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CERTIFICATE OF LIABILITY INSURANCE (98)
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(M010410) PRODUCER THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION ONLY Vaughn Insurance Agency Inc. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 17531 S. Central Ave Suite A-325 THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Carson, Ca 90746 COVERAGE AFFORDED BY THE POLICIES BELOW. Ph: 310-638-5332 Fax: 310-638-0291 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: EVANSTON INSURANCE COMPANY Jump For Fun INSURER B: 213 E. Euclid St INSURER C: Santa Monica CA 90402 Phone 800-281-6792 INSURER D: INSURER E: COVERAGES THE POLICES 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. INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXP LIMITS LTR DATE MM/DD/YY DATE MM/DO/YY GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A ® COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 900 000 PREMISES Eaxcurrence , -Db41MS-MADE?CG-- Q-- 02172 11 fa parsQn) PERSONAL BADVINJURY $ 1,000,000 © GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ ? POLICY ? PROJECT ? LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ? ANY AUTO (Ea Accident) $ ? ALL OWNED AUTOS 130DILY INJURY ? SCHEDULED AUTOS (per person) $ ? HIRED AUTOS BODILY INJURY NON OWNED AUTOS ? (per accident) $ ? PROPERTY DAMAGE S ? (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ? ANY AUTO OTHER THAN EA ACC $ ? AUTO ONLY AGG $ EXCESS LIABILITY EACH OCCURRENCE $ ? OCCUR ? CLAIMS MADE AGGREGATE S $ ? DEDUCTIBLE $ RETENTION $_ S w _ .???,__?.__ __._-_..-_._..?__ ....r?_ ?.-- - --[ZIL`/C StatUtor?.Limits ?,_ ...? .??. _ WORKER'S COMPENSATION AND Other EMPLOYER'S LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERSIMEMBER EXCLUDED? Ifyes, describe under E.L. DISEASE -EA EMPLOYEE $ Spccial Provisions below E.L. DISEASE-POLICY LIMIT $ OTHER .. Gll of e; R DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAI, PROVISIONS M Y ADDITIONAL INSURED: CITY OF CLEARWATER 9, ???? P CERTIFICATE HOLDER 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 ,'},p_ DAYS 100 S. MYRTLE AVE WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO CLEARWATER, FL 33756 DO SP SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. A ORIZ PRESE ATIVE _ W ACORD 25 (2001/68) (r t d , L ®ACORD CORPORTATION 1988 P"S._ -57?