CERTIFICATE OF INSURANCE (2)
FEB-24-2003 15:18
FROM-Acardia Team XS
727 791 5428
T-513 P.OOI/002 F-186
ACO,!D,. CERTIFICATE OF LIABILITY INSURANCE I DATI; /IIIMIDDI\'Y)
02/24/03
~DUt:m nfJS CERTIFICATE IS fSSUED AS A MATTeR OF INFORMAno~
ACORDIA EAST - TAMPA BAY ONLY AND CONFERS NO RIGHTS UPON THE CERTlFICATI
P.O. Box 31666 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND Of
ALTER THE COVERAGE AFFORDED. BY THE POLICIES BELOW
Tampa, FL 33631-3666
727-796-6666 INSURERS AFFORDING COVERAGE
INSUREP Alexandra of Clearwater Beach, INSUR&l'l AI ASSOCIATED INDEMNITY CORP
Inc. dba Pier 60 Concessions II\ISURER B,
POBox 3337 IN$UFleA c:
Clearwater FL 33767 INSUREIl D:
INSUIU;R Il!
COVERAGES
THE POLICIES OF INSURANCE USTS> BELOW HAVE BeEN ISSUED TO THE IlIISUftED NAMED ABOVE FOR THE POLICY PEAIOD INDICATED. NOTWITHSTANDINI
ANY RSQUIFtEMENT, TeRM OR CONDITION OF AIff CONTRACT OR OTHER COC:UMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED 0
MAY PERTAIN, THE INSURANCE AFFORDS> BY THE POlJCMiS DESCRI8I!D HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF suel
POLICIES_ AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAltl CLAIMS.
I~ TVPI; OF INliURANCE POLIOY NUMBER POUI::Y !FFECnVE I'OUCY EXPIMl'1ON UMJTS
A ~ERAI. LIAIIILIn' BIND483999 2{15/03 2/1 5/04 ~CH OCCURflil\lCS S 1000000
X COMMeRCIAL GENeRAL LIABILITY FIliI! DAMAGE (Any _ flra) S 100000
I CLAIMS MAtli W OCCUIl MID EXP IAny one P8f$Dn1 s 5000
PElFlSONAL 10 AOV INJUIlY S 1000000
J--.o
GENERAl.. AGGREGATE .$ 2000000
t--
n'~ AGGREM UMIT APn PER, PRODUCTS - eOMP/OP AGG , 200000D
pOLley ~ LOe
AUTOM08ILtl UAIIlUTY COMIlIN&D SINGLE UMIT $
t-- lea 8cclll8ml
- ANY AUTO
- ALL OWI\lUl AUTOS BODILY INJURY $
SCl-letJULED AUTOS I~ pSr$III1l
-
- HII'lI!O AUTOS lIQD'L Y INJURY ,
1II0N-OWNEtI AUTOS IPer~1
-
~ PROPERTY OAMAGI! .
IPar IICCidenll
RRAGE LIABILITY AUTO OIllL Y . EA ACCIOil\l1 .$
ANY AUTO OTliER THAN EA Ace $
AUTO ONLY: AGG .$
~CI1SS LlASJUTV EACH OCCUFlRENCE S
tJ OCCUR 0 CLAIMS MADE AOOREGATtl $
.
R ollDUCTIBLi .
RETENTION $ .
WORUAS COMI'il\l$ATION AND I TYI,~sr~I~;. I IOJ;ti-
I!MPu)YERS.~ I!..L EACH ACCIDeNT .
E.L DISEASE - iA eMPLOVEE .
E.L C1SiASS - POUCY UMIT .$
OTHER
PESCRlmON OF OPERAll0NS/LOCAll0NS/llellClESJEXCLUSUlNS AtIDiP av ENDORSEMISNT/SPECfAL PROVISIONS
A~NTAL OF BEACH UMBRELLAS, CHAIRS" FOOTSTOOLS.
THE CITY OF CLEAAW,4\TER A MUNICIPALITY IS NAMED AS ADDITIONAL INSURED
AS RESPECTS GENERAl LIABILITY COVERAGE.
CERTIFICATE HOLDER I 1 ADDmolVAL INSURftl: Jl\l$UREII LETTER: CANCELLATION
CITY OF CLEARWATER ~HOULD ANY OF THl! ABOVE DESCRIBID JlOUCIES 8i CANCI!I.LED 8EFORE THE EXPIIUl
DATE TltEftEOf'. TlfE ISSUING 1N$UIlER WIll EMIEAVOIl TO MAIL ....aQ.. DAYS WIlT
25 CAUSEWAY BLVD. NOTICE TO THE CI!IlTIFICATE HOI.bM NAMED TO THE lR'T. BUT FAILURE TO DO SO IS
CLEAAWATER.FL33767 II\llPOSI! NO OBUQATION OR lIA8lLITV OF ANY KIND UPONTMI! INSURER. rrs AGENT
REPfIIlS~nes. ^ ^
I AUTH1'7cl--~ '
ACORD 25.5 (7/97)
48- 38
iii ACORD CORPORA nON'
FEB-24-2003 15:19
FROM-Acardia Team XS
727 791 5428
T-513 P.002/002 F-186
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED. the policy(ies) 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 thi$ certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of InsLlrance on the reverse side of this form does not constitute a contract between
the issuing insurer(sl. 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 2S-S (7/97)