CERTIFICATE OF INSURANCE (11)
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THIS CERTIFICATE IS ISSUED AS A ~TT
ONLY AND CONFERS NO RIGHTS . U;r.o'l
HOLDER. THIS CERTIFICATE DOES Nd
ALTER THE
GRIMCRA3
...
Client#: 6108
ACDRIJr.. CERTIFICATE OF LIABILITY INSURANCE,
Suncoast Insurance Associates
P.O. Box 22668
Tampa, FL 33622-2668
813289-5200
INSURED
(3rimail Crawford, Inc.
5444 Bay Center Dr., Suite 204
Tampa, FL 33609
INSURER A: St. Paul Fire & Marine
INSURER B: Liberty Insurance Underwriters
INSURER C:
INSURER 0:
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 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.
NSR TYPE OF INSURANCE POLICY NUMBER "g~.fl,:~gg~~ P~~;.r 1~':J~reN LIMITS
LTR
A GENERAL LIABILITY BK01231322 10/14/03 10/14/04 EACH OCCURRENCE $1 000 000
-
X. COMM ERCIAL GENERAL L1AB ILlTY FIRE DAMAGE (Anyone fire) $300 000
- =:=J CLAIMS MADE W OCCUR MED EXP (Anyone person) $10.000
PERSONAL & ADV INJURY $1.000.000
-
GENERAL AGGREGATE $2.000.000
-
GEN'L AGGREGATE LIM IT APPLIES PER: PRODUCTS - COM PlOP AGG $2.000.000
I POLICY n P'f'p,: n LOC
A AUTOMOBILE LIABILITY BK01231322 10/14/03 10/14/04 COMBINED SINGLE LIMIT
- $1 ,OO~,OOO
ANY AUTO (Ea accidenl)
-
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
- SCHEDVLED AUTOS
~ HIRED AUTOS BODILY INJURY
$
~ NON-OWNED AUTOS (Per accidenl)
- PROPERTY DAMAGE $
(Per accident)
~RAGE LIABILITY AUTO ONLY- EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
UOCCUR D CLAIMS MADE AGGREGATE $
r~
$
R DEDUCTIBLE I / $
RETENTION $ $
A WORKERS COMPENSATION AND WVA7753374 07 OS/22/05 1-(VC STATU- I IOl~-
EMPLOYERS' LIABILITY $100,000
E.L EA ~H ACCIDENT
E.L. DI~ EASE. EA EMPL OYEE $100,000
! E.L rlSEASE - POLICY LIMIT $500,000
B OTHER AEE197221-0104 05/2~/04 05/29/05 ,){ooo,ooo Each Claim
Professional 1,000,000 Ann Aggr
..iability
"......",." o....."'.....,"''''.''''''''''''''a.,,~., ~'" ~ '"".-.... O~ ''''''''''/
Professional Libility is written on a claims made and reported basis.
,
CERTIFICATE HOLDER I I ADDmoNALINSURED'INSURERLETTER: CANCELLATION
SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Clearwater DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3D....- DAYS WRITTEN
Engineering Department NOllCETOTHE CERllFICATE HOLDER NAMED TOTHELEFT, BUTFAlLURE TODOSOSHALL
Suite 220 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR
PO Box 4748 REPRESENTATIVES.
Clearwater, FL 33758-4748 AUTHORIZED REPRESENTATIVE
I JJ-;I h'o.. ~~ 10 ...~
ACORD 25-S (7/97)1 of 2
#M89272
KHK
@ ACORD CORPORATION 1988