CERTiFICATE OF LIABILITY INSURANCE (3)
APR-~~2005~ 08:36
TO: 4625957
P.l
. ,. "
t ACORD",
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PRODUCER
DAY MARK MARINE, INC.
P. O. BOX 46564
PASS A GRILLE BEACH, FL 33741
800.230.0555
DATE (MMlDDIV'l') ~,
040105 ~..
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON llfE CERTIFICATE
HOLDER. THIS CER.TIFlCATE DOES NOT AMEND, EXTEND OR
ALteR THE COVERAGE AFFORDED BY nte POUCIES BELOW.
COMPANIES AFFORCING COVERAGE
COM~t\NY NATIONAL FIRE & MARINE
INSUReD
WAVEJAMMERZ, INC
466 PURPLE FINCH WAY
PALM HARBOR, FL 34683
COMP....NY
B
COMPIl.NV
C
COMPANY
D
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THIS IS 10 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOlWlTHSTANDlNG 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LlR
TYPE OF INSURANCE
POUCYNUMElER
POLICY EFFECTIVE POLICY EXPIRA'TION
DAlE (MM'DOI'YY\ DAlE lMM/DDIYYJ
UNITS
A GENERAl. UABlUlY
CONMERCIAl GENERAL UABILITY 72LP159360
CLAIMS MADE [K] OCCUR
OWNER'S & CONTRACTOR'S MOT
X WATERSPORTS LlA ILlTY
040105
040106
GENERAL AGGREGATE
PRODUCTS-COMProPAGG
PERSONAL & AOV INJURY
EACH OCCUARENCE
FIRE DAMAGe IAny on. ft,.) $
MED EXP (AJrf _ p......n $
AUTOMOBILE UASlUTY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
OOMBINED SINGLE LIMIT $
REC IVED
APR 0
BODII. Y INJURY
IPer IlIlISCnl
$
Op:/CIAl REC
,~ '"'
SOOl1. V INJURY
(f'BI'il~)
$
PROPE.RTY DAIoIIAGE
$
EXCESS L1ABIUTV
UMBRel.LA FORM
OTHER THAN UMBREUA FORM
WORKERS COMPENSA1lON AND
EMPLOYERS' UABILIlY
AUTO ONI.V - eA ACCIOEN'T $
OTHER 'KAN AlJTO ONLY
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
C3AAAGEI LlABIUTY
A~ AUTO
ACGRECATE
$
THE PRO?RIETORl
PARTNEFlSJe)(ECUTlYE
OFFICERS ARE:
OTHER
lNeL
EXCL
EL EACH ACCIOENT $
EL DISeASE - POLICY LIMIT $
EL DISEASE - SA EMPI.OYES $
CllY OF CLEARWATER, CITY MARINA
25 CAUSEWAY BD
CLEARWATER, FL 33767
SHOULD "NY OF nc .P.BOVe DeSCRiBeD POLICIE:S III! CANCELLeD BefORE THE
EXPlRAllON DATE lHEREOF, THE I56UlNG COMPANY WILL ENDfAVOR TO MAIL
30 DAYS WRmu NOTICE TO THE CERllFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURe TO NAIL SUCH NonCE SHALL IMPOSE NO OBLlGAl1ON OR LlABlLllY
OF ANY KINO IIPOI\I THe MP ITS IlOENTS OR REPRt!SeNTATIVES,
AlJTtfORIZED Ref> S lATIV DA VI C IGLEY
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