CERTIFICATE OF INSURANCE FOR RENTAL OF BEACH UMBRELLAS CHAIRS AND FOOTSTOOLS (5)
'~/25/02 15:50 To:Catherine
From:Shd"'lIia Grahall
CLWl
Page 2/3
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A CDRll CERTIFICATE OF LIABILITY INSURANCE I DATE (MM IODNY)
02125/02
PflOOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ACaRDIA EAST - TAMPA BAY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.o. Box 31666 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tampa, FL 33631-3666
727- 796-6666 INSURERS AFFORDING COVERAGE
INSURED Alexandra of Clearwater Beach, INSURER A FIREMAN'S FUND INSURANCE CO
Inc. dba Pier 60 Concessions INSURER B:
POBox 3337 INSURER c:
~Iearwater FL 33767 INSURER 0:
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~.;~ TYPE OF INSURANCE POLICY NUMBER !:.~~~Y.!f.F!.~T~,,!E POLICY EXPIRATION LIMITS
A ~NERAL LIABILITY BIND456304 2/15/02 2/15/03 EACH OCCURFEIKE $
)( CO\i1\i1 "FCltIl 3ENERJlL _l.l\BllITY FIRE DAM ACC (Anyone fire) $ 1nnnnn
I :::LAIMS MtlDE W O:::CUR ME!) EXP (Ary one person) $ o;nnn
PERSONAL & ADV INJURY $
GENER.l\L AGCfIEOATE $
GEN'L AOOFEn LIMIT APn PER: PRODUCTS. COM PlOP ACO $
n POLICY ~r-9~ L:)C ~
.MTOMOBILE LIABILITY COMBINED SII\ClLE lIW IT $
ANY AUlO (Ee eoo dent)
-
- ALL OWI\EO AUTOS EOJL Y INJURY
$
SCHEDJLED AU lOS (pe' person)
-
HIRED AUTOS EOJL Y INJURY
(Pe' eooident) $
- NO\l.OW\lED AUTOS
- PROPERTY OAMACC $
(Pe' eccident)
~GE LIABILITY AUTO ONLY, EA AC:::IDENT $
ANY AUTO OT-iER THAN =A ACC $
AUTO ONLY: ACO $
EXCESS LIABILITY EACH OCCUR FENCE $
~ OC:::UF 0 CLAIMS MADE AmR BJA TE $
$
R CEDUCTIBLE $
RETE\l-ION $ $
WORKERS COMPENSATION AND I :;'~J; ~JI~;' I IOJ~'
EMPLOYERS'LIABIUTY ~iACH~CCIDE~ $
EL. DISEASE. EA EMP _OYEE $
E.L. DISEASE . POLICY LIMIT $
OTHER ..
DESCRIPTION OF OPERATlONSfL.OCATlONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT,sPECIAL PROVISIONS
RENTAl. OF BEACH UMBRELLAS, CHAIRS & FOOTSTOOLS.
THE CITY OF CLEARWATER A MUNICIPALITY IS NAMED AS ADDITIONAL INSURED
AS RESPECTS GENERAL LIABILITY COVERAGE.
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SHOULO ANY OF TIlE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF CLEARWATER DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
25 CAUSEWAY BLVD. NOTICE TO TIlE CERTIFICATE HOLDER NAM ED TO THE LEFT, BUT FAILURE TO DO SO SHALL
CLEARWATER, FL 33767 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TIlE INSURER. ITS AGENTS OR
REPRESEIIll'lt.TI..,S. ^ ~
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ACORD 25-S (7/97J
46.38
f) ACORD CORPORATION 1988
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