CERTIFICATES OF INSURANCE
................................"....
.......... ...........................
...... A.~..III...
PRODUCER
.........mellillimil.p.................f:ji......iIlSDliilmi.............i........i....I>>.................................... CS.~ft.ijT~NHo>..~..........~........................................ DATE (MM/DDIYYI
<><> ....,,"'''~.........;L.. 03/23/95
- - THIS CERTIFICATE IS I SUED 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.
COMPANIES AFFORDING COVERAGE
RECEIVED
MAR 2 8 1995
COMPANY
A
Cincinnati Insurance Company
Carlisle Fields & Company, Inc
P.O. Box 7910
Clearwater FL 34618-7910
Carlisle, Fields & Co.
813-797-0441
INSURED
CITY CLERK DEPT.
COMPANY
B
Junior Miss Softball
of Clearwater, Inc
POBox 7456
Clearwater FL 34618
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POUCY NUMBER
POUCY EFFECTIVE POUCY EXPIRATION
DATE lMMIDDlYY1 DATE lMM/DDIYYI
UMITS
A
GENERAL UABIUTY
COMMERCIAL GENERAL LIABILITY CAP7 8 9 4556
CLAIMS MADE [iJ OCCUR
OWNER'S & CONTRACTOR'S PROT
03/07/95
GENERAL AGGREGATE
03/07/96 PRODUCTS- COMP/OP AGG .1000000
PERSONAL & ADV INJURY . 1000000
EACH OCCURRENCE $ 10000 0 0
FIRE DAMAGE (Anyone fire) 100000
MED EXP (Anyone person) 5000
AUTOMOBILE UABIUTY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
I!.
,L)
U-\~
~fu~nnf1~ n
lS lL7 ~ u ~ lb I.L~)
~ AH ~ '/ 1995
COMBINED SINGLE LIMIT
BODILY INJURY
(Per pereon)
BODILY INJURY
(Per eccldent)
nJ~
PROPERTY DAMAGE
GARAGE UABIUTY
ANY AUTO
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
EXCESS UABIUTY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
.
-WORKERS COMPliNSA+ION AND-----___
8IIIPLOYERS' UABIUTY
STATUTORY UMlTS_._.
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
EACH ACCIDENT
DISEASE - POLICY LIMIT
DISEASE - EACH EMPLOYEE
DESCRIPTION OF OPERATIONS/LOCATlONSNEHlClES/SPEClAL ITEMS
The City of Clearwater is named as additional insured.
CITYO-4
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WIU ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTlRCATE HOLDER NAMED TO THE LEFT.
BUT FAILURE TO MAIL SUCH NOTICE SHAU IMPOSE NO OBUGATION OR UABIUTY
OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED
City of Clearwater
Risk Management
P.O. Box 4748
Clearwater FL 34618
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PRODUCER
.....-................'...,."...-....................",.,....-.....-......_.........."",."".....-...-....................................,...-.-.-..-.._---..........,' . .,......,..-.........-..........................................
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>...~....................I!'. rl*'I" ...~.I ISATIAt!<. iliSIIItiX>i.ftC><>>>>IY:.:.:.:................:::>.<.>.......... ISSUE DATE (MMIDDIYY)
\:::Ci:I;;:")I) ::rt :0")1)' ,.....\/::u:rf:::/ :1'l~:U::"":I:":Ci:l;tH .':-:-:-:-:-:-:-:-:-:-:-:-:-: ,,:<::-:-:.:-:-:-:::-:::-:-:-:-:-:-".-'
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.. ....... . . . ... . ";C . 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.
......................
. .
... .
...... AtDt.lllt. ..
CARLISLE FIELDS & BROWN
INSURANCE INC
POBOX 7910
CLEARWATER FL 34618-7910
COMPANIES AFFORDING COVERAGE
fm~~Y A
THE CINCINNATI INSURANCE CO
............................ -...................".............................................-. ..
INSURED
fm~~Y B
JUNIOR MISS SOFTBALL
OF CLEARWATER INC
POBOX 7456
CLEARWATER FL 34618
~~YC
~:r'D
E
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDmON 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 CONDmONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO.
LTR
TYPE OF INSURANCE
POUCY NUMBER
POUCY EFFECTlVEPOUCY EXPlRAnON
DATE (MMJDOIYY) . DATE (MMJDOIYY) .
UMITS
GENERAL LIABIUTY
COMMERCIAL GENERAL UABllITY
AGL2954428
000
CLAIMS MADE
. OCCUR.
GENERAL AGGREGATE
PRODUCTS-COMP/OP AGG.
PERSONAL & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one fire)
MEn. EXPENSE (Any one person)
$1000
$
$
$I
$
$
AUTOMOBILE UABWTY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
COMBINED SINGLE $
UMIT
BODILY INJURY $
(Per pel'llOn)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
WORKER'S COMPENSAnON
AND
EMPLOYERS' UABIUTY
EXCESS UABWTY
UMBREUA FORM
OTHER THAN UMBREUA FORM
EACH ACCIDENT $
DISEASE-POLICY LIMIT $
DISEASE--EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERAnoNSIL0CA11ONSIVEHICLESICIAL ITEMS
THE CITY OF CLEARWATER IS NAMED AS ADDITIONAL INSURED
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>c. AN(;I:Ll.ATI()N
";':':.:':':':..'i:;':':':i':':';'''':';'
SHduLo 1iNY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED B.:FORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY Will ENUEAVOR TO
MAil ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAilURE TO MAil SUCH NOTICE SHAll IMPOSE NO OBLIGATION OR
UABIUTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
CITY OF CLEARWATER
ATTN RISK MANAGEMENT:
POBOX 4748
CLEARWATER FL
ETHEL
A.bQFlI:l~ij;$j.O)<>' .
34618 REC EIVED
. .... ..................APR16J~93)
AUTHORIZED REPRESENTATIVE
STEPHEN D. BRO
KM (A)
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CITY CLERK DEPT.
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_ER . '_. ,'. I r~--1IS C:':'F\"1FICATE IS ISSvECL~::> A ~,,'ATTER or .......J'-(jL,... 'IIUN LGLY
.~ 1;:\" :r:"'\':'~f:=..:~~,, :AND CONFERS NO RIGHTS UPON THE CERTiFICATE HOLDER. THIS
. .. ; ;'.;:. _,V 'CERTIF!CA"rE DOES NOT AMEND, EXTEND OR ALTER THE COVER-
';1 I..,for.:;.,...I.:; ...~....' " ,/ AGE AFFORDED BY THE POLICIES BELOW.
.; SI--iAFER - F3P Ol.Jl\~ I N~3 I ", -:.::..
'1 P IJ BOX 13,:::e FEB 6 itS ,.j
CLEi;Rv.J;::'1TEH f:'L
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COMPANY
LETTER
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COMPANIES AFFORDING COVERAGE
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THIS IS TO CE:.RTIFV TH,c,T ;:'(:,--:--=;~5 (JF-= ii-";Sl)P.r2.i'Jt-=r.::: LiS-i--:~u l:~L_()\'V H,l~V[:: Bt.:::E:"J ISSUED TO THE INSURCD NAMED ABOVE FOR THE POLICY
p~ R t 00 IN D I C'; TED. i-J() ""7""'\\ ! ----;-;~ S T ,.:~;.~ G: r'J(~ .::;",'-; Y r ;:-:'-:-J!....... j ~~ :=::.'1 r::i'rr, T E ;'H.....-1 0 R CON D IT 1 ON OF Ar-lY CD NT RAeT 0 ROTHE R OOCUfv1ENT VvlTH
RESPECT TO WHICH il-'15 .==RTlf'lc..'\T'C: -.1,"<Y OlE IssueD UP MA'I PERTAIN, THE INSURA~,CE Af'FURDED B'I THE POLICIES DESCRIOED
Hf::RE!N IS 5UB_~EC: ':,~) r~~__ ~:.-.::: --::::~.',1;,;":' \-:~_:._,'~,: -;~-.p_;, _"\ f'.J 0 ;::':~i'JDITI(Jr'lS rF ':.",urH POLiCll:':S.
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UNDERGROUr"JD
EXPLOSION & COLLAPSE HAZ'::"RD
PRODUCTS/COMPLETED OPERATIONS
CONTRACTUAL
BI & PD
COMBINED 1, (11)0
~!
~;~.
PERSONAL INJURY
PERSONAL INJURY
lEACH ACCIDENTI
(DISEASE.POLlCY LIMITI
(DISEASE-EACH EMPLOYEEI~;,
INDEPENDENT CpNTRACTOr;S
BROAD FORM PROPERTY DA.\~.c..GE
,
....~
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;1
1
: 1
.
ANY AUTO
ALL OWNED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
60 D I L Y
Ir>JJURY
(PER
PERSONI
BODILY
INJURY
(PER
ACCI DENT)
AUTOMOBILE LIABILITY
PROPERTY
DAMAGE
GARAGE LIABILITY
BI & PD I
COMBINED
EXCESS L1ABI L1TY
UMBRELLA FORM
BI & PD
COMBINED
OTHER THAN UMBRELLA FOR\1
:'1
~
i
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
STATUTORY
'-'
'-
OTHER
AGL2'754L~28
3/07/:38
3/07/89
LI
1,000
j
* S,-:=.e Belol.ll
'<, DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITE:\\S
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SPECTATOR LIABILITY AND
CONTRACTORS LIABILITY
C'_c
INDEPE~..JDENT
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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 OF ~i'::
ITS AGENTS OR RepRESENTATIVES.
Ii ~ .-
~CITY OF-CLEARWATER
CLEARWATER FL33516
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