CERTIFICATE OF INSURANCE (13)
J2/2&!81 16~85 ~To:C1ttherine
From:Shawmia Graham
ClWl
Page 2/3
,
I
!I CORD.
E DATE (MMIODIYYI
02/26/01
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
IUCER
ACORDIA EAST - T AMPA BAY
P.O, Box 31666
Tampa, FL 33631-3666
727-796-6666
INSURERS AFFORDING COVERAGE
RED
Alexandra of Clearwater Beach,
Inc. dba Pier 60 Concessions
POBox 3337
learwater FL 33767
INSURER A
INSURER B
IE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
~Y REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
II.Y PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
'L1CIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TY"" OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
~'-~ BIND429343 2/15/01 2/15/02 EACH OCCLJRRENCE $
C MMERCIAL GENERAL LIABILITY FIRE DAMAGE IAnv one flrel $ 1 (\,,,,,,,,
CLAIMS MADE W OCCUR MED EXP (Anv one oerson) $ ~(\(\(\
PERSONAL & ADV INJURY $
GENERAl AGGRF(;ATE $
~'L AGOREF~Ir LIMIT AnS PER PRODUCTS" COMP/OP AGG $
r:>rll I('"V ~.Q:;. I or.
..AY.: ON'OBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (fe !lCC' dent)
-
- AlL OV\INED AUTOS BOOIL Y INJURY
(Per person) $
- SCHEDULED AU TOS
- HIRED AUTOS BOOIL Y INJURY
(per eccldent) $
- NON,OWNED AUTOS
~
- PROPERTY DAMAGE $
(Per aCCident)
~AGE LIABILITY AUTO ONL Y , EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
~ss LIABILITY FACH nrrURRFW'F $
OCCUR 0 CLAIMS MADE A(,,('.AFGA n= $
$
==i DEDUCTIBLE $
RET""'TlnN $ $
WoRKERS COMPENSATION AND I ~~J:(:T,~;. [ IOJ~'
EMPLOYERS' LIABILITY E LEACH ACClrlFNT
$
E l DISFASF, EA FMPLOYFF $
'" 1"1,<::1".0.",," r:>rl11('"V liMIT $
OTHER
:RIPTION OF OPERATlONSIlOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPEClAL PROVISIONS
RENTAL OF BEACH UMBRELLAS. CHAIRS & FOOTSTOOLS.
THE CITY OF CLEARWATER A MUNICIPALITY IS NAMED AS ADDITIONAL INSURE~
AS RESPECTS GENERAL LIABILITY COVERAGE.
u........,.. I I ,y-,~~. INSUR~R Lm~R' ", ATlnr.l
CITY OF CLEARWATER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL --JQ.. DAYS WRITTEN
26 CAUSEWAY BLVD, NOTICE TO THE CERTIFICATE HOlDER NAMEDTO THE LEFT, BUT FAILURE TO DO SO SHALL
rl ~~RW~T~R ~I ~~7R7 IMPOSE NO OBLIGATION OR LIABILITY Of ANY KIND UPON THE INSURER, ITS AGENTS OR
~~P-~~-~~~1 1~~~~
T~I ...
rn)rl FARWATFR MARINA
PAGE:012l2 R=112l0%
12/26/~1 15:05 To:Catherine
. ,,'-
From:Shawmia Graham
CLWl
Page 3/3
I
I
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 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 neg atively amend, extend or alter the coverage afforded by the policies listed thereon.
t
FEB-26-2001 15:55
TEl)
1
ID)cL~TER MARINA
PAGE:003 R=100%