CERTIFICATE OF LIABILITY INSURANCE (74)ACORD ,,
20DUCER `
AON RISK SERVICES NORTHEAST, INC.
NEW YORK NY OFFICE
55 EAST 52ND STREET
NEW YORK NY 10855
TELEPHONE: (866) 266-7475
FAX: (866) 467-7847
ISURED
#2341-LEXUS OF CLEARWATER
27547 US HIGHWAY 19 NORTH
CLEARWATER, FL 33761
ISA H08250753
i
THIS IS TO CERTIFY THAT 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 B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY EXPIRATION
R TYPE OF INSURANCE POLICY NUMBER DATE (MMIDOIYY) DATE (MMIDD/YY)
GENERAL LIABILITY HDO G2 3748666 01/01/2009 01/01/2010
X COMMERCIAL GENERAL LIABILITY HDOG23748629 01101/2009 01/01/2010
CLAIMS_ MADE OCCUR
OWNER'S & CONTRACTOR'S PROT
X PRODUCTS & COMP/OPS
1 AUTOMOBILE LIABILITY
X ANY AUTO
X ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
GARAGE LIABILITY
X ANY AUTO
X GARAGEKEEPERS LEGAL
LIABILITY
I EXCESS LIABILITY
X UMBRELLA FORM
X OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ X INCL
PARTNERSII '.TIVE
OTHER
SCRIPTION
ISA H08250935
2213815
COMPANY ACE AMERICAN INSURANCE CO.
A
COMPANY LEXINGTON
B
COMPANY
C
COMPANY
D
1 /2009 ._ ......_0.1/01 /2010
JAN - 2 009
01101/2009 01/01/2010
01/01/2009 1 01/01/2010
NLR C4 4358931 01 /01/2009 01/01/2010
LIMITS
GENERAL AGGREGATE $
PRODUCTS - COMP/OPAGG $ 2,000,000
PERSONAL & ADV INJURY $
EACH OCCURRENCE a 1,000,000
FIRE DAMAGE (Any one fire) S
MED EXP (Any one person)
COMBINED SINGLE LIMIT $
$
2,000,000
BODILY INJURY
(Per Person) $
BODILY INJURY
(Per accident) $
PROPERTY DAMAGE
AUTO ONLY - EA ACCIDENT $
$
OTHER THAN AUTO ONLY:
EACH ACCIDENT $ 1,000,000
AGGREGATE
EACH OCCURRENCE $
$
5,000,000
AGGREGATE $ 5,000,000
X WC STATU- 1..
11
ER $
EL EACH ACCIDENT $ 1,000,000
EL DISEASE - POLICY LIMIT $ 1,000,000
91 .SEAS.. EA?EMPCO-YEE-=4:.: - -. 1,000,000 -:.
MOOTH JAZZ FEST ON APRIL 18-19,2008 AT COACHMAN PARK IN
LEARWATER. CERTIFICATE HOLDER IS INCLUDED AS AN ADDITIONAL INSURED AS PER
DLICY AS REQUIRED BY THE TERMS OF A WRITTEN AGREEMENT BETWEEN THE PARTIES.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
THE CITY OF CLEARWATER EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
112 S. OSCEOLA AVE. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
CLEARWATER, FL 33756 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES,
e11TUnRUM REPRESENTATIVE OF AON RISK SERVICES, INC. OF NY
12/23/2008..
Serial # 505904 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.
COMPANIES AFFORDING COVERAGE
I = 10243301
4, CORPORA 7m'
25.5 ?alsS? i
JTONATION. INC. DEALERS-2000 2AUTONATION DEALERSHIP MAIN CERT SET 0809 .FPS
AutoNation, Inc., / Dealerships / Collision Centers
. Evidence of Liability Coverages
For Future access to coverage information available 24/7 for AutoNation, Inc. please access
our memorandum of insurance on the internet via the link below.
The 2009-2010 AutoNation Memorandum of Insurance is currently posted and available via
Aonline.
URL: https:Haonline.aon.com
User Name: MOIAutoNation
Password: ANInc233
Note: Password is case sensitive.