ISLAND ESTATES CIVIC ASSOCIATION INC / CERTIFICATE OF INSURANCE
ACORD,.
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CERTIFICATE OF LIABILITY INSURANCE
OP ID MM
ISLAN-7 03/11/03
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.
DATE (MMIDDIYY)
PRODUCER
Carlisle Fields & Company, Inc
P.O. Box 7910
Clearwater FL 33758-7910
Phone: 727-797-0441
Fax: 727-725-3663
INSURERS AFFORDING COVERAGE
INSURED
~RERA:
Cincinnati Insurance Company
Strickland General Agency
INSURER B:
Island Estates Civic Assoc.,
Inc.
P.O. Box 3154
Clearwater FL 33767
INSURER c:
INSURER D:
"""'-"ER",
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCV PERIOD INOfCATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTlFtCATE MAY BE tsSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY Tl-lE POLICIES DESCRJBED HEREIN IS SUBJECT TO ALL THE TERMS. EXa..ustONS AND CONDmONS OF SUCH
- -- -POi..iCiES~-AGGREGATE-iJMfTSSHOWN~'Y HAVe~eNREDucED-BYP"Alo-C1A.lM~ --- -------------... ----.------------------- -~--~--- ."m_o__
INSR POUCY EFFECTIVe POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMJDDIYV) DATE (MM/ODfYV) LIMITS
GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000
-
A X COMMERCIAL GENERAL LIABILITY CAP7869968 01/14/03 01/14/06 FIRE DAMAGE (Any one f1n1) $ 100,000
- ~ ClAIMS MADE e!] OCCUR
I-- MEO EXP (Any one person) $ 5,000
PERSONAL & AfN INJURY $ 1,000,000
f--
GENERAL AGGREGATE $ R/A
f--
GEN'1. AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMPIOP AGO $ 2,000,000
n POliCY nPRo.. nLOC
JECT
AUTOMOBILE UABILlTY COMBINED SINOI.E LIMIT
f-- $
ANY AUTO (Eaaccldent)
I-- ~.~ -
ALL OWNED AUTOS , BODILY INJURY
f-- $
SCHEDULED AUTOS i (........-1
f-- ,', ......
HIRED AUTOS t BODilY INJURY
I-- $
NON-QWNED AUTOS 12~ }b (Per accident)
f-- .MAR
I-- PROPERTY DAMAGE $
I : (Per aocIdent)
GARAGE LIABILITY PA'RKS~ REQAE, nON AUTO ONLY 4 EA ACCIDENT $
R ANY AUTO - ,
OTHER TliAN EA ACC $
AUTO ONLY: AGG $
EXCESS UABILITY EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
I. RETENTION $ $
T we STATU- 1 10TH.
WORKERS COMPENSATION AND TORY LIMITS ER
EMPLOYERS" LIABILITY
E.I.. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.I.. DISEASE - POLICY LIMIT $
OTHER
B D&O EPP3206865 06/28/02 06/28/03 Liability $1,000,000
,.
DESCRIPTION OF OPERATlONSILOCATlONSNEHICLESIEXCLUStONS ADDED BY ENEKfBEMENTISPECIAL PR<MSIONS
City of Clearwater is listed as additional insured for General Liability.
CERTIFICATE HOLDER I y I ADDI110NAL INSURED; WSURER LETTER: CANCELLATION
CITYC-1 SHOULD ANY OF THE ABOVE DESCRIBED POlICtES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUiNG INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN
-
NOTICE TO THE CERTIFICATE HOLDER NAMED TO TIfE LEFT, BUT FAILURE TO DO SO SHALL'
City of Clearwater
IMPOSE NO OBLIGATION OR UABlLrTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Dept of Parks & Rec
P.O. Box 4748 REPRESENTATIVES.
Clearwater FL 33758 ~"fJ (rrh I ~ 10
I
ACORD 25-S 7/97 V ..... -~, ~V' ~ACoFfD CO'lWORATION 1988
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