CERTIFICATE OF INSURANCE (11)
:"
......
ACORD.. CERTIFICAT
OF liABILITY INSURANIE
DATE IMMIDD/YY)
02/25/99
THIS CERTIFICATE IS ISSUED AS A MATTER OF iNFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER
Acordia SE, Central Fla Divsn
P.O. Box 31666
Tampa, FL 33631-3666
727-796-6666
INSURED
INSURER A:
INSURER B:
INSURER C:
INSURER 0:
INSURER E:
INSURERS AFFORDING COVERAGE
ESSEX INSURANCE CO
Alexandra of Clearwater Beach,
Inc. dba Pier 60 Concessions
POBox 3337
Clearwater FL 33767
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.
~.f: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE "8:tfEY EXPlRA TlON LIMITS
A ~NERAL LIABILITY BIND335573 2/15/99 2/15/00 EACH OCCURRENCE . 1000000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE !Anyone lire) . 50000
I CLAIMS MADE W OCCUR MED EXP !Anyon;) person) . 5000
- PERSONAL & ADV INJURY . 1000000
- GENERAL AGGREGATE . 1000000
~'L AGGREGATE LIMIT APn PER: PRODUCTS. COMP/OP AGG . I Net.
POLICY n ~~~~ LOC
~OMOBILE UABILITY COMBINED SINGLE LIMIT .
ANY AUTO lEe accldentl
-
- ALL OWNED AUTOS BODILY INJURY
.
SCHEDULED AUTOS (Per personj
I--
I-- HIRED AUTOS BODILY INJURY
.
NON.OWNED AUTOS lI'er accIdenll
I--
'-- PROPERTY DAMAGE .
(Per accldenll
GARAGE LlA8lL/TY AUTO ONLY. EA ACCIDENT .
~- ANY AUTO OTHER THAN EA ACC .
AUTO ONLY: AGG .
EXCESSLlA8lL/TY EACH OCCURRENCE .
::J-OCCUR D CLAIMS MADE AGGREGATE .
.
~ DEDUCTIBLE .
RETENTION . .
WORKERS COMPENSATION AND I T"t.i~r:I.~ I Ol.tt-
EMPLOYERS' LIABILITY .
E.L E4CH ACCIDENT
E.L. DISEASE. EA EMPLOYEE .
E.L. DISEASE. POLICY LIMIT .
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL 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
SHDULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCellED BEFORE THE EXPIRATION
CITY OF CLEARWATER DATE THEREOF, THE ISSUING INSURER WIU ENDEAVOR TO MAIL ~ DAYS WRITTEN
25 CAUSEWAY BLVD. NOTICE TO THE CERTIFICATE HOUY.:R NAMED TO THE LEfT. BUT FAILURE TO DO SO SHAU
CLEARWATER, FL 33767 IMPOSE NO OBUOATlON OR UA8I.JTY OF ANY KIND UPON(!\, INSURER. ITS AGENTS OR
REl'RESENTATIVES. ,.....
I AUT~EhI n ~-~-c ~ ~ ~
ACORD 25-5 (7/97) 7- 85 e ACL"CORPORATION 1988
~
"
I
I
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy lies) 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 26-S (7/97)