CERTIFICATE OF LIABILITY INSURANCE (2)06/01/2010 14:39 7275816440 GLOBAL CONSULTING PAGE 02/03
' L CERTIFICATE OF LIABILITY INSURANCE
apaaUGER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ColmLonwealth Insurance of Florida ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE 2401 West Hay Drive #124 aHOLDER. HE-COVERAGE AF o?HD 11YTTHE POLICIES BELOW.
Largo, Florida 33770
72'7- 5$L6. INSURERS AFFORDING COVERAGE NAIC#
INRI 1kFn
CLEARWATER ANGLER, LLC . INSURER A: MOWT VEPRM FIRS INSUFANM cmeAN r
ADDITIONAL INSURED: INSURER a:
CITY QF' CLEARWATER INSURER Q
INSURER D:
INSURER E:.
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PQLI
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH
MAY PERTAIN. THE INSURANCE AFFOROFM RY THE POI IT:11=5 nFRr.:RIOED HEREIN IS SUBJECT TO ALL THE TERM
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS,
R O PODGY NUMBER n. ........ CT? POLICY E E1.PA1T0
GENERAL, LIABILITY
?IIMERCIAL GENERAL LIABILITY
cLAIM$MADF L$J OCCUR
GEnrL AGGREGATE LIMIT APPLIES PEP
POLICY PEO LOO
AUTOI?7OBILE LIABILITY
ANYAUTO
ALL OW NED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OW NED AUTOS
GARAGE LIABILITY
ANYAUTO
EXCESS / UMBRELLA UA91LITY
] OCCUR 0 CLAIMSMADE
DEDUCTIBLE
I I RETENTION $
WORKERS COMPENSATION •"`"'?_
AND eWLOYeRV UAon-rrr YIN
ANY PR0PRWFDWPARTNERIE7IECUIIb@
CFF)MRIMEMNA X"M
1:1
(ondamy in N)
SPALpVUNS bef.
AND
DEPT
OTHER --
BUSINESS OWNERS BP2550338A 06/01/10 06/01/11
ILIQUOR LIABILITY
tSGRIPTION OF OPERATIONS 1 LDCATioN3 J VEHICLES / FXCLUSIONS ADDED BY ENDORSEMENr/ SPECIAL PROVISIONS
RETAIL BAIT AND TACKLE STORE
1--45 CAUSEWAY BLVD. CLEARWATER, FL. 33767
CITY OF CLEARWATER FLORIDA
BP 2550338A 06/01/10 106/01/11
JUN Q4
:Y PERIOD INDICATED. NOTWITHSTANDING
CH THIS CERTIFICATE MAY BE ISSUED OR
EXCLUSIONS AND CONDITIONS Or SUCI I
LIMITS
eACH UGGURRENCE $
000 000
PREMISES Ee OCCUI911 ?
MED EXP(Anyonepmon) S $
OQ?
PERSONALA ADV INJURY r
GENERAL AGGREGATE S
PRODUCTS COLT, AcO e
cOmRINED SINGLE LIMIT g
2, aN dent)
BODILY INJURY
(Per Person)
BODILY INJURY S
(Per ecddent)
PROPERTY DAMAGE $
(Pereogdenl)
AUTO ONLY - EA AC ENT S
OTHER THAN CA ACC S
AUTOONLY AGG S
EACH O=VRRENCE a
AGGREGATE $
S
S
3
TO rA v
E.L EACH ACtmFNT S
E.L. DISEASE - EA EMPLOYE $
F.L. DISEASE -POLICY LIMIT $
EACH CAUSE:$1,000,000
A0GR.LINIT:S2,000,000
ONPVA ANY OF TIC ABOVE DCECNO m r44fC.1c9 or omagiAeo eEPORE " gwwATON
VATE THEREOF, TIE nISIINB NMUR WkL ENDEAVOR TO MAL 2D__ DAY$ WRM?n
NOTICE TO THF, C RTWICATE NOLDEk NAMED TO THE LEFT, 8W frALUtE TO W 80 SHALL
¦IPOM NO 096IGATIO)1 OR LIABIrrY OF ANY KND MOON THE ROMER, IFS AGENTS OR
4
ACOR025(20001) -2 ko
+ ORWORATION. All rights re5erveci.
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06/01/2010 14:39 7275816440 GLOBAL. CONSULTING PAGE 03/03
PRODUMIt
COm=nwealth insurance Of Flc)r:Lda
2401 West Bay Drive #124
Largo, Florida 33770
727-581-6400
""ED
CLEARWATER ANGLER,LLC.
ADDITIONAL INSURED:
CITY OF CLEARWATER
VA 1 C (RIIIIRIDITTI
5/1/2010
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 COVERAGES AFFQRnED DY THU. POLICIES BELOW
COMPANY
A MOUNT VERNON >•IRE INSURANCE COMPANY
COMPANY
B
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,
CXCLU310N3 ANb CONDITIONS OF SUCH POLICIES. UNdTS SHOWN MAY MAVL titIhN,KF-UU[:tu BY PAID CLAIMS,
LTR TYPFi OF IIbBNANGE POLIOY MIMW@R ''01"'??ECT? POLIh E7fPgATKIN
BATEIIMIOMN) DATEIIMNIoDIrrl cvvEITEDPROPERTY LINKS
PROPERTY
CAUSES OF LOSS
3C ranslG
ISROAD
SPECIAL
EARTHOUAKE
FLOOD
R EXCLUDING WIND
BP 2550338A
06/01/10 106/01/11
SUILDINC $
PERSONALPROPEFM $20,000
waiNr,w INCOME b42 , 000
EXTRA EXPENSE $
BLANKET BUILDING
BLANKFTPER5 PROP $
$
BLANKET BLDG 8 PP 3
EQT31P _ RRK 9IbICLUD'.
S
S
S
$
S
$
RAM MARINE
TYPE OF POLICY
CAUSES: OF LOSS
NAMED PERILS
OTMER
eR.R?
TYPE OF POLICY
SMER 6 MACHI CAY
?R
LOCATION OF PREMOESIDEM1111ION OF PROPERm
1-45 CAUSEWAY BLVD. CLEARWATER, FL. 33767
RETAIL BAIT 5808
bPeCIAL CONDMONwarmER COWRADP,B
CITY OF CLEA MiLTLR irLORIDA
S
a
S
S
BIWILb ANY OF TI8 Aeow DEBmmp p%mg BE CANCaLEO NEFCRE TI.R
EW RATON DATE, THEREOF, Tw- I&SL G COMPANY woA EKWAvOR TO IMIL
30 PAYS wWrra NOM TO THE CGIMWATE MOLDER NURD TO THE LEFT,
BW FAILURE TO MA4 9UM NOTICE 01ALL WPOIW NO OBLIGATION OR LIABILITY
Or Y IPON "V-CMPAW, .13 5 9R RIMPROCINTATNE&
.