CERTIFICATE OF INSURANCE (12)
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- 1JCJ>>lD~2' CERTIFICATr OF LIABILITY INSURA~~E . DA"O~=
.PRDDUCIIl . nus CERTlFlCATlII-jS$UED AI A MATTER OF INFORMATION
Acordia SE, Central Fl. Div.n ONlY AM) CONFERS NO RIGHTS UPON THI CERTIFICATE
P.O. Box 31868 ~~.rn:'~:fA~o= ~T,::'~n~o~
Tampa, FL 33631-3666
727.798.6686 INSURERS AFFORDN: COVERAGE
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Genuts ItIde
Alexandra of Clearwater Beach,'
Inc. dba Pier 60 Concessions
POBox 3337
Cle.rwater FL 33767
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INS
Ins Co
COVERAGES
THE POLICIES OF INSUAANce LJS1'BJ mow HAVE IEIN ISSUED TO THE INSURED NAMa) MOVE FOR THE POlICY JIllUOO INOICATm. NOTWrrHSTANDING
Nf( REQUIREMENT, TERM OR COM:m1ON OF AHY CONTRACT OR OTHER DO(:Ur.Wrr wrTH RESPECT TO WHIOI TH1S CERTIFICATE MAY BE ISSUED OR
MAY Peft1A1N, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERa<l1$ SUBJECT TO AU. THE TERMS, lXaJJSlONS AND CONDtTIONS 0' SUOt
POUCIeS. AGGFlEGATE LIMITS SHOWN MAY HAVE ~ REDUCED BY PAlO aAlMS.
NXJCY NUM..
2/1 SIOO
2/15101
2457359
Post-It" Fax Note 7611
To
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P'hone ,
QAMGI UAlIlUTV
ANY AUTO
Fax'
lXeIM UMIUTY
OCCI.JR 0 CLAIMS MADE
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BIPLOVIIUI. UMILITV
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DUCRIPT10N 0' aNRATIONI/lOCA~ ADDED IIY IUIIIaIIII!IIINTIIPElAL NIOVIIlOIII
AENTAL.OF BEACH UMBRELLAS. CHAIRS. FOOTSTOOLS.
THE CITY OF CLEARWATER A MUNICIPAlITY IS NAMED AS ADDmONALINSURED
AS RESPECTS GENERAL LIABIUTY COVERAGE.
CERTIFICATE HOLDER
I ADOn'ICJUL MUlIID> INSUIIIIl ~
CANC&UAnON
GeNI!IW. AGGAlGATE .
PAooueTS - tOMPIOf' AGO .
I COM8II'CEO SINGl.E UMIT .
IhlCCllMl1ll
toOl\. 'l' WJ\IIlY .
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I0OI1.... ~... .
.. IIICIdIIIII
'flO1aTY DAMAGE .
..... ----
AlJtO Qlf.y -loA .\CClOINT .
OTWIA THAN EA ACe .
AUTO OM.Y: AGO .
lAQI octuMINCt .
AGGlI~TE .
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I.L. "'C:M ACClOINT .
LL. DISIAA. IA EMPLDYII .
u. g1SUU - ~ UM1T .
CITY OF CLEARWATER
25 CAUSEWAY BLVD.
CLEARWATER, FL 33761
SHOULD MY OF T14I ~ DaCllIRD 'OUClII . c.v-""'..... RfQIlIi THI ~1'1011
DATI; lll..-ot'. 'l'H8 II8uBct BQV" WILL --...VGII TO lUlL ..-.m. DAYS ~
MOTICIi TO 1HE CIR1'lFICAn. HDLDtR IIIAIIID TO na; ...-t. ..... PAIWM YO DO SO 84aU.
-.osa Il1O 0IUGA'l'IOlII Oil UAIIIUT'I' Of MY KIND UPQII THE --. ITS AGIllTS 011
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AIITMORIZID
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FEB-18-2000 14:41
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Ta.H27 791 1399
ID)~TER MARI~
" 61"^Dft ;on
PAGE: 001
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IMPORTANT
If the certificate holder Is In ADDITIONAL INSURED. the policy(_) must be endorsed. A statement
on tN. certificate dou nat confer rights to the certificate h~der In DIU of ,uch endorsement(I).
If SUBROGATION IS WAIVED. subject to the tennI and eoncitions of the policy, certein policies may
require an endorsement. A ItItement on this. cel'tifiCltl doe. not confer rights to Ihe certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The certificate of Insurance on the reverse side of 1hia form does not constitute a contract bet~een
the issuing insurer(t}, authoriled representative ot produaer. and the certificate holder. nor does it
affirmatively or negatively amend. extend or .r the coverage afforded by the policies listed thereon,
. -.......... ..... ". ,... ,..-"
FE8-18-2000 14:42
TEL)727 791 1399
ID)~TER MARINA
PAGE:002 R=100%