CERTIFICATE OF INSURANCE (2)
~-~~- ~8! ~:~~~I.l
-r-,-.';'1 ;';"""ic..-_,-,,,",,," ~_:',~,":':',r'~IA,...Jc.. ~::::;'4-/bl--:':'1,"""'D
._0'
I -.,1
" , - ,,', 'CE 12/22/97
CERTIFaCA TEOFlNSURAti , CATE 19 ED AS A MA R O~ 'NPERTlF.J~
~C'lC AND CONFERS NO RIGHTS UPON TH CE)(TEH1) OR
~~rTH~~~::l~:~~~~~ ~\~~~~CIES BELOW,
.. _ _ __ ~o.~P.ANIES AFFORO;~~ COVERA.GE _ _ __
JO" .."'0
P"'T~ (MfoIIOOIYY1
AeO"D.
~
AMER1CAN ADVANTAG~ !NSv~~~CE
I 2001 SW 20 STREET
\ F~.~AUDERDALE, F~ 33315
Ct;;/U~ "","
A
~t"':'NV
C
I
.~~AMF.1. AMERICAN. ~UR1IIGL~ ~1
.~
I
I
Itt.suREU
NATIONAL WATER SPORTS INC.
Z40 Wlrm,.ARD PASS #;,201
CLEARWATE~itFL 33767
COlA;~V
B
(lOl.Ir '.\V
D
COVERAGES
TrltS IS TO CERTIFV THAT .THE POLICies OF-lNSUAANG€,j;.lSTfOBELOIt jol,AVE BEE'HS3UED- T0 THE lNS-URe;ONAtAeD'ABOVE t"O~ TtiEPOtlCY PEAIOD .
INL1,CAH,O, N01WIT~TANDIN<3 ANY REOUIREMENT. TERM OR CONDITION OF A'l'- C0N7RACT ~ OTHER OOCUIAE'-tr WITI-l RE~fCT TO WHICH THIS
CERTIFICATE MAY SIO ISS'JEO OR MAY PE=rrAIN, THE INSUFoANCE A':=QRDEJ B'T TH~ PUlICIES DESCRIBED HE"lfIN IS SUB.':ECT 1'0 ALL TeIE r!p.MS,
exCLUS'ONS AND COl'ODmONS OF suCH ?(lllClES. LIMITS SHOWN MAY HAvE BEEN >=lEOUCBJ BY PAID CLAIMS,
I' -.. ...-,---. '-,--' -... --. 1---;--.---.[ --.
co I · POLlCT UFECllVE : I'OLIC~ EXPlAATlON,
~ ~ T,VPIi O~ IH8\)R/.NCIi !'OLICY HUM8EA . DA1E (\UtlIlIVY) I' DATE (MM'OO!YY) I urnrrs
r QEHEJW. ",ulU1Y i j BOOt. -( INJURY oc; s
, COMPREHENSIVE FORM : eO~~ily >"i-J t~ :~_..
-l rPl~MI!I=S.'OPEAATlON:l : PRO;>cR~Y DAw.G:1:'. occ I s
i-1 l)NtlERGROUNO ~ ---
r~ ex"L~N &. COLI.AI"SE HAZARD : f-~e~.;" ~~MAGE AOG. _:-i
1-'1' PROOlJC'l'SiCC'N,PLETEDOFEFl, i ' 81l P? COMBINE? OCO . 1-'.
I CONTRAOTUA~ I' ! Il! & :OD COMBINED AGG $
tJ IJI(lePc'lDENT CONTRACTORS 1'~EIlSONAl INJURY Mia "1:~
H aROAO ~~ ~IlOPERTY DAMAGEj t I
PERSONAL INJU~Y _! 'I
8.1!!. ClNOBlL~ L.tA81UTY I I I
~ 80D LY INJURY , $
'ANYAUrO ,1""_> I
, ,ALl O\\otEO AUTOS ,1'';'_ p_> ~' - ...-- !
, --: o\LL OWNED AIJTQ$ '80, :YL Y I'iJURY I $
~ I ,Othcrtl-..lnl>1'io,/ale ~Ofj 'Per ~J
6i H'RliiCAUTOS '. .-- ..-.
',' NON.oW'l::O AUTOS I P'IOI":RT'r' DAMA<'E I $
!
I GMAGi: LiABILm' I iODiL Y INJURY &. I
, . : fr.!'Y!Frr( DAMAGE S
I COlte!INED i
: ~-t OCCURRENCE , $
~EGATE I s
I $
: . ST ATUTORY Li....:-r~.. f
! ~ AceIO;;'" , !
! CiSU.Sf-.poi.~y~..
DiSEASE. EAOH e:MP\.O,,"! $
.'. 1
._.-J
... ~
I
0.._----;
I
I
-j
I
i
. J~A ~MM
::>T'1~q THAN UMBREUA FOAM
I WOIlKEll8 COMPCNGATIOIf AND
! Dl'LOYVl$' UABlUTY
I TWE PROPI't:ETOAI
PAR1N~~~XE~VT~E
OI"l'ICER$ AAE;
O'nlllft
WATERCRAFT LIAB~LITY 81 & PD
CQ2002249
x
i
i
~1/04/97 11/04/98
EACH OCCURAN.$ 500.000
OS$CRlPTION~ OP&.IlATlONS:LOCAlIONS'VEItICLeS"Sl'E04l fTntS
WATER CRAFT RENTAL OPERATION.
CliRTlFlCAlE HOLDER
~DITIONALINSURED
.._'''' 1-,
CITY OF CLEARWATER
25 CAUSEWAY BLVD
CLEARWATER, FL 3436~
5-tOU1.O ANY OF THE A8a,lS O~RIl&O POLICIES se CANCEllED BERlflE THE
iJCl>ItlATlOIIt DATE lHEReol'. THE tSWING COMPANY WIL~' ENOEAVOR TO MAl..
~ DAn "..rrr~ NOTICE to THI CCl'lT1l'lOATC HQi1)EA NAMED TO THE I.Sl'T,
"'" ~AIlUJlE TO _I. 6UC:H NOna; ~L IMPOSli NO OGLlCATIOH 011 UABII.ITV
OF AIIV IONO lIPON T ct:JNPJJlY, rrs AGeNTS 011 REI'FlE5iENTAT1YES.
A\IThOf'Il:!ED ES T E
RPOAAnoN:t993
I
ACORD 26.N (3:"3). .