CERTIFICATE OF INSURANCE (14)
~ai/25/02 15:50 To:Catherine
From:Sha\llllia Grahall
ClW1
Page 2/3
I
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A CDRll
CERTIFICATE OF LIABILITY INSURANCE
'DATE (MM iDDIYVI
02/25/02
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 EAST - TAMPA BAY
P.O. Box 31666
Tampa, FL 33631-3666
727- 796-6666
IN SU RED
Alexandra of Clearwater Beach,
Inc. dba Pier 60 Concessions
POBox 3337
Clearwater FL 33767
COVERAGES
INSURER A:
INSURER B:
INSURER C:
INSURER 0:
INSURER E:
INSURERS AFFORDING COVERAGE
FIREMAN'S FUND INSURANCE CO
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMID 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.
I~-l: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
A ~ERAL LIABILITY BIND456304 2!15/02 2/15/03 EACH OCCURFEr~CE $
~ 5\i1\oEFCltlL 3ENERJlL _Ll\BILlTY FIRE DAM ACE (AnV one fire) $ 1nnnnn
- :LAIMS MADE W O:CUR MED EXP (Ary one person) $ "non
- PERSONAL & ADV INJURY $
- GENERAL AGGREGATE $
~'L AGGFEFl ;IMI~ APM PER PRODUCTS. COM PlOP A"G $
POLICY 1~9T L:lC ~
~OMOBILE LIABILITY COMBINED Sll\(l.E Lilli IT $
ANY AUla (Ea aDo denl)
I--
I-- ALL OWI\ED AUTOS EOJL Y INJURY
$
SCHEDJLED AUTOS {Pa' parsonl
I--
HIRED AUTOS EOJL Y INJURY
(Po' eooident) $
I-- NO\l.OW\lED AUTOS
- PROPERTY DAM ACE $
(Pe- l!Iccident)
~GE LIABILITY AUTO ONLY. EA AC:IDENT $
ANY AUTO OT,Efl THAN =A ACC $
AUTO ONLY A"G $
EXCESS LIABILITY EACH OCCURFENCE $
:::J' oc:uFD CLAIMS MADE AGGR 83A TE $
$
R CEDUCTIBLE $
RElE\l-ION $ $
WORKERS COMPENSATION AND I ,vx~JT ~J,~;,T IOJ~'
EM PLOVERS' L1ABIUTY
EohlACH ACCIDE~.. $
EL DISEASE. EA EMP _OYEE $
E,L DISEASE. POLICY LIMIT $
OTHER -
DESCRIPTION OF OPEAATlONSA.OCATIONSNEHICLESIEXCLUSIONS ADDED BV 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 ADOITIONAL INSUREO; INSURER LETTER: CANCELLATION
CITY OF CLEARWATER SHOULD ANY OF lllE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL --.3.CL DAYS WRITTEN
25 CAUSEWAY BLVD. NOTICE TO lllE CERTIFICATE HOLDER NAM EO TO THE LEFT. BUT FAILURETO DO SO SHALL
CLEARWATER, FL 33767 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESEII'l'Il TI\a;S. ^ ~
I AUTr/L:!4lt..'- ~
U'
ACORD 25-S (7/97)
46-38
II) ACORD CORPORATION 1988
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