CERTIFICATE OF LIABILITY INSURANCE (13)Nov 13 2009 10:55 GOURIE GROUP
8603993615 p•2 ATE 1fYYI
Ag0R& CERTIFICATE OF LIABI LITY INSURANCE 111131090
THIS CERWICATE IS ISSUED AS A MATTER OF INFORMATION
o ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Gowdsrle,
Barden & Brett, Inc. HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
70 Essex Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Westbrook, CT 06498
860 3"-6945
INSURERS AFFORDING COVERAGE
NAIL 4
NONIRED INSURERA: Federal Insurance Company 20281
Clearwater Community Sailing Assoc..Inc INSknm13:
1001 Gutf Blvd. INSURER C:
Clearwater, FL 33767 INSURER D:
rN9(ERER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE MURE D NAMED ABOVEE FOR THE POLICY
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECTTO ALL THE TERMS, E
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAMAS.
POLICY EFFECT POLICY EXPIRATION
NSK Tree OF x(BURANaa POLICY NUMBER A GENERAL LIABILITY 35823516 11/06/09 11/06110
h MERCIAL GENERAL LIABILITY
CLAIMS MADE ?X OCCUR
OENt AGGREGATE UW-rr APPLIES PER:
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTIDS
SCHEDULED AUTOS
HIRED AUTOS
N044-OWNED AUTOS
n 9 6 L? U lJ I.a ,; I
n . Nov :I 7
I 1 ; t,J
AGE LIABILITY
ANY AUTO
OCCUR I . j CLAIMS MADE
DEDUCTIBLE
RETENTION S
WORKERS COWENSATION AND
EMPLOYERS' LIA LITY
ANY PRDPRIETORIPARTNERIEXECUTIVE
OFFICERAMEMBER EXCLUDED?
tt iNk deooll* under
OVISIONS bet
OTHER
PERIOD INDICATED-NOTWITHSTANDING
3 CERTIFICATE MAY BE ISSUED OR
(CLUSIONS AND CONDITIONS OF SUCH
LIMITS
EACHOCCURRENCE $1.000.000
AGE TT) RENTED S1,000,000
NED EXP ens Isun S10.000
PEPMMALLADV INJURY $1,080,000
GENERAL AGGREGATE s2 000 000
PRMUCTS-COMPIOPAGO sincluded
COMBK4EDSINGLELIMIT $
(F.e aocidarq
BODILY INJURY $
W PMS°n)
BODILY INJURY $
(Per ecxldam)
PROPERTY DAMAGE s
AUTO ONLY - EAACCIOENT $
OTHERTHAN FAACC $
AUTO ONLY: AGO $
EACH OCCURRENCE 5
AGGREGATE 5
s
5
s
YNC STATU- Ort'FE
E.L.EACHACICIOeLT 5
E.L. DISEASE - EA EMPLOYEE 5
E.L. DISEASE - POLICY UMrr S
DESCRIF" OF OPERATIONS I LOCATIONSIVENICLES I EL UMONSADDED BY ENDORSOMENT ISPECIIAL PROVISIONS
The City of Clearwater Is named as Additional InsuredlLandlord on General
Liability Policy only ATIMA with respect to Insureds use of holder
premises.
City of Clearwater
25 Causeway Boulevard
Clearwater, FL 33767
LA AN" OF THB ABOVE DESCRIBED FC"ffie Be CANCELLED BEFORE THE EXPIRATION
THEREOF. THE WWRIG NISIIRER YFILL ENDEAVORTO MAIL --Ja, DAYO MWTEN
;E TO THE CERTFTCATE HOLDER NAMED TD THE LEFT, BUT FAILURE TT] DO BO SHALL
SE NO OBUGATLDN OR LLABMJ TY OF ANY IOND UPON THE INSURER, CIS AGENTS OR
ACORD 25 (200t106) 1 of 2 3533095/AA27452 - MED a ACORD CORPORATION 1988
Nov 13 2009 10:55 GOWRIE GROUP 8603993615 P.3
IMPORTANT
If the certificate holder is an ADDITIONAL. INSURED, the pollcy(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 oef fate 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 orr alter,the-caverage afforded by the policies listed thereon.
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A{:UKU =-0 (ZUUIIV8) 2 of 2 0533095FM27452