CERTIFICATE OF LIABILITY INSURANCE
ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DI DF ATE (MM/DD/YYY)
02/26/08
CENT-14
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Lykes Insurance, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Suite 2200
St
T
41N ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
.,
ampa
.
*
a FL 33602
e:813 -223-3911 Fax: 813-221-1857 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Philadelphia Insurance Co. 23850
INSURER B:
W INSURER C:
omen
The Centre For
305 S. Hyde Park Avenue INSURER D:
Tampa FL 33606
INSURER E:
1.U V Crvivw
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.
LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/D VE POLICY DATE MM% Dm LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
A X COMMERCIAL GENERAL LIABILITY PHPK218880 02/24/08 02/24/09 PREMISES (Eaoccurence) $ 100,000
CLAIMS MADE FKOCCUR MED EXP (Any one person) $ 5 , 000
PERSONAL &ADV INJURY $1,000,000
X Professional GENERAL AGGREGATE s3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000
X POLICY PRO LOC
JECT Em Ben. 1,000,000
AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT
id
t
E $ 1,000,000
A X ANY AUTO PHPK218880 02/24/08 02/24/09 en
)
a acc
(
ALL OWNED AUTOS BODILY INJURY
P $
SCHEDULED AUTOS er person)
(
X HIRED AUTOS BODILY INJURY
id
t
P $
X NON-OWNED AUTOS en
)
er acc
(
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
H AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000
A X OCCUR E] CLAIMSMADE PHUB080381 02/24/08 02/24/09 AGGREGATE $1,000,000
DEDUCTIBLE $
X RETENTION $ 10000 $
WORKERS COMPENSATION AND TORY LIMITS ER
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $
_ANY PROPRIETORIPARTNER/EXECUTIYE _- --
OFFICERIMEMBER EXCLUDED? -.---__ _.._- ---_ - --_ _ _ ---__-_.. ----_- . -_-?- _,-. - -_-- - --=- ---_ .. -- __ _
EC DISEASE - EA EMPLOYEE
- -
_Si
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 2008
i
1'AmfI= i 1 A1 43ki
VGRIIrIVA1G IIVGVGI? ---"---- -
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITOCLE
City of Clearwater DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
Housing & Economic NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
•
Development IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
112 s Oceola Avenue
FL 33756 REPRESENTATIVES.
Clerarwater AUTI?ED @EjPRF?EfITATIVE
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ACORD 25 (2001/08)