FLORIDA GAS AND ELECTRIC CORPORATION - BID 04-08 - CERTIFICATE OF LIABILITY INSURANCE (2)ACl]RD CERTIFICATE OF LIABILITY INSURANCE 1DATE (MM
2/31//2 9)
PRODUCER (727) 521-4253 FAX: (727) 527-9455 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Northeast Underwriters Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4790 1st Street North ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
St. Petersburg FL 33703 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Colon Insurance Com an 39993
INSURER B: General Ins Co of America 24732
Florida Gas & Electric, Corp. INSURER C: Travelers Excess&Su plus 29696
8011 Land O' Lakes Blvd. INSURER D: Brid efield Casualty Ins 10335
Land O'Lakes FL 34638 INSURERF!Ohio Casualty 24074
OVERAGES
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.
AG T LIMITS Y HAVE BEEN REDUCEQ.5Y_MIQ CLAIMS,
INSR
M
INADVIL SRD
TYPE OF INSURANCE
POLICY NUMBER
DATEYM WDDmE
POLICY DATE MP D/YY IRATION
LIMITS
GENERAL LIABILITY EA H OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY
-- MAGE TO R
DAENTED .
$ : .- . 10-0,000
A CLAIMS MADE 7 OCCUR GL125450-4 1/1/2010 1/1/2011 MED EXP An one person) $ 5,000
PERSONAL VINJURY $ 1,000,000
N AL AGGREGATE $ 2,000,000
GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPOP S 2,000,000
PRO-
x POLICY LOG
AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT
1,000,000
$
X ANY AUTO (Ea accident)
B ALL OWNED AUTOS 24CC27743610 1/1/2010 1/1/2011 BODILY INJURY
$
(Per person)
SCHEDULED AUTOS I,.
re
X HIRED AUTOS + •-^. v,w' .?.. , D BODILY INJURY $
x NON-OWNED AUTOS (Per accident)
?T? Jy Q J 20 0 PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY OFFIC I I
IAL RECO " AUTO ONLY - EA ACCIDENT $
RD A"v
.D
ANY AUTO LEGIS L OTHER T EA ACC
$
ATIVE SRVC DEFT AU
TOONLYN
AGG $
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S 4,000,000
1 CLAIMS MADE
X OCCUR 7 -
AGGREGATE $ 4,000,000
- Producta/Co leted S 4,000,000
C DEDUCTIBLE QK06803544 1/1/2010 1/1/2011 $
X RETENTION 10 000 S
D WORKERS COMPENSATION AND WC STATU- X OTH-
- -EMPLOYERS' LIABILITY -
ANY PROPRIETOR/PARTNER/EXECUTIVE - - - -
E.L. EACH ACCIDENT
$ 1,000,000
OFFICER/MEMBEREXCLUDED? 830-33253 1/1/2010 1/1/2011
E.L. DISEASE - EA EMPLOYEE 1,000,000
$
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
E OTHER EMO 54269302 8/31/2009 8/31/2010 Dad. $1,000 250,000
Inalnd Marine
Rented/Leased E ip.
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
It is agreed the Certificate Holder is named as Additional Insured's with respect to General Liability and Commercial
Auto Coverage.
r1=RTIFI(_ATF MAI IIFR CANCELLATION
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 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
PO Box 4748 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
Clearwater, FL 34618-4748
INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Ken Kij
wski/TAG
?- -
o
J
ACORD 25 (2001/08)
INS025 (cim).om
® ACORD CORPORATION 1988
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