CERTIFICATE OF LIABILITY INSURANCEOP ID P4 DATE (MM/DD/YYYY)
AC CERTIFICATE OF LIABILITY INSURANCE FAMIRES 09/24/08
;40DIER" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Greg Roe Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
9851 State Road 54 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Port Richey FL 34655
1we:727-376-0030 Fax:727-376-2262
INSURERS AFFORDING COVERAGE
NAIC #
I INSURED
Family Resources, Inc.
Attn: Karen Miller
5180 - 62nd Ave. N.
Pinellas Park FL 33781
INSURER A: Stonington Insurance CO.,
INSURER B: Zurich Insurance services,Inc,
INSURER C: Lantana Insurance LTD
INSURER D:
INSURER E:
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. '08 SEP 26 Aml 1:09
NW
I
LTR
ADUL
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DDIYY
POLICY EXPIRATION
DATE MM/DID
LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
A X COMMERCIALGENERALLIABILITY MHP30006236-02 09/21/08 09/21/09 PREMISES (Eaoccurence) $ 100,000
CLAIMS MADE ? OCCUR MED EXP (Any one person) $ 5 1 000
PERSONAL & ADV INJURY $ 1,000,000
X lncl Emplye Benf GENERAL AGGREGATE $3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000
POLICY JEC LOC Em Ben. 1,000,000
AUT OMOBILE LIABILITY
COMBINED SINGLE LIMIT
$ 1
000
000
A ANY AUTO MHA30006236-02 09/21/08 09/21/09 (Ea accident) ,
,
ALL OWNED AUTOS BODILY INJURY
$
X SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY
$
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE
- - -
(Per accident) $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE s2,000,000
A X OCCUR E71 CLAIMSMADE MHU30006236-02 09/21/08 09/21/09 AGGREGATE $2,000,000
DEDUCTIBLE $
X RETENTION $ 10 , 000 $
WORKERS COMPENSATION AND TORY LIMITS ER
B EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE WC02727164-00 01/01/08 01/01/09 E.L. EACH ACCIDENT $500000
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $500000
_ ., fye? ?scri?beynder.
SPEL AL PROVISIONS below
E.J. DISEASE - P06 6Y LaAh4T
$ 5{)OQ00
C
C OTHER
Professional &
Sexual Abuse
MHL30006236-02
MHL30006236-02
09/21/08
09/21/08
09/21/09
09/21/09
Profsnl 1,000,000
& ..
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS _ k--- t: i :' t
KOV I 2008
OFFiCiAL RECORDS AND
CERTIFICATE HOLDER CANCELLATION - - - -
CITCLEA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
CITY OF CLEARWATER NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
CITY HALL
•
112 S. OSCEOLA AVE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
CLEARWATER FL 33756 REPRESENTATIVES.
AU =REPRESENTATIVg_`\
ACORD 25 (2009/08) U ACORD CORPORATION 1988