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CERTIFICATE OF LIABILITY INSURANCE (2)7 A CERTIFICATE OF LIABILITY INSURANCE D12/18/2008 PRa.UCER (203)354-6200 FAX (203)354-6480 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Shoff Darby Companies, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 401 Merritt 7, Plaza Level ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Norwalk, CT 06851 INSURERS AFFORDING COVERAGE NAIC # Bethany Gran INSURED TOWER OPTICAL CO INC INSURERA: Hartford Casualty Insurance Co 29424 275 EAST AVENUE INsuRERB: Hartford Underwriters 30104 EAST NORWALK, CT 06855 INSURERC: Multiple Companies 00914 INSURER D: INSURER E: rr%X1PRAn FC THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PULIGY I'tKIUU IINUIU/A I tU. NU I VVi I no irlrvuuvv 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. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 31SBAKV9492 01/01/2009 01/01/2010 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 CLAIMS MADE FR-1 OCCUR MED EXP (Any one person) $ 10,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY P JECT RO LOC AUT OMOBILE LIABILITY 31UECIB9357 01/01/2009 01/01/2010 COMBINED SINGLE LIMIT (Ea accident) $ X ANY AUTO 1,000,000 ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS B X HIRED AUTOS BODILY INJURY (Per accident) $ X NON-OWNED AUTOS PROPERTY DAMAGE id t P $ er acc en ) ( GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY 31SBAKV9492 01/01/2009 01/01/2010 EACH OCCURRENCE $ 2,000,000 X OCCUR ? CLAIMS MADE AGGREGATE $ 2,000,000 A $ DEDUCTIBLE $ HX RETENTION $ 10,00() $ COMPENSATION AND 31WECRJ1379 01/01/2009 0110112010 X WCSTATU- OTH- WORKERS EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 500,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 500 , 00 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VhMULLb r rAULuawrva Re: Municipal Marina The City of Clearwater, Marine & Aviation Department are included as additional insured under the General Liability policy as it relates to operations of the named insured. Hold Harmless Clause per legal contract Except ten (10) days notice of cancellation for non payment of premium* SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30'° DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Clearwater Marine & Aviation Dept j i? BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 20 Causel ay Blvd ; - OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Clearwater, FL 33767 AUTHORIZED RE PRESENTATIVE _-? --- Bethan Gran/GRANB ACORD 25 (2001/08) ©ACORD CORPORATION 1988 -R-0 CERTIFICATE OF LIABILITY INSURANCE 12/18/2008' PRODUCER (203)354-6200 FAX (203)354-6480 Shoff Darby Companies, Inc. 401 Merritt 7 , Plaza Level THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Norwalk, CT 06851 Bethany Gran INSURERS AFFORDING COVERAGE NAIC # INSURED TOWER OPTICAL CO INC INSURERA: Hartford Casualty Insurance Co 29424 275 EAST AVENUE INSURERS: Hartford Underwriters 30104 EAST NORWALK, CT 06855 INSURERC: Multiple Companies 00914 INSURER D: INSURER E: CnVFRAAFR 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. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE IDD POLICY EXPIRATION r)ATr IMMIDDNYI LIMITS GENERAL LIABILITY 31SBAKV9492 01/01/2009 01/01/2010 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 CLAIMS MADE a OCCUR MED EXP (Any one person) $ 10 , 00 A PERSONAL a ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO LOC JECT AUT OMOBILE LIABILITY 31UECIB9357 01/01/2009 0110112010 COMBINED SINGLE LIMIT $ X ANY AUTO (Ea accident) 1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) B 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 $ EXCESSIUMBRELLA LIABILITY 31SBAKV9492 01/01/2009 01/01/2010 EACH OCCURRENCE $ 2,000,000 X OCCUR ? CLAIMS MADE AGGREGATE $ 2,000,000 A $ DEDUCTIBLE $ X RETENTION $ 10 , 00 $ WORKERS COMPENSATION AND 31WECR313 79 01/01/2009 0110112010 - OTH- X WC STATU R lm EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500,000 C OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500 , 00 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDOR5LMtN I I bFLUAL PKUVIS1UNS ;e: Pier 60 'he City of Clearwater, Marine & Aviation Department are included as additional insured under the eneral Liability policy as it relates to operations of the named insured. lold Harmless Clause per legal contract Except ten.(10) days notice of cancellation for non payment of premium* City of Clearwater Marine & Aviation Dept 20 Causelay Blvd Clearwater, FL 33767 ti! L - U L_ J r r^ - %CORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30" DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATII`V'EES..? A}1THORIZED REPRESENTATIVE -? / Bethany Gran/GRANB ©ACORD CORPORATION 1988