Loading...
ALLIGATOR CREEK CHANNEL G (FAIRWOOD FOREST) DRAINAGE IMPROVEMENTS - 03-0023-EN - CERTIFICATE OF LIABILITY INSURANCECERTIFICATE OF LIABILITY INSURANCE OP ID SB AcoR? DATE(MMIDDIYYYY) TM KEYST 1 12/24/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Fessler Agency-Clearwater HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3165 North McMullen Booth Rd . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clearwater FL 33761-2020 Phone :727-726-3377 Fax :727-725-4698 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Continental Casualty Company 20443 INSURER B: Transportation Insurance Co. 204940 Keystone Excavators Inc. INSURER C: FOCI Insurance Company 10178 , 37I Scarlet Blvd . Old m r FL 34677 INSURER D: s a INSURER E: COVERAGES 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 MAYBE 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. LTR INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ l O O O O O O A X X COMMERCIAL GENERAL LIABILITY 2078432856 12/01/08 12/01/09 PREMISES (Eaoccurence) $100000 CLAIMS MADE ? OCCUR MED EXP (Any one person) $ S O O O PERSONAL&ADVINJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 O O O O O O POLICY PRO- LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ X ANY AUTO 2024661613 12/01/08 12/01/09 (Ea accident) $ 1000000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GA RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC OTHER THAN $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ l O O O O O O $ X OCCUR ? CLAIMSMADE 02054175059 12/01/08 12/01/09 AGGREGATE $1000000 DEDUCTIBLE $ X RETENTION $1 O O O O $ WORKERS COMPENSATION AND X W TATU- TH- TORYLIMITS ER C EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE 46669 12/01/08 12/01/09 E.L. EACH ACCIDENT $1000000 OFFICERIMEMBEREXCLUDED? E.L. DISEASE-EA EMPLOYEE $ 1000000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Project: Alligator Creek Channel G Fairwood Forest Drainage Improvement Project #(03-0023-EN) Certificate holder is listed as additional insured CERTIFICATE HOLDER CANCELLATION CITYCL2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Clearwater IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO BOX 4 7 4 8 REPRESENTATIVES. Clearwater FL 33758 AU 0 IZED PR NTA ACORD 25 (2001108) ? ©ACORD CORPORATION 1988