CERTIFICATE OF LIABILITY INSURANCE (93)Client*- 21 d5
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ACORD- CERTIFICATE OF LIABILITY INSURANCE A
"Y'
/27/ 08
10
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Suncoast Insurance Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O. BOX 22668 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tampa, FL 33622-2668
813 289-5200 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A XL Specialty Insurance Company 37885
Baker Barrios Architects, Inc.
INSURER B:
189 S. Orange Avenue, Suite 1700
INSURER C:
Orlando, FL 32801
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.
LTp R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE
A POLICY EXPIRATION
ATE (MM/DDNY)
LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED
rence)
$
CLAIMS MADE FIOCCUR MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
POLICY PRO-
JECT 17 LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO (Ea accident)
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS
BODILY INJURY
i $
NON-OWNED AUTOS dent)
(Per acc
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR FICLAIMS MADE 1 2008 AGGREGATE $
zt t
$
DEDUCTIBLE $
?q
RE
OFD -
iAl CORDS AND
RETENTION $ .
_ $
WORKERS COMPENSATION AND
' LEGISLWIV 6 a
- +
`
WC STATU- OTH-
EEL
EMPLOYERS
LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$
OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
It yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
A OTHER Professional DPR9610456 11/15/07 11/15/08
$3,000,000 per claim
Liability $5,000,000 annl aggr.
DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
Professional Liability is written on 'a claims made and reported basis.
City of Clearwater
100 South Myrtle Ave.
Clearwater, FL 33756
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL A0_ DAYS WRITTEN
E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED ' REPRESEpITATIVE
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M%'Vnv c0 jcvV I1Va)1 OT 2 #5174285/M755645 US 0 ACORD CORPORATION 1988
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.
- r
r 'r ccT 31 2008
DEPT
ACORD 25-S (2001/08) 2 of 2 #S174285/M155645