CERTIFICATE OF INSURANCE (9)
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DATE (MMIDDIYY)
OS/27/98
PRODUCER 8 1 3-796-6666 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
Acordia SE, Central Fla Divsn DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
P.O. Box 31 666 POLICIES BELOW.
Tampa, FL 3363 1 -3666 COMPANIES AFFORDING COVERAGE
COMPANY
A ESSEX INSURANCE CO
INSURED COMPANY
Alexandra of Clearwater Beach, B
COMPANY
Inc. dba Pier 60 Concessions C
1 0 Pier 60 Drive
COMPANY
Clearwater Bch FL 33767 D
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TInS IS TO CERTIFY THAT 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 wmCH 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP.
LTR LIMITS
DATE (MMIDDIYY) DATE (MMIDDIYY)
GENERAL LIABILITY GENERAL AGGREGATE 1
A -;- COMM. GENERAL LIABILITY 3CB877 1 2/1 5/98 2/1 5/99 PROD-COMP/OP AGG. I~'''''' 111"\''''\
...............' I CLAIMS MADE IlU OCCUR PERS. & ADV. INJURY 1
OWNER'S & CONTRACT'S PROT EACH OCCURRENCE 1
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FIRE DAMAGE(One F1re) l:t\t\t\t\
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MED EXP(Any one person) EXCLUDEn
AUTOMOBILE LIABILITY COMBINED SINGLE
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ANY AUTO LIMIT
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ALL OWNED AUTOS BODILY INJURY
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SCHEDULED AUTOS (Per penon)
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mRED AUTOS BODILY INJURY
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NON-OWNED AUTOS (Per aeddent)
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- PROPERTY DAMAGE
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT
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ANY AUTO OTHER THAN AUTO ONLY: ............................................................................
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EACH ACCIDENT
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AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
=1~BRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND I STATUTORY LIMITS
EMPLOYERS' LIABILITY
..... ---.-- ----,- "-..- .. ..- - - ----._-,-.-- .. ---- -,,---- -. -----.,,'----- .-_.-- E-Aeli ACCIDENT ---
THE PROPRIETOR! R~~~
PARTNERSIEXECUTIVE DISEASE-POLICY LIMIT
OFFICERS ARE: EXCL DISEASE-EACH EMPL.
OTHER
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DESCRIPTION OF OPERATlONSILOCATlONSIVEmCLESlSPECIAL ITEMS f' -. Y CU
RENTAL OF BEACH UMBRELLAS, CHAIRS & FOOTSTOOLS. MAY 2 8 1998
THE CITY OF CLEARWATER A MUNICIPALITY IS NAMED AS ADDITIONAL INSURED
AS RESPECTS GENERAL LIABILITY COVERAG E.
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF CLEARWATER A MUNICIPAL EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
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C/O CITY ATTORNEYS OFFICE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
P.O. BOX 4748 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
CLEARWATER, FL 33758 A"Q U:nvE~ j), ~ D ~"-- a
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