FLORIDA GAS AND ELECTRIC CORPORATION - BID 04-08 - CERTIFICATE OF LIABILITY INSURANCEJanuary 7, 2009
City of Clearwater
Attention: City Clerk
P.O. Box 4748
Clearwater, FL 34618-4748
Re: 2009 Certificate of Liability Insurance
Dear Sir or Madam:
Enclosed is the Certificate of Liability Insurance for Florida Gas & Electric Corporation
for 2009.
If you have any questions or need any changes to your certificate, please contact me at
our Dade City office at 352-567-3430, or you may fax your request for changes to
352-567-3434.
Sincerely,
Joyce J?kubowski
Human Resources Director
Enclosure
8011 Land O'Lakes Blvd., Land O'Lakes, FL 34638-5802
Office: 813-996-0019 Fax: 813-996-2919 Email: hqs@fgecorp.com
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYI?
1/6/2009
PRODUCER (727)521-425,3 FAX: (*727)527-9455 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Northeast Underwriters Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4790 1st Street North ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
St. Petersburg FL 33703 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURERA:CO1On Insurance COIaI an 39993
Florida Gas & Electric, Corp. INSURER B: General Ins Co of America 24732
INSURER C: Travelers Excess&.S`u lus 29696
8011 Land O'Lakes Blvd. INSURER D:Brid efield Casualty Ins 10335
,Land O' Lakes FL 34 638 INSURER E: Hartford Ins. Co. of the 1 38261
C
OVERAGES
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.
AT LIMIT SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
m INSR WADD'L as!) TYPE OF INSURANCE POLICY NUMBER DAATE MWOOr CTIVE DAME MMPbRAT10N LIMIT'S
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
COMMERCIAL GENERAL LIABILITY DREA SE TO RENTocr..urrence) ED $ 100,000
A
[
j CLAIMS MADE [7XOCCUR GL1254503 l/l/2009 1/1/2010 MED EXP An one person) $ 5,000
X $5,000 Ded. per PERSONAL D $ 1,000,000
X Claim GENERAL AGGREGATE $ 2,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: $ 2,000,000
x POLICY PRO- ILI LOC
AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT
1
000
000
X ANYAUTO (Eaacciderd) ,
,
$
B ALL OWNED AUTOS 24CC35959430 _1/1/20019 .; _I/1/.2010 BODILY INJURY
? ?•
1
' '
?
: ?• (Perpersan) $
SCHEDULED AUTOS 1 r .
-
; ,
_
,
,_.
X HIRED AUTOS { L; I - .. ••. BODILY INJURY
X
NON-OWNEDAUTOS
1
(Per accident) $
JAN 12 2009
U C, PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY )'-! ._. ?• ? - - _ AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHERTHAN EA ACC $
1 L AUTO ONLY: AGG $
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000
X OCCUR LICLAIMS MADE AGGREGATE $ 1,000,000
Products/Co leted $ 1,000,000
C DEDUCTIBLE 9K06803096 1/1/2009 1/1/2010 $
RETENTION L10,000
D WORKERS COMPENSATION AND WC S7 M?U- X
EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE
--
E.L. EACH ACCIDENT
$ 1,000,000
OFFICERMIEMBEREXCLUDED? 630-33253 l/l/2009 1/1/2010 E.L. DISEASE - EAEMPLOYEE $ 1,000,000
If yes, describe under
SPECIAL PROVISIONS below
E-L. DISEASE - POLICY LIMIT
$ 1,000,000
E OTHER Equipment- 21MSIT1279 8/31/2008 8/31/2009 Limit- $200,000
Owned/Leased or
Rented
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECW. PROVISIONS
It is agreed the Certificate Holder is named as Additional Insured's with respect to General Liability and Commercial
Auto Coverage.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Clearwater EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Attn : City Clerk 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
PO Box 4748
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
Clearwater, FL 34618-4748
INSURER ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Kenneth Kijowski
ACORD 25 (2001/08)
INS025 (olos).osa
Q ACORD CORPORATION 1988
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