CERTIFICATE OF LIABILITY INSURANCE
ACORD.. CERTIFICATE OF LIABILITY INSURANC~l I DATE (MMlDDIYY)
11/29/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Carlisle Fields & Company, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 7910 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Clearwater FL 33758-7910
Phone: 727-797-0441 Fax: 727-725-3663 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Cincinnati Insurance Company
INSURER B: Auto Owners Insurance Company
Humane Societ~ of No. Pinellas INSURER C:
Ms. Leslie Pa terson
711 Fairwood Lane INSURER 0:
Clearwater FL 33759
I 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,
'N~ TYPE OF INSURANCE POLICY NUMBER b~Hf~~65Wyrt: I r;OL11~~~.lS~RATION LIMITS
DATE MMIDDIYVj
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
-
A X COMMERCIAL GENERAL LIABILITY CAP7682912 11/18/01 11/18/04 FIRE DAMAGE (Anyone fire) $ 50,000
I-- .-J CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5,000
"-.-"- - - ---- --------~-,._----~ -'.,-- --._,--- _._-~--- _,n__.__,_ _ .' --,--..--- - -- - - -- -, ---- - - ------ - -"-,- PERSONAL ~AD\lIN,JUHY __ .51,000,000 "
I--
GENERAL AGGREGATE $NA
I--
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000
n n PRO, nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
I-- $ 1,000,000
B ~ ANY AUTO 41180691-01 11/18/01 11/18/02 (Ea accident)
ALL OWNED AUTOS BODILY INJURY
I-- (Per person) $
SCHEDULED AUTOS
I--
HIRED AUTOS BODILY INJURY
I-- $
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000
A ~ OCCUR D CLAIMS MADE CCC4452865 11/18/01 11/18/04 AGGREGATE $1,000,000
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I TORY LIMITS I IUEt'
ER
EMPLOYERS' LIABILITY E,L, EACH ACCIDENT $
- ---_._--~------ I ,- .. E,L. DISEASE. ,EA EMPL,~~.e.E $
-..--..-,-----,---.,-- C"
E. L. DISEASE - POLICY LIMIT $
OTHER
~"" k.T.J\ ;.... AI ~ ..-.... ...- ~ 1
DES fT"11l)N OF OPERATIONSlLO~Ar.!qt:I~EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS !i'K("- '-" 0.;;;.. .!' ~"l' B
'. , .~~.'-~-.--l ^
", i!'J~/
NOV ~.~ () 2.001 NOV 3 0 2001
~
;
CITY CLERIC D(;YAm'MENT L., ,'""."'..., .~ .J
H.O~;2i>/J j~~D Uh'5j~l"-~ tJ'~:/~~i..v;-~'~tiENT
"'7V r,r:: 1"" "A"""""'OD
CERTIFICATE HOLDER I N I AODITIONAlINSURED; INSURER LETTER: CANCELLATION _.__......""...-"""~".~ "'-'''W.~_..-_. ;;.... .
CITYOFC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA nON
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
-
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Clearwater IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
112 S, Osceola Ave REPRESENTATIVES.
Clearwater FL 33765 ~"j/ (0hJ ~JD
I
ACORD 2505 7/97 v ...... v'" . --- @'ACORDCOlU'ORATION 1988