CERTIFICATE OF INSURANCE FOR RENTAL OF BEACH UMBRELLAS CHAIRS AND FOOTSTOOLS (7)
ACORD", CERTIFICATElOF liABILITY INSURANIE I DATE IMMJDDIYYI
02/25/99
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF iNFORMATION
Acordia SE, Central Fla Divsn 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: ESSEX 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 POlICY EFFECTIVE POlICY EXPlRA TlON LIMITS
A ~NERAL LIABILITY BIND335573 2/1 5/99 2/15/00 ~OCCURRENCE . 1000000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE iAnv one fI,e} . 50000
I CLAIMS MADE W OCCUR M ED EXP (Anv ona personl . 5000
~ PERSONAL 80 ADV INJURY . 1000000
f-- GENERAL AGGREGATE . 1000000
rl'L AGGREn LIMIT APn PER: PRODUCTS - COMP/OP AGG . I NCl.
POLICY ~~~;. LOC
~OMOBILE UASIUTY COMBINED SINGLE LIMIT .
ANY AUTO lEe eccldenll
~
~ ALL OWNED AUTOS BODILY INJURY
.
SCHEDULED AUTOS (Per person)
~
~ HIRED AUTOS BODILY INJURY
.
NON-OWNED AUTOS (Per accldent)
f--
~ PROPERTY DAMAGE .
(Per eccIdentJ
GARAOE UABIUTY AUTO ONLY - EA ACCIDENT .
R- ANY AUTO OTHER THAN EA ACC .
AUTO ONLY: AGG .
EXCESS UABIUTY EACH OCCURRENCE .
:=J OCCUR 0 CLAIMS MADE AGGREGATE .
.
=1 DEDUCTIBLE .
RETENTION . .
WORKERS COMPENSATION AND WC STATU- I 01:
EMPLOYERS' UASIUTY
E.L EACH ACCIDENT .
E.L. DISEASE - EA EMPLOYEE .
E.L. DISEASE - POLICY LIMIT .
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPfCIAL 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
SHOULD ANY OF THE ABOVE DESCRIBED POlICIES BE CANCelLED SEFORE THE EXPIRATION
CITY OF CLEARWATER DATE THEREOF. THE ISSUINO INSURER WILL ENDEAVOR TO MAlL ~ DAYS WRmEN
25 CAUSEWAY BLVD. NOTICE TO THE CERTIFICATE HOLD'".:R NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
CLEARWATER, FL 33767 IMPOSE NO OBUOATlON OR UAIIlUTY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
REPRESENTATIVES. _ (\
AUTHC'1J TlVE ~ \
r n" Un"- ~ ""
ACORD 25-8 (7/97) 7- 85 eAC~C()RpORATION 1988
~
I
I
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policylies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement/s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate' does not confer rights to the certificate
holder in lieu of such endorsement/s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer/s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-$ (7/971