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CERTIFICATE OF LIABILITY INSURANCE (6)
COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE rOLI? T 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 IS SUBJECT TO ALL THE TERMS, E POLICIES- AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION N-ffn SR TYPE OF INSURANCE POLICY NUMBER OAT MMMD DA MM/DD rA NSR GENERAL LIABILITY MZX80915827 02/15/2010 02/15/2011 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ? OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRC LOC A AUTOM013ILE LIABILITY MZX80915827 02/15/2010 02/15/2011 ANY AUTO - RECEIVED ALL OWNED AUTOS _ SCHEDULED AUTOS ??? © ry(t X HIRED AUTOS (?? J X NOWOWNED AUTO$ a 41 --AL RECOR $ AND LE ? PT GARAGE LIABILITY 71 ANY AUTO B EI TBD 102/15/2010 02/15/2011 OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMSER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: 10 Pier 60 Drive, Clearwater Beach, FL 33767 Rental of Beach Umbrellas, Chairs and Footstool The City of Clearwater, A Municipality is an Additional Insured with respects to the above General Liability poli( FICA City of Clearwater 25 Causeway Blvd Clearwater, FL 33767 CANCELLATION Ion uay Notice IUr Ivan-reiyl I ICI IL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE 9 PERIOD INDICATED. NOTWITHSTANDING 3 CERTIFICATE MAY BE ISSUED OR (CLUSIONS AND CONDITIONS OF SUCH LIMITS EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMIrrS (Ea oc an., $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMPIOPAGG $ 2,000,000 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) - BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ THAN EA ACC $ OTHER AUTO ONLY: AGG $ EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 $ $ WC STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ Y. ACORD 25 (2001/08) 1 of 2 1204327 ©ACORD CORPORATION 1988 8889 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(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 certificate 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 or alter the coverage afforded by the policies listed thereon. ACORD 25S (2001/08) 2 of 2 #S9152601M915043