CERTIFICATE OF LIABILITY INSURANCE (7)
ACORD CERTIFICATE OF LIABILITY INSURANCE 9/29/20 8 '
PRODUCER (314) 523-8800 FAX: (314) 453-7555 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
ARM Financial Group, LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ial Dr
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li ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
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11973 West
Suite 200
Saint Louis MO 63146 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURERA:Old Republic Insurance
Civil Air Patrol INSURER B The Charter Oak Fire Ins
Maxwell Air Force Base
714
Bld INSURER C:
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AL 36112-6332
Montgomery INSURER Di
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INSURER E
OVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
REQUIREMENT
,
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.
INSR ADD'L
NCE
POLICY NUMBER POLICY EFFECTIVE
DATE MM/DD/YY POLICY EXPIRATION
DATE MMIDDIYY LIMITS
LTR I N RD TYPE OF INSURA
000
000
1
GENERAL LIABILITY EACH OCCURRENCE ,
,
$
X COMMERCIAL GENERAL LIABILITY AP690411 10/01/08 10/01/09 PREMSES?aoccurence $ 100,000
A X S MADE FXJ OCCUR MED EXP An one person) $ 25 , 000
CLAIM PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000
X POLICY PRCOT
El I LOC
AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT
$ 1,000,000
X (Ea accident)
B ANY AUTO
ALL OWNED AUTOS
P810750K8747COF08 AOS
10/01/08
10/01/09
BODILY INJURY
$
UTOS
ED
SA750K8760CAGO8 TX & WA
10/01/08
10/01/09
(Per person)
X A
SCHEDUL
HIRED AUTOS P810750K8759COF08 HI 10/01/08 10/01/09 BODILY INJURY $
X
T
S (Per accident)
NON-OWNED AU
O
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
Y AUTO OTHER THAN EA ACC $
AN AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
FICLAIMS MADE AGGREGATE $
OCCUR
DEDUCTIBLE $
RETENTION $
- OTH
WC STAT -
A WORKERS COMPENSATION AND X
T
EMPLOYERS'LIABILITY
OCAW01779708 10/01/08 10/01/09 E.L. EACH ACCIDENT $ 1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE 000
000
1
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE ,
,
E $
It yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
1,000,000
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
City of Clearwater is included as an additional insured in realtion to the general liability regarding the trailer at
1000 Hercules Ave.
r?nwTr u?r nco CANCFI I ATInN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Clearwater EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Clearwater Municipal Marina 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
25 Causeway Blvd. FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
Clearwater, FL 33767
INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
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John Anderson/CARRIE
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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 negatively
amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001/08)
NS025 piw).wa Page 2 of 2