CERTIFICATE OF LIABILITY INSURANCE (6)S/12/2009 10:00 AM FROM: Vermost Yermost T0: 4626957 PAGE: 001 OF 002
ACCORD,-. CERTIFICATE OF LIAR
PRODUCER Phase- (727) 7484883 Fmc: (727) 577-4991
VERMOST & ASSOCIATES, LLC
14100 U S HWY 19 N SUITE 105
CLEARWATER FL 33764
INSURED
BRUCE LITTLER INC
25 CAUSEWAY BLVD
CLEARWATER FL 33767-2064
DATE ( MYYY)
ILITY INSURANCE 05112/2009
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
INSURERS AFFORDING COVERAGE NAIC 9
INSURER A: Auto4)mors Ins. Co. 18988
INSURER B:
INSURER C:
INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEF
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERI
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLL
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
N5R Ad TYPE OF INSURANCE POLICY NUMBER pOLICY Mpp g'w POLICY IMMIDDNYI LYR W RON
GENERAL LIABILITY 9113016800 04/01/09 04/01110
X COMMERCIAL GENERAL LIABILITY
FT-1 CLAIMS MADE M OCCUR
A
J
GEN'L AGGREGATE LIMIT APPLIES PER:
7 POLICY D PRO- I^;.-
AUTOMOBILE LIABILITY L
ANY AUTO
ALL OWNED AUTOS
SCHEDULED ALTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
ANY ALTO
EXCESS I UMBRELLA LIABILTY
OCCUR ? CLAIMS MADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
A ANY PROPRIMR0PARTNEW6XSCIf1NE
OFFICEIUM6M6ER EXCLUDED?
swa. duenee under
I f-.
`I
r'
U. L'. til 1
siYr??I?i?yE•?f
02124/09 I 02J24/10
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMEN'
GIFT SHOP, INCLUDING ALL ROOMS. THE CITY OF CLEARWATER FL IS NAMED AS ADDITIONAL
OD INDICATED, NOTWITHSTANDING
Fir-ATE MAY BE ISSUED OR
51ONS AND CONDITIONS OF SUCH
LIMITS
EACH OCCURRENCE $ i,000,00()
OMIAOE ro RENTED $ 50
000
PREMISES Ea xaaenee ,
MED. EXP (Any one person) $ 5,000
PERSONAL &ADVINJURY $ excluded
GENERAL AGGREGATE S 1,000,000
PRODUCTS-COMP/OPAGG. S 1,000,000
COMBINED SINGLE LIMIT $
(Es accidert)
BODILY INJURY
(Per pa wnl $
BODILY IN.A62Y S
(Per eccfder'f)
PROPERTY DAMAGE S
(Par occidso)
ALTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
AUTO ONLY: AGO S
EACH OCCURRENCE $
AGGREGATE $
S
6
S
WC STAW-
TORY LAMTS OTHER
100000
E.L. EACH ACCIDENT $ 100,000
E.L. DISEASE-EA EMPLOYEE $ 100,000
E.L. DISEASE-POLICY LIMIT $ 500,000
Y SPECIAL PROVISIONS
NSURED,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED 70 THE LEFT.
CITY OF CLEARWATER FL
25 CAUSEWAY BLVD
CLEARWATER FL 33767-2604
Attention: HARBORMASTER. 462.6957
ACORD 25 (2001/08) Certificate # 10569
1 3 -'.009
i
1
id
John Gay, Vice Pres
0 ACORD CORPORATION 1988