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CERTIFICATE OF INSURANCE (2) ACORDN CERTIFICATE OF LIABILITY INSURANCE OP ID R DATE (MMlDDIYYYY) YOUNG-8 10 05 04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DE>ES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER Carlisle Fields &: Company, Inc P.O. Box 7910 Clearwater FL 33758-7910 Phone:727-797-0441 Fax:727-725-3663 INSURERS AFFORDING COVERAGE NAIC# INSURED Young Women's Christian Assn Of Tampa Bay 655 Second Avenue South St. Petersburg FL 33701 INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: Zenith Insurance Company Markel Insurance Company Progressive Commercial 10193 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 MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES ClESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR[ TYPE OF INSURANCE POLICY NUMBER PD<1~~jJ~DE8tW;E P8k~CEY(ij~b~J!...~N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 I- 10/01/04 10/01/05 PREMISES (Ea occurence) B COMMERCIAL GENERAL LIABILITY 3602SS258399 $ 100000 I-- =:J CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5000 I-- PERSONAL & ADV INJURY $ 1000000 I- GENERAL AGGREGATE $ 3000000 I-- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $ 3000000 h n PRO- nLOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 1000000 C ANY AUTO 04743612-1 10/01/04 10/01/05 (Ea accidenl) - ALL OWNED AUTOS BODILY INJURY - (Per person) $ X SCHEDULED AUTOS - HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS (Per accident) - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ =l ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ , EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 B =:J OCCUR D CLAIMS MADE 4602SS258161 10/01/04 10/01/05 AGGREGATE $ 1000000 $ ~ DEDUCTIBLE $ RETENTION $10000 $ WORKERS COMPENSATION AND I TORY LIMITS I IUER'- A EMPLOYERS' LIABILITY Z049904501. 06/24/04 06/24/05 E.L. EACH ACCIDENf $500,000 ANY PROPRIETOR!PARTNER!EXECUTIVE OFFICER!MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $500,000 If yes, describe under E.L. DISEASE. POLICY LIMIT $500,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SIDNE-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ 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 REPR PORATION 1988 Sid Klein Chief 0 fpolice Clearwater Police Dept 645 pierce Street Clearwater FL 33756-5414 ACORD 25 (2001108) ACORDm CERTIFICATE OF LIABILITY INSURANCE OP ID R DATE (MM/DDIYYYY) YOUNG-8 10 05 04 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. PRODUCER Carlisle Fields &: Company, Inc P.O. Box 7910 Clearwater FL 33758-7910 Phone:727-797-0441 Fax:727-725-3663 INSURERS AFFORDING COVERAGE NAIC# INSURED Young Women's Christian Assn Of Tampa Bay 655 Second Avenue South St. Petersburg FL 33701 INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: Zenith Insurance Company Markel Insurance Company Progressive Commercial 10193 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 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRC TYPE OF INSURANCE POLICY NUMBER PD9..1'~~J~t6tW;E Pgk~CEY(~~b~J!,.~N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 - B COMMERCIAL GENERAL LIABILITY 3602SS258399 10/01/04 10/01/05 PREMISES (E~~~~u~~nce) $ 100000 I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 5000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 3000000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3000000 ~ n PRO. nLOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 1000000 C ANY AUTO 04743612-1 10/01/04 10/01/05 (Ea accident) ~ ALL OWNED AUTOS BODILY INJURY - $ X SCHEDULED AUTOS (Per person) - HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS (Per accidenl) I-- f---- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ q ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 B ~ OCCUR D CLAIMS MADE 4602SS258161 10/01/04 10/01/05 AGGREGATE $ 1000000 $ =1 DEDUCTIBLE $ RETENTION $10000 $ WORKERS COMPENSATION AND I TORY L1MmS I IUEft A EMPLOYERS' LIABILITY Z049904501 06/24/04 06/24/05 E.L. EACH ACCIDENT $500,000 ANY PROPRIETOR!PARTNER!EXECUTIVE OFFICER!MEM8ER EXCLUDED? E.L. DISEASE - Ell. EMPLOYEE $500,000 ~~~~I~is~~~v':sf6~s below E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is listed as an additional insured. -' CERTIFICATE HOLDER CANCELLATION Clearwater Police Department Chief Of Police Sid Klien 645 pierce Street Clearwater FL CLEARW6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ 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 ACORD 25 (2001/08) PORATION 1988