'"
ACORD 25-5 (7/97) ~ C>AC~COR)O~TION 1988