CERTIFICATE OF LIABILITY INSURANCE (2)
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
??. 03/26/2010
PRODUCER
Aon Risk Services Central, Inc.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
Philadelphia PA office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
One Liberty Place CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
1650 Market street
suite 1000 COVERAGE AFFORDED BY THE POLICIES BELOW.
Philadelphia PA 19103 USA INSURERS AFFORDING COVERAGE NAIC ##
PRONE- 866 283-7122 FAX-(847) 953-5390
INSURED INSURER A: Lexington Insurance Company 19437
Cigna corporation Et Al INSURER B:
1601 Chestnut Street
TWO Liberty Place INSURERC:
Philadel
hia PA 19192 USA
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INSURER D:
INSURER E:
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VnXW..RACIF.C SIR anal i es oar terms and conditions of the DGl
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.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED
INSR ADD'
LTR INSR TYPE OF INSURANCE, POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
ATE MM/DD/YYYY DATE MM/DDIYYYY
E RAL LIABILITY
EACH OCCURRENCE
COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED
PREMISES (Eu occutrencc)
CLAIMS MADE El OCCUR MLU LAY tV One eergon
PERSONAL & ADV INJURY
L GENERAL AGGREGATE
'
GEN
L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
? POLiCX ?
? LOC
JECT
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO (Ea accident)
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS (Pcr Pcrson)
HIRED AUTOS ???? ® BODILY INJURY
NON OWNED AUTOS (Per accident)
: PROPERTY DAMAGE
P
id
APR 09
0
i
0
(
er acc
ent)
GARAGE LIABILITY _
- - AUTO ONLY - EA ACCIDENT
ANY AUTO OF ICIAL RECO DS Am)
H OTHER THAN EA ACC
IR SLAT M S S DEPT
DEPT AUTO ONLY
. AGG
EXCESS / UMBRELLA LIABILITY F.AC W (1K7C11RRFNC'.F
? OCCUR ? CLAIMS MADE AGGREGATE
T)FDOCTIRLE
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RETENTION
WC STATU- OTH-
WORKERS COMPENSATION AND
I E
EMPLOYERS' LIABILITY
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NY PRO
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/ E.L. EACH ACCIDENT
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PARTNER / EXECUTIVE
PRIET
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OEFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
[f , dcscri6c under SPECIAL PROVISIONS below
A 8396501 03/30/2010 7cc/agg 5,000,000
OTHER E&O/Managed care
EEO-ProfLiabPri
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
ULR'11Y]LUA'I'LI' BOLDER
City of clear-water
Attn: City Clerk
PO Box 4748
Clearwater FL 33758-4748 USA
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
70 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.
AUTHORIZED REPRESENTATIVE
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