CERTIFICATE OF INSURANCE (227)
ACORQM
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYYYY)
01/08/2004
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER (727)797-5193 FAX (727)797-8605
Alley, Rehbaum & Capes Assurance, Inc.
2433 Gulf to Bay Blvd.
P.o. Box 4620
Clearwater, FL 33758
INSURED Janus Research, Inc.
P. O. Box 919
St. Petersburg, FL 33731
INSURERS AFFORDING COVERAGE
INSURER A: Hartford Casualty Company
INSURER B: Bri dgefi e 1 d Employers Ins.
INSURER c: Houston Casualty Company
INSURER D:
INSURER E:
NAIC#
Co.
COVERA~ES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDIN
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,
INSR IADD'l TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY 21SBABL4309 02/22/2003 02/22/2004 EACH OCCURRENCE $ 1,000,000
~ DAMAGE TO RENTED
X COMMERCIAL GENERAL LIABILITY $ 300,000
l CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ 10,000
A X PERSONAL & ADV INJURY $ 1,000,000
-
GENERAL AGGREGATE $ 2,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000
~ m PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY 21UECUV0180 02/22/2003 02/22/2004 COMBINED SINGLE LIMIT
- (Ea accident) $
X ANY AUTO 500,000
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
A X ~
HIRED AUTOS BODILY INJURY
I-- $
NON-OWNED AUTOS (Per accident)
~
I-- PROPERTY DAMAGE $
(Per accident) ..
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
tJ OCCUR o CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND 0830-22755 01/01/2004 01/01/2005 X I T~~~T~JI~:C; I IOJ,tl.
EMPLOYERS' LIABILITY 1,000,000
B ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 1,000.00n
...- -If-ye<t;eeseribe"ttnder-n. ~-'------' .- ----.----- _.~-- -- ~- ----- "- --- : - ------.--
SPECIAL PROVISIONS below EL. DISEASE - POLICY LIMIT $ 1,000,000
OTH~ H703-13287 08/09/2003 08/09/2004 $1,000,000
P~ro essional Liab.
C
i-PESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
~ertificate Holder is Additional Insured for General Liability
City of Clearwater
Attn: City Clerk
P. O. Box 4748
Clearwater, FL 33758-4748
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
. ACORD 25 (2001/08)