CERTIFICATE OF LIABILITY INSURANCE (7)4/1/2010 3:00 PM FROM: Vetmost Vermont TO: 462-6957 PAGE: 001 OF 002
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CERTIFICATE OF LIA
VERMOST & ASSOCIATES, LLC
141000SHWY19NSUITE 105
CLEARWATER FL 33764
INJUKtu
BRUCE LITTLER INC
25 CAUSEWAY BLVD
CLEARWATER FL 33767-2064
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PI
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CE.
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCI
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
NSR ADD'
?R INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POUCV EYPDLATIOI
R MMID D
GENERAL LIABILITY 9113016800 04101110 04/01/11
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE M OCCUR
A E
GI AGGREGATE LIMIT APPLIES PER:
POLICYin PR0.
Fr•r LOC
r.rr?
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE UABILnY
ANY AUTO
EXCESS I UMBRELLA LIABILITY
OCCUR ? CLAIMS MADE
H DEDUCTIBLE
HLILNIION $
RKERS COMPENSATION AND
ILOYERS' LIABILITY Y / N
PR OPRIETOR/PARTNER/EXECVTIVE ?
CER/MEMBER EXCLUDED?
Idateri In NMI
DESCRIPTIO _OFOPER7FTIONS/L-OC/kTiGNkNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT,
GIFT SHO , INCLUDING ALL ROOMS _J
7HE CITY O ARWA I , FLIS-FAMED AS ADDITIONAL INSURED
CERTIFICATE HOLDER
CITY OF CLEARWATER FL
25 CAUSEWAY BLVD
CLEARWATER, FL 33767-2604
MWDO
/YYYY)
BILITY INSURANCE
F7
1/2010
o
TH
CATE IS ISSUED AS A MATTER OF INFORMATION
MD
ONONFERS NO RIGHTS UPON THE CERTIFICATE
;
HOS CERTIFICATE DOES NOT AMEND, EXTEND OR
OVE ED 6 THE.POLICIn EL
INSFFORDING COVERAGE NAIC #
INSURER A: Auto-Owners Insurance Company 18988
INSURER 8:
INSURER C:
INSURER D:
INSURER E:
RIOD INDICATED. NOTWITHSTANDING
ITIFICATE MAY BE ISSUED OR
USIONS AND CONDITIONS OF SUCH
LIMrr5
EACH OCCURRENCE $
DNMCE TO RENTED
PDEmI5E5 Ea occurence $ 50,000
MED. EXP (Any one person) $ 5,000
PERSONAL &ADV INJURY $ EXCLUDED
GENERAL AGGREGATE $ 1,000,000
PRODUCTS - COMP/OP AGO $
COMBINED SINGLE LIMIT
(Ea accident) $
BODILY INJURY
(Per person) $
BODILY INJURY
(Per accident) $
PROPERTY DAMAGE
(Per accident) $
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
AUTO ONLY AGG $
EACH OCCURRENCE $
AGGREGATE $
S
$
5 ATU- OTNER
TORY UMITs
E.L. EACH ACCIDENT $
E.L. DISEASE-EA EMPLOYEE $
E.L. DISEASE-POLICY LIMIT $
SPECIAL PROVISIONS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL. ENDEAVOR TO MAIL 10 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 REPRESENTATIVES.
Attention: HARBORMASTER 462-6957 John Gay, Vice Presi t
ACORD 25 (2009/01) Certificate # 14220 ®1988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
4/1/2010 3:00 PM FROM: Vermost Vermost TO: 462-6957 PAGE: 002 OF 002
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
This Certificate of Insurance 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.
er^non oa innnnm.'
Certificate 914220