CERTIFICATE OF INSURANCE FOR RENTAL OF BEACH UMBRELLAS CHAIRS AND FOOTSTOOLS (6)
,
AC.OBD.. CERTIFICATr~OF LIABILITY INSURAN=~E
DATS IMMJDON'n
0211 8/00
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PROGUCER ~ nus CERTlFJCATlI~jQU&D AI A MATTSl OF INFORMATION
Acordia SE, Central Fie Divan ONl,V AM) CONFERS NO RIGHTS UPON THI CERTlPlCAft
! P.O. Box 31668 HOLDER. THIS CaRTIFlCATE DOES NOT AMEND. EXTeND OR
AL TEll THE COVERAGE AFFORDED BY THE POUCIES IIELOW.
Tampa, FL 33631-3668
727-796.6688 INSURERS AFFORDING COVERAQ&
.,..,.., Alexandr. of Clearwater Beach,' INSUJlIIl '" GenesIs Indemnity 1M Co
Inc. dba Pier 60 Concessions IN$UMR .:
POBox 3337 ~~
Fleefwater FL 33787 lfeUABlDI
COVERAGES
THE POUCIIS OF INSVAANCE l.lS'TS18S..OW HAVE BEIN ISSUED TO THIINSURED NAMED MOVE FOR THE POlICY PEIUOO INDICATeD. NOTWITHSTANDING
ANY FlEQUIRSAENT, TEAM OR CONDmoN OF ANY CONTRACt' OR OTMER DOCUfot9lr wrTH RESPECT TO WHIQI THIS CEFlT1FICATI MAY 8E ISSUED OR
MAY PeRtAIN. THE INSURANCE AFFOADID BY THE POLICIES DESCRIBED HEREIN IS SU8JECT TO AU. THE TERMS.IXa,us1ONS AND CONDITIONS OF SUOt
POUCIES. AGGREGATE UMITS SHOWN MAY HAV1: BEEN ReDIJCS) BY PAlO CLAIMS.
fIOUCY NUMRR
2451359
211 SIOO 2115/01 EACH OCCUMENCE
FIIlIi OAMAGI
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AUTO O.....Y: AGO .
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DflCRlPJ1OI/ 01' OPIRATIONIJlDCATIClNSN~ ADDED IIY UlDOIUIIIIIl'IT.vrew.I'AOVIIlO1II
RENTAL OF BEACH UMSAEUAS, CHAIRS a FOOTSTOOLS.
THE CITY OF CLEARWATER A MUNICIPALITY IS NAMED AS AODmONAL INSURED
AS RES peers GCNfAA1. UA8lUTY COVERAGE.
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AGGREGATE
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1.1.. I,lCIf ACCIOINT
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CERnFICATE HOLDER
CANC&UAnON
I ADOtl'IOfW. INIUWID> INIVRI!R LETTIR;
CITY OF CLEARWATER
25 CAUSEWAY BLVD.
CLEARVVATER,FL33787
~ "'" OF T1fI.uove DaCIURD 'OUClII .. CA~ liD lRiI'VIIlIii THe IlXJI'\RATIllllIIII
DATIl TMIlRIClt'. 'l'HC ~ DQUI$ WlU. amMlfOR TO MAll ~ DAn Wllf, .""""
NOTICE TO tMa CER'I'lFICAn HCKDIR _10 TO nG ....,.. an' JIlIWM YO DO 50 *"-
IIIH"OSI IlIO o.uGA'/'JOlIf 0" UAINU1'Y Of MT KIND UI'OIII 1'fE IIItUMJl. ITS AGeCl'li c:
II8'IlEIINTAllYII.
AU1lfORIZIV
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FEB-18-200B 14:41
... It..
rR )727 791 1399
IO )~TER t1=lRltof:l
" .I"nDf\ I"n
PAGE: 001
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IMPORTANT
If the certificate holder Is In ADOrTIONAL INSURED. the poIlcy(ies) must be endor.ed. A statement
on tN. cenificete does not confet rIghta to the c:ertificate hpIdet In Deu of .uch endorsement"),
If SUBROGATION IS WAIVED, subject to the terms and conditions of the poUcy. certein policies may
require an endorsemem. A Itlltement on this certificate does not CQnfer rights to the certificate
holder in "eu of such endot'aement(s).
DISClAIMER
The Cettificate of lNuranc;e on the reverse side of IhiI form doe. not constitute I contract between
the Iuuing insurer(s). author~ed representative 01 producer, and the certificate holder. nor does it
affimuatively or negatively amend, extend or der the coverage afforded by tm. policies listed thereon.
. ......... .... 1ft "......"
FE8-18-2000 14: 42
TEL)727 791 1399
10 )QEARI4=lTER /'mII'4=l
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