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CERTIFICATES OF LIABILITY INSURANCE FOR 2000 AND 2001 [ ~l~Q=~ CERTII;ICATE oJ~~uABILI,.y~~I~NsuRANcE~~"'~"-~l~~~~__~~---~~~-] 07i3(rj2~ob 01 II PRODUCER - m_,_~~~,_,~~~~___~~~~_____ '~--~~THiScERTiFicATE IS ISSUED AS AmMATIER OF INFORMATioN' 'I Al tamura Marsh &: Assoc. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 5829 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clearwater FL 33758-5829 727 - 7 8 5 - 5 6 51 INSURERS AFFORDING COVERAGE INSURED BAND INSURER A: BOOSTERS INC INSURERB POBOX 14923 INSURERC: CLEARWATER, FL 33766 INSURER 0 ~,~,~,____"l,"-:. -7~:-=_3_~~~~,~~~~~~~~~~.~,.~~,.,~~~._, ~.~R~fl~_.~c~~~,_ COVERAGES ~---TH;POLicIEs~~ IN-~~RANCE LISTED BELOW HAVE ~~~~~ ISSUED TOTHE-INSURED-~~M~D~~~~~ ~~~;HE P~L1CY PERIODINDicATEDNOrv\"~H~;~~~'~G " ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR I 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. INSR bIlL TYPE OF INSURANCE POUCY EFFECTIVE POUCY EXPIRATION . .'._ ..~L1~~NU_M~ER~~~~__~.__Dm-l!L~!WYL_ .DA:r!;;(MlIIPPl'fYL__ _~~~.__._.~'MITS " _..'.. . - u-~-;;;~H OCC~~~~~~-E - $ slTo , -oOll'. GENERAL LIABlUTY A FIRE DAMAGE (Anyone fire) 01-CL-407938-6 08/15/00 08/15/01 MED EX? (Anyone person) PERSONAL & !>DV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Par person) HIRED AUTOS BODILY INJURY (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE (Per accident) GARAGE UABIUTY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: EA ACC AGG EXCESS UABIUTY EACH OCCURRENCE OCCUR D ClAIMS MADE AGGREGATE DEDUCTIBLE RETENTION . $ IIVORKERSCOMPENSAtiOl\IJlIIlIr- EMPLOYERS' LIABILITY EL EACH ACCIDENT EL DISEASE -- EA EMPLOYEE EL DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED FAX: 727-562-4825 FAX: 941-955-9397 ~9~~~TI~~~A~~~!:!~~E>!~~__,:=II;;;~~~;;~;~:~~O~CC ,-~ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF CLEARWATER ri-'-ATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL 10 DAYS WRITTEN PO BOX 4748 sA E eEl V E IJIOTlCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO D;~~ ~~ALL CLEARWATER, FL 34611 IMPOSE NO OBLIGATION OR UABlUTY OF ANY KIND UPON THE INSURER. ITS AGENTS OR ~I~~~~~~~~.~. e~$~~~~ ACORD 25-S (7/97) CITY CLERK DEPARTMENT @ ACORD CORPORATION 1988 J[ _J ACORD CERTIFICATE at LIABILITY INSURANCE I PRODUCER Altamura Marsh & Assoc. P. O. Box 5829 Clearwater FL 33758-5829 727-785-5651 Inc. , INSURED I I BOOSTERS INC POBOX 14923 CLEARWATER, FL 33766 727-791-3398 INSURER A: INSURER B: INSURER C: INSURER 0: INSURER E: INSURERS AFFORDING COVERAGE 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 PAlD CLAIMS. INSR TR TYPE OF INSURANCE GENERAL LIABILITY POLICY NUMBER A 01-CL-407938-5 LOC AUTOMOBILE UABIUTY PNY AUTO ALL OWNED AUTOS SCHEDULED AUTOS MAr~ 0 2 20 HIRED AUTOS NON-OWNED AUTOS GARAGE UABlUTY ECEIVED ANY AUTO EXCESS UABIUTY OCCUR D ClAIMS MADE RISK MANAGEMENT DEDUCTIBLE RETENTION WORKERS COMPENBATION AND EMPLOYERS' LIABILITY OTHER I DESCRIPTION OF OPERAnONS/LOCAnONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS II I I i I II ~.=.~~~-~- CERTIFICATE HOLDER CERTIFICATE HOLDER FAX: 727-562-4825 FAX: 941-955-9397 POLICY EFFECTIVE o M IYY 08/15/99 t-:'''<,... 1,''''- vL MAR 0 '7 " ,. . A.! e diQr IS LISTED AS ADDITIONAL INSURED ADDmONAL INSURED; INSURER LETTER: ~=-,--- !i !i CITY OF CLEARWATER ill ~~E:~~A:~:~ FL 34618 I__-,~ ACORD 25-S (7/97) CANCELLATION POLICY EXPIRATION DA MMlDDIYY EACH OCCURRENCE 08/15/00 FIRE DAMAGE (Anyone ft,e) MED EXP (Anyone person) LIMITS EAACC AGG $ PERSONAL & I>JJV INJURY GENERAL AGGREGATE PRODUCTS - COMPJOP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH OCCURRENCE AGGREGATE EL DISEASE. EA EMPLOYEE EL DISEASE - POLICY LIMIT OTH- ER II II II -dI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAnON 10 DAYS WRmEN DATE THEREOF, THE ISSUING INSURER WILL ENOEAVOR TO MAIL NOTICE TO THE CERnFlCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLlGAnON OR LlABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTAnvES. I AUTHORIZEO REPRESENT @ACORDCORPORATION 1988 ~ J ACORD T. CERTIFICATE oj LIABILITY INSURANCE -"~I ',1 02/i(gi20bo ,. -- -IITHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION . ~~ &: Assoe. Ine. ' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE I'i HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER Altamura Marsh P. O. Box 5829 Clearwater FL 33758-5829 727-785-5651 INSURERS AFFORDING COVERAGE I, INSURED t1A!\1U INSURER A: BOOSTERS INC POBOX 14923 CLEARWATER, FL 33766 ~7-791-3398 INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES r--~- '~~---~. .------.--.,---~--.----. 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. ~~ INSR LTR TYPE OF INSURANCE GENERAl LlASIUTY POLICY NUMBER POLICY EFFECTIVE DATE MM/DDIYY EACH OCCURRENCE A COMMERCIAL GENERAL LIABILITY CLAIMS MADE ~ OCCUR FIRE DAMAGE (Anyone fire) 01-CL-407938-5 08/15/99 08/15/00 MEO EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS-COM~OPAGG LOC ANY AUTO COMBINED SINGLE LIMIT (Ea accident) AUTOMOBILE LlASILITY ALL OWNED AUTOS SCHEDULED AUTOS MA;< 0 2 23 BODILY INJURY (Per person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EAACC AGG EXCESS LlASILITY OCCUR o CLAIMS MADE EACH OCCURRENCE AGGREGATE RETENTiON - $ OTH- ER ._.~_,",,-,-~I DEDUCTIBLE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY EL DISEASE - EA EMPLOYEE OTHER ~ EL DISEASE - POLICY LIMIT CERTIFICATE BOLDER IS LISTED AS ADDITIONAL INSURED FAX: 727-562-4825 FAX: 941-955-9397 DESCRIPTION OF OPERA110NSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPEcw. PROI/lSlONS Ii I! I , CE~T;~IC~~!.I~___ - - ~DITIONAL ;NSURED; INSURER LE~~~ MAR 1 0 2000 CITY CI ERK OEPAp'TMENT CANCELLATION I Ii II CITY OF CLEARWATER PO BOX 4748 CLEARWATER, FL 34618 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA110N 10 DAYS WRITTEN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL NOTICE TO THE CER11F1CATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATlON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR , REPRESENTATlVES. . -------=---.-.- ,i AUTHORIZED REPRESENT I ACORD 25-5 (7/97) ,=..::i-o=---=,,"-=-~::...._