INSURANCE BINDER FOR POLICY NUMBER 685NB5325
NAME AND ADDRESS OF AGENCY
LAWTON-BYRNE-BRUNER
OF ST. LOUIS
TEN BROADWAY
ST. LOUIS, MO. 63102
ANDREWS/SNITH
NAME "liD MAILING !\QDRs.S~ OF I~UflFP
ANDERSON BAY CHuISES,
P.O. BOX 3332
CLEARWATER, FL 33515
INC
ST. PAUL FIRE AND MARINE
Effective 12: 01A m V. ,19
Expires IKl 12:01 am 0 NoonJAN. 11,19 87
I!l This binder Is Issued to extend cover~ge In the above named
company per expiring polley ## 6B5NB 5325
except as noted below)
Description of Operation/Vehicles/Property
Type and Location of Property
Coverage/ Perils/ Forms
Amt of Insurance Oed.
1
CLEARWATER BEACH, FL 33517
Fire,EC, VMM & All Risk
Replacement Cost Buildin
~ctual Cash Value Con-
. tents
250
P
R
o
P
E
R
T
y
2 - 1150 E. HIGHWAY 98
FT. WALTON BEACH, FL
Loc. #1 - Building
Loc. #1 & #2 Blanket
Contents
Loc. #2 Buildin
10,000.
L
I 0 Scheduled Form ~ Comprehensive Form
: IKJ Premises/Operations
I IKJ Products/Completed Operations
~ 0 Contractual
~ IKJ Other (specify below)CGL Broadening
IKJ Med. Pay. $1, 000 Per $ Per
IVl Person Accident
~ Personal Injury
Bodily Injury
2,500
8 000
Limits of Liability
Each Occurrence Aggregate
$ $
Type of Insurance
Coverage/Forms
A 0 Liability l!J Non.owned ~ Hired
~ 0 Comprehensive-Deductible $
g 0 Colllslon.Deductlble $
o 0 Medical Payments $
~ 0 Uninsured Motorist $
L 0 No Fault (specify):
E 0 Other .(speclfy):
Property Damage $ $
Bodily Injury &
Property Damage $ 1, 000, 00
Combined
Personal Injury
Limits of Liability
Bodily Injury (Each Person) $
Bodily Injury (Each Accident) $
Pro~~~m~e $
Bodily Injury & Property Damage
Combined $ 1, 000, 00
o WORKERS' COMPENSATION - Statutory Limits (specify states below)
o EMPLOYERS' LIABILITY - Limit
$
SPECIAL CONDITIONS/OTHER COVERAGES
NA,ME AND ADDRESS OF 0 MORTGAGEE
o lOSS PAYEE
fi ADD'llNSURED
LOC. # 1- CITY OF CLEARWATER
112 S. OSCEOLA
CLEARWATER, FL 33516
LOC. #2 - J. LA DON DEWRELL
lOAN NUMBER
'tt), 1IJ, if ~
Signature 01 Authorized Representative
Date
INTRODUCTION
I
This policy protects against a variety of losses.
There are also some restrictions. We've
written this policy in plain, easy-to-understand
English. We encourage you to read it carefully
to determine what is and what is not covered,
as well as the rights and duties of those
protected.
I
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Policy Number: CK08500606
The words you, your and yours mean the
insured named here:
ANDERSON BAY CRUISES, INC.
P.O. BOX 3332
CLEARWATER FL 33515
Which is a:
CORPORATION
We, us, our and ours mean St. Paul Fire and Marine
Insurance Company. We're a capital stock
company located in St. Paul, Minnesota.
Your policy is composed of General Rules, an
explanation of What To Do If You Have A Loss,
one or more Coverage Summaries, and one or
more Insuring Agreements explaining your
coverage. It may also include one or more
endorsements. Endorsements are documents
that change your policy. The Policy Forms List
shows all the forms included when this policy
begins.
One of our authorized representatives must also
countersign the policy before it is valid.
This policy will begin on 11-11-86
and will continue until 11-11-87
Your former policy number: 685NB5325
is automatically cancelled on the date this
policy begins.
In return for your premium, we'll provide the
protection stated in this policy.
Your premium is $1,668.00
Our authorized representative is:
2401136
LAWTON-BYRNE-BRUNER
EQUITABLE BLDG
10 BROADWAY
ST LOUIS MO 63102
Authorized Representative
Date
~~~~~
~dS. Sl~
Processing Date 12-08-86 15: 27 001
40700 Ed.5-84 Printed in U.S.A.
@St.Paul Fire and Marine Insurance Co.1984
Introduction
Page 1 of 2
POLICY FORM LIST
I
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Here's a list of all forms included in your
policy, on the date shown below. These forms
are listed in the same order as they appear in
your policy.
Title
Form Number Edition Date c::
c:
c:
c:
40700 05-84
40705 05-84
40701 05-84
40738 11-85
44038 11-83
40703 05-84
42563 01-86 ")-
42500 01-86 ?'
~
44265 12-83 .,
II
44011 03-83 :l
II
44304 01-86
44310 01-86
43059 10-81 :;
...
(l)o
43000 10-81 ..,
..,
c:
c
43236 07-83 ....
5
:J
43065 10-81
43063 10-81 (":
c
40502 01-80 <
!!
Q
43386 05-84 u::
C'I
43217 01-83
43282 12-83
(
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Introduction
Policy Forms List
General Rules
Florida Required Endorsement
Commercial Auto Required Endorsement-Florida
What To Do If You Have A Loss
Property Protection Coverage Summary
Property Protection
Auto Coverage Summary
Liability Protection For Autos You Don't Own
Auto Contract Liability Endorsement
Mobile Equipment Broadening Endorsement
General Liability Coverage Summary
Comprehensive General Liability Protection
General Liability Broadening Endorsement
Premium Adjustment Endorsement
Products Redefined Endorsement -
Application Of Total Limit
Pollution Exclusion Endorsement
Prejudgment Interest Endorsement
Multiple Protected Persons Endorsement
Employer's Liability Exclusion Endorsement
Name of Insured
ANDERSON BAY CRUISES, INC.
Policy Number CK08500606
Processing Date 12-08-86
Effective Date 11-11-86
15:27 001
40705 Ed.5-84 Printed in U.S.A.
c>St.Paul Fire and Marine Insurance Co.1985
Form List
Page 1 of 2
III
I
I
PROPERTY PROTECTION COVERAGE SUMMARY
Description and location of covered property
Item 001
ON THE ONE STORY FRAME BUILDING OCCUPIED AS A TICKET OFFICE
25 CAUSEWAY BLVD.
ClEARWATER, FL
Limit Of
Coverage
level Of
Protection
Valuation
Building
3
$10,000
Coinsurance 90%
RC
Business Contents
Business Income
Blanket Earnings
And Expenses
.istit!ul
Theft Coverage
Yes
81
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to
ro .
Your Property Protection deductible per event is $250 unless another amount 1S shown
here:
o
o
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ro
BUILDING - OPTIONS
Name of Insured
ANDERSON BAY CRUISES, INC.
Polity Number CK08500606
Processing Date 12-08-86
42563 Ed.1-86 Printed in U.S.A.
eSt.Paul Fire and Marine Insurance Co.1985
Coverage Summary
Effective Date 11-11-86
15:27 001
Page
1
.111
I
I
LOCATIONS INCLUDED IN BLANKET
BLVD.
FL
OPTIONS:
FL
OPTIONS:
If Insured
SON BAY CRUISES, INC.
Policy Number CK08500606
Processing Date 12-08-86
Coverage Summary
Ed,l-86 Printed in U.S.A.
aul Fire and Marine Insurance Co.1985
istibul
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11
Effective Date 11-11-86
15:27 001
Page 3
. General Liability I
Coverage Summary
This Summary shows the limits and other features
of your liability protection. You only have the
coverage or feature for which a limit or other
entry is shown.
Other liability agreements and endorsements may
be a part of your policy.
Comprehensive General Liability
Protection
Limits of coverage. You may have either a
combined single limit or separate limits. See the
limits Of Coverage section of your agreement
for an explanation.
Kl Single limit applies.
Combined
single limit
$1,000,000.00
o Separate limits apply.
For bodily injury claims:
Each accidental
event limit
Total limit
$
$
For property damage claims:
Each accidental
event limit
Total limit
$
$
Optional exclusions. The first two exclusions are
explained in the insuring agreement. Other
exclusions are explained in a
separate endorsement.
o Products - completed work exclusion.
o Professional services exclusion.
o Explosion hazard exclusion.
o Collapse hazard exclusion.
o Underground exclusion.
o
o
If issued after the date your policy begins, these
spaces must be completed and our representative
must sign below.
Authorized representative
43059 Ed, 10-81 Printed in U.S,A,
C51. Paul Fire and Marine Insurance Company, 1911.
I
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Property Damage Deductible
o If this box is checked, the deductible in your
agreement applies.
$
per claim
o If this box is checked, see separate liability
deductible endorsement.
Premium Adjustment Endorsement
IX If this box is checked, the Premium
Adjustment Endorsement appl ies.
General Liability Broadening
Endorsement
o Does not apply.
Xl Applies, See the attached endorsement.
Xl Employment-related claims exclusion. If this
box is checked, the Employment-related claims
exclusion in the Personal Injury and Advertising
Injury Coverage section is deleted.
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Pol icy issued to
Anderson Bay Cruises, Inc.
Coverage takes effect
11-11-86
Policy Number
CK08500606
Coverage Summary.
Page 1 of 1.