DOWNTOWN BOAT SLIPS - 06-0033-MA - CERTIFICATE OF INSURANCE
ACORD
CERTIFICATE OF INSURANCE ISSUE DATE
TM 09124/2008
PRODUCER This certificate is issued as a matter of information only and confers no rights
MCGRIFF
SEIBELS & WILLIAMS OF TEXAS
INC upon the Certificate Holder. This Certificate does not amend, extend or alter the
,
10375 Richmond Avenue-Suite 1700 ,
. coverage afforded by the policies below.
Houston, TX 77042-4143
713-877-8975 COMPANIES AFFORDING COVERAGE
Com
pany Fireman's Fund Insurance Co
A
INSURED Company Navigators Ins. Co.
Misener Marine Construction Inc. B
5600 W. Commerce Street
Tampa, FL 33616 Company Illinois National Insurance Company
C
Co Dany United States Fidelity and Guaranty Co.
Co E any Signal Mutual Indemnity
This is to certify that the 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 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, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims.
CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY
LT EXPIRATION
A GENERAL LIABILITY OML99030133 07101/2008 EACH OCCURRENCE $ 1,000,000
D Commercial General Liability 07101/2009 FIRE DAMAGE $ 1,000,000
? Claims Made Q occurrence
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d C MEDICAL EXPENSE $ 5,000
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0 Pollution Sudden
PERS. AND ADVERTISING INJURY
$ 1,000,000
Q Incl Contractual GENERAL AGGREGATE $ 2,000,000
General Aggregate Limitapplies per: PRODUCTS AND COMP. OPER. AGG. $ 1,000,000
0 Policy ? Project ? Location
C AUTOMOBILE LIABILITY CA 4576330 07101/2008 COMBINED SINGLE LIMIT $ 1,000,000
DAnyAutomobile 07101/2009 BODILY INJURY Per erson $
? All Owned Automobiles
$
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d BODILY INJURY Per accident
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Q Hired Automobiles PROPERTY DAMAGE Per accident $
Q Non-owned Automobiles COMPREHENSIVE $2500 deductible
Q Leased COLLISION $2500 deductible
D WORKERS' COMPENSATION D274W00591 10101/2008 WC Statutor Limit X Other
AND EMPLOYERS' LIABILITY 10101/2009 EL EACH ACCIDENT $ 1,000,000
EL DISEASE Each em to ee $ 1,000,000
EL DISEASE Polic Limit $ 1,000,000
A EXCESS LIABILITY OXL990301341 07101/2008 EACH OCCURRENCE $ 20,000,000
B X? occurrence ?Claims Made 08L2027-01 07101/2009 AGGREGATE $ 20,000,000
E USL&HIJONES ACT 19100 10101/2008 Each Occurrence $ 10,000,000
10101 /2009 $
RE: Clearwater Downtown Boat Slips, Coachman Park at Cleveland Street.
City of Clearwater is named as Additional Insured (except in respect of Workers Compensation) as required by written contract, subject to policy terms,
conditions, and exclusions. Waiver Of Subrogation in favor of City of Clearwater is provided as required by written contract, subject to policy terms, conditions,
and exclusions.
CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
Authorized Representative
City of Clearwater
100 S. Myrtle Avenue
Clearwater, FL 33756
Page 1 of 1 Certificate ID # 5S1 J5DZL