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CERTIFICATE OF INSURANCE MARSH CERTIFICATE NUMBER CH 1-00 1119553-0 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE PRODUCER MARSH USA INC. 500 WEST MONROE STREET CHICAGO,IL 60661 Attn: HAZEL WEAVER 312-627-6914 54290---04/05 72022 COMPANY A ACE AMERICAN INSURANCE COMPANY INSURED STANDARD PARKING CORPORATION ATTN: JOANNE PEPPER 900 NORTH MICHIGAN AVENUE - SUITE 1600 CHICAGO, IL. 60611 Phone: 312-274-2198 Fax: 312-640-6173 COMPANY B NATIONAL UNION FIRE INSURANCE CO OF PITTSBURGH COMPANY C COMPANY D :"'.li\.~~MYi_~I~.I~,iU!ifl~.fOf.'lt!8j~I~~~~~Pw:';l:!i4I;t:,~Wli THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED.BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR A GENERAL LIABILITY TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GARH07944834 01/01/04 01/01/05 GENERAL AGGREGATE PRODUCTS - COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE COMBINED SINGLE LIMIT $ 2,000,000 $ $ 2,000,000 $ 2,000,000 $ 1,000,000 $ $ $ $ $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE [8] OCCUR OWNER'S & CONTRACTOR'S PROT X CONTRACTUAl liABiliTY X PER LOCATION AGGREGAT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS BODILY INJ URY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE A GARAGE LIABILITY X ANY AUTO X GARAGEKEEPERSLEGAL ,000,000 LIMIT EXCESS LIABILITY GARH07944834 01/01/04 01/01/05 AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: A A XOO G2180874A 01/01/04 01/01/05 AGGREGATE EACH OCCURRENCE EACH ACCIDENT $ $ $ $ $ 2,000,000 2,000,000 25,000,000 25,000,000 GARH07944755 01/01/04 01/01/05 A A X UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY AGGREGATE WRLC 43961548(AOS) SCFC 43961585(WI ONLY) 01/01/04 01/01/04 01/01/05 01/01/05 EL DISEASE-POLICY LIMIT EL DISEASE-EACH EMPLOYEE $ THE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE: THER B CRIME X INCL EXCL 006616391 SII RETENTION $10,000. 01/01/04 01/01/05 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS LOC: #72022 - CLEARWATER BEACH-PIER 60 LOT The Policies listed above provide first dollar insurance coverage. Insurance charges will include all applicable premiums and costs, as well as retained exposure charges established by the Named Insured. THE CITY AND ITS EMPLOYEES, AGENTS, DIRECTORS AND OFFICERS ARE INCLUDED AS Additional Insured on the General and Garage Liability in accordance with the terms of Additional Insured Endorsement on CITY OF CLEARWATER ATTN: GEORGE MCKIBBEN, PURCHASING MANAGER 100 SOUTH MYRTLE AVENUE CLEARWATER, FL 33758-4748 SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL ----3.0. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILI1Y OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE. (;1;'\1................', )L, PRODUCER MARSH USA INC. 500 WEST MONROE STREET CHICAGO,IL 60661 Attn: HAZEL WEAVER 312-627-6914 COMPANY E COMPANY F 254290---04/05 72022 INSURED COMPANY STANDARD PARKING CORPORATION A TIN: JOANNE PEPPER 900 NORTH MICHIGAN AVENUE - SUITE 1600 CHICAGO, IL. 60611 Phone: 312-274-2198 Fax: 312-640-6173 G COMPANY H CONTINUED FROM DESCRIPTION SECTION: the policy. .1.llm~'r!~~IBl~:.~~A.1 ~::I..I.~~~:i~:llllli!Il:!lllllll~;::j:lj 1M (...... .... li?!'I: :~~I~~ii~i~lliiil..lk;"diml:l'll CITY OF CLEARWATER ATTN: GEORGE MCKIBBEN, PURCHASING MANAGER 100 SOUTH MYRTLE AVENUE CLEARWATER, FL 33758-4748 ~...,:' "< ;,>,)i; i;;\:;U:~"': MARSH USA INC. BY