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CERTIFICATE OF LIABILITY INSURANCE (8)s !?,W CERTIFICATE OF LIABILITY INSURANCE OP IDDU DATEIMMR70NYYY1 CLEARI7 06/17/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown s Brown Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 17757 Us Highway 19 N, Ste 660 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.o. Box 2456 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clearwater FL 33757-2456 Phone: 727-461-6044 Fax: 727-442-7695 INSURED Clearwater Golf Associates Inc 1875 Airport Drive Clearwater FL 33765 COVERAGES INSURERS AFFORDING COVERAGE I NAIC # INSURERA I --I L-- c 10385 INSURER B. American Economy Ins- Co. 19690 INSURER C; I NSUiER D INSURER E THE POLICIES OF INSURANCE LISTED 6ELOW HAVE BEEN 166UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT WITHSTANDING ANY REQUIREMENT TERM ON CONDITION OP ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY ug ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIE6 DESCRI BED HEREIN 16 SUBJECT TO ALL THE TERMS. EXCLUSION 6 AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 'L POLICY EFFECTIVE POLICY EXPIRATION LTR NSRD TYM OFIN6URANCE POLICY NUMBER DATE IA?II,GD/YYYYI DATE INNIIQD'YYYYI LIMITS OENERAL LIABILRY EACH OCCURRENCE n 5 1000000 B X Gumw CIAL GENERAL LIABILITY 02CE07957860 06/17/09 06/17/10 DAMAGE TO RENTED PREMISES ce. eee -1 S 1000000 CLAIMS MADE F OCCUR MED EXP(My-I-a 5 10000 PERSONAL S AM INAIRY 5 1000000 X Liquor Liability 02CE07957860 06/17/09 06/17/10 GENERAL AGGREGATE s 2000000 - - GEN% AGGREGATE LIMIT APKIESP 11 PRODUGT5,GQMP,'OPAGG 5 2000000 P R O• POLICY J LOL E GT AUTO MOBILE LIABILITY COMBINED BINDLE LINTY B ANY AUTO 02CE07957860 06/17/09 06/17/10 (E°a`" II 5 1000000 ALL OWNED AUTOS BODILY WJJRY IPor ?,wn) S 6GHEW LED AUTOS X HIRED AUTOS BODILYINJURY X NON-OWNEDAUTOS _ 1P.? t) 1 PROPERTY DAMAGE ` IPn Aee Q 5 GARAGE LIABILITY / - I AUTO ONLY - EA ACCIDENT S ANY AUTO , OTHERTHAN EAACC S 1 Y AUTO ONLY. AUG 5 EXCESS/ NMBRELlA LIABILITY I f.., -_ -'-I-' 5 EACH OCCURRENCE 5 OCCUR ? LLAIMSNADE AGGREGATE 5 5 DE W CTIBLE 5 RETENTION 5 5 WORKERS COMPENSATION D AND EMPLOYERS' LIABILITY X TORY LIRA T6 Ery A Y I N ANY PROPRIETORPARTNLRLEXlwmE ? WC84000161062009A 03/17/09 03/17/10 E.L. EACH ACCIDENT 5 100000 OFFlCgRA7IEMBER dXrLVD507 LMardylRry In NMI E.L. DISEASE - EA EMPLOYEE S 100000 IlyeA. ?w1Ac uMor SPECIAL PROVISIONS ba E, L. DISEASE-POLICY LIMIT s 500000 OTHER UtSU IRV NON OF OPERA TIONS I LOCATIONS I V[HICLE51 EXCLUMON5 ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULDANY OFTME ABOVE DESCRIBEOPOLICIES BE CANCELLED BEFDRETHE EXPIRATION CITYOFC DATETNEREOF,TNE LSSUINO INSURER YOLLENDEAVDRTO MAIL NOTICE TO THE C ERTIFICATE HOLDER NANEDTO THE LEFT, BUT FALURE TO OO 90 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY IOND UPON TNEINSURER, ITS AGENTS OR City of Clearwater REPReSENTAmeS. P.O. Box 4748 30 DAYS WRITTEN AITTHOM2® PRESBIT E Clearwater FL 33758-4748 ACORD 25 (2009/01) r. I V ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SU BROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)- DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009/01)