CERTIFICATE OF LIABILITY INSURANCE (12)
A CORD_ CERTIFICATE OF LIABILITY INSURANCE OP 10 4~ DATE (MM/DDNYYY)
TERKS-4 12/22/05
PRODUCER THIS CERTIFICATE .IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Stahl & Associates Ins., Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
8202 Washington St., Ste. 4 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Port Richey FL 34668
Phone: 727-846-9969 Fax:727-848-4236 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: North Pointe Insurance CO.
INSURER B:
Terks Aluminum Inc. & A-Tech INSURER C:
Construction Inc.
4216 Grand Blvd. INSURER D: ...
New Port Richey FL 34652 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.
LTR INSR[ TYPE OF INSURANCE POLICY NUMBER PD~'4~rri~rJ'g~E p~k~Cl(~~b"cf~N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 500,000
-
A X COMMERCIAL GENERAL LIABILITY 009408610703 12/29/05 12/29/06 PREMISES lEa occurence) $ 100,000
i CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5,000
PERSONAL & ADV INJURY $ 500,000
-
GENERAL AGGREGATE $ 1,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000
I I PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $
ANY AUTO (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
-
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS (Per accident) ..
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=] ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
=:J OCCUR D CLAIMS MADE AGGREGATE $
$
=] DEDUCTIBLE $
RETENTION $ $
__ _ INQBKI;Bs..c.QMfEfI!SATIQN All!!) __ ~~/D~:fls I jOlP' . --,<---
-- --~ --- ------,---- - -~---- ----- -,----- --.-- -- -------- -- ----=----- - ' ----.ER --
-I ""0"'" '."UTI EL. EACH ACCIDENT $
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? EL. DISEASE - EA EMPLOYEE $
If yes, deSCribe under EL. DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
CITYCL1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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
100 South Myrtle Ave.#C-110 REPRESENTATIVES.
Clearwater FL 33756-5520 AUTHORIZED REPRESENTATIVE
Stahl & Associates Insurance
ACORD 25 (2001/08)
@ACORDCORPORATION 1988