CERTIFICATE OF LIABILITY INSURANCE (89)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MM/DD/YYYlr7
HARP ERP 10/24/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
MORRIS & REYNOLDS INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
14821 South Dixie Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
MIAMI FL 33176-7928
Phone : 305-238-1000 Fax : 305-255-9643 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Valle Fore Insurance 20508
HADP Architecture, Inc. INSURERS: Transportation Insurance 20494
The IN
Group
Mr D av id d Harper
.
INSURER C: National Fire Insurance
20478
201 Alhambra Circle Suite 800
C
l G
bl
FL 331`34-5108 INSURER D: Lexington Insurance 19437
ora
a
es
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.
LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD
IYY) DATE Y(MF
O
LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
A X X COMMERCIAL GENERAL LIABILITY 20.91434550 10/01/08 10/01/09 PREMISES Eaooourence $ 500, 000
CLAIMS MADE X] OCCUR MED EXP (Any one person) $5,000
X Deductible: $0 PERSONAL & ADV INJURY $1,000,000
GENERAL AGGREGATE s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000
X POLICY JECT LOC
AUT OMOBILE LIABILITY
COMBINED SINGLE LIMIT
000
0
(Ea accident) $1,
,
00
B ANY AUTO 2091434631 10/01/08 10/01/09
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per person) $
X HIRED AUTOS
BODILY INJURY
X
NON-OWNED AUTOS
(Per accident) $
X Deductible: $0 PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
F ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLALIABILITY EACH OCCURRENCE $5,000,000
B X OCCUR EICLAIMSMADE 2091434595 10/01/08 10/01/09 AGGREGATE $5,000,000
DEDUCTIBLE $
X RETENTION $ O $
WORKERS COMPENSATION AND X TORY LIMITS ER
C EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNERtEXECUTIVE WC291436122 01/23/08 01/23/09 E.L. EACH ACCIDENT $500,000
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500, 000
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$ 500 000
OTHER
D Professional Liab 0530495 01/01/08 01/01/09 $3M/$3M $35,000 DED
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Engineers or Architects- Consulting, not engaged in construction.
The City of Clearwater is named as Additional Insured, as respect to the
General Liability policy, as required by contract.
CC T t3 1 2008
*10 Days written notice of cancellation for non-payment of premiums .
CERTIFICATE HOLDER CANCELLATION ^r!rto-o • r
' CITCLWT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE OA11(.E{ {,?F?
,IRA
I
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
IT
T
City of Clearwater
Att: Kathleen Myrtle NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
100 South Myrtle REPRESENTATIVES.
Clearwater FL 33756 AUTHORIZ ESENTATIVE
ACORD 25 (2001/08) % ___Li 1% ...... - 0 ACORD CORPORATION 1988