The URL can be used to link to this page

CERTIFICATE OF LIABILITY INSURANCE (119) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/22/2009 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION (407)849-0333 FAX: (407)425-5694 PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE George Eidson Agency, Inc. dba Eidson HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 540209 2807 Edgewater Dr OrlandoFL32854 INSURERS AFFORDING COVERAGENAIC # American Casualty INSURED INSURER A: Reiss Engineering, Inc.Auto-Owners InsuranceAMB#00188 INSURER B: Reiss Environmental, Inc.Continental Casualty INSURER C: 12001 Research Parkway, Suite 228 Transportation InsuranceAMB#02131 INSURER D: OrlandoFL32826National Casualty 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. POLICY EFFECTIVEPOLICY EXPIRATION INSRADD'L LIMITS TYPE OF INSURANCEPOLICY NUMBER DATE (MM/DD/YY)DATE (MM/DD/YY) LTRINSRD 1,000,000 GENERAL LIABILITY $ EACH OCCURRENCE DAMAGE TO RENTED X 100,00 $ COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) AX 9/21/2010 9/21/200910,000 2075095657 $ CLAIMS MADEMED EXP (Any one person) OCCUR 1,000,000 $ PERSONAL & ADV INJURY 2,000,000 $ GENERAL AGGREGATE 2,000,000 $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG PRO- X POLICYLOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 $ (Ea accident) X ANY AUTO B 8/19/2010 8/19/2009 4472389700 ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY $ X (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO$ EA ACC OTHER THAN AUTO ONLY: $ AGG 1,000,000 EXCESS/UMBRELLA LIABILITY $ EACH OCCURRENCE X 1,000,000 $ OCCURCLAIMS MADE AGGREGATE $ C 9/21/2010 9/21/2009 2091445161 $ DEDUCTIBLE X 10,000 $ RETENTION$ WC STATU-OTH- DX WORKERS COMPENSATION AND TORY LIMITSER EMPLOYERS' LIABILITY 1,000,000 $ E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE 9/21/2010 OFFICER/MEMBER EXCLUDED?9/21/20091,000,000 WC275094668 $ E.L. DISEASE - EA EMPLOYEE If yes, describe under 1,000,000 $ E.L. DISEASE - POLICY LIMIT SPECIAL PROVISIONS below D 7/9/2010 Professional7/9/2009 OTHER ARO0002855 Limits of Liability: Liability-ClaimsEach Claim Deductible: $5,000. $2,000,000 Made Cov.Aggregate $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Clearwater EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Attn: City Clerk 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT P.O. Box 4748 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Clearwater, FL 33758-4748 INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Michaela Bernier/MB1 ACORD 25 (2001/08)ACORD CORPORATION 1988 © INS025 Page 1 of 2 (0108).08a 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 SUBROGATION 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 The Certificate of Insurance on the reverse side of this form 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 (2001/08) Page 2 of 2 INS025 (0108).08a