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ALLIGATOR CREEK CHANNEL F DRAINAGE IMRPOVEMENTS - 03-0028-EN - CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE SB OP ID KEYST-108/19/09 THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Fessler Agency-Clearwater HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3165 North McMullen Booth Rd. Clearwater FL 33761-2020 Phone:727-726-3377Fax:727-725-4698 INSURERS AFFORDING COVERAGENAIC # INSURED 20443 INSURER A: Continental Casualty Company 20494 INSURER B: Transportation Insurance Co. FCCI Insurance Company10178 Keystone Excavators, Inc. INSURER C: 371 Scarlet Blvd. INSURER D: Oldsmar FL 34677 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOWHAVE 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. INSRADD'L POLICY EFFECTIVEPOLICY EXPIRATION POLICY NUMBERLIMITS LTRINSRDTYPE OF INSURANCEDATE (MM/DD/YYYY)DATE (MM/DD/YYYY) 1000000 GENERAL LIABILITY EACH OCCURRENCE$ DAMAGE TO RENTED AXX207843285612/01/0812/01/09100000 COMMERCIAL GENERAL LIABILITY$ PREMISES (Ea occurence) X5000 CLAIMS MADEOCCURMED EXP (Any one person)$ 1000000 PERSONAL & ADV INJURY$ 2000000 GENERAL AGGREGATE$ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER:PRODUCTS - COMP/OP AGG$ PRO- X POLICYLOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1000000 $ (Ea accident) BX202466161312/01/0812/01/09 ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT$ ANY AUTOEA ACC$ OTHER THAN AUTO ONLY: AGG$ 1000000 EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE$ BXC205417505912/01/0812/01/091000000 OCCURCLAIMS MADEAGGREGATE$ $ DEDUCTIBLE$ X10000 RETENTION$$ WCSTATU-OTH- WORKERS COMPENSATION X TORY LIMITSER AND EMPLOYERS' LIABILITY Y / N C6085512/01/0812/01/091000000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ OFFICER/MEMBER EXCLUDED? 1000000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under 1000000 E.L. DISEASE - POLICY LIMIT$ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Project: Alligator Creek Channel F City of Clearwater is listed as additional insured CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 10 CITYCL5 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAILDAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Clearwater REPRESENTATIVES. Construction Division AUTHORIZED REPRESENTATIVE 410 N. Myrtle Ave. Clearwater FL 33758 ACORD 25 (2009/01)© 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD