CERTIFICATE OF LIABILITY INSURANCEACO' CERTIFICATE OF LIA
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLI
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXl
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the PI
terms and conditions of the policy, certain policies may require an em
certificate holder In lieu of such endorsement(s).
PRODUCER
Aon Risk Services, Inc of Florida
7650 Courtney Campbell Causeway
suite 1000
Tampa FL 33607 USA
INSURED
Pinellas County school Board
C/o Risk Management Department
301 4th street sw
Largo FL 33770 USA
YY DATE(MMYY)
2010
BILITY INVUI ANCE 07/06//201
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
'END OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
Ilicy(ies) must be endorsed. If SUBROGATION IS WANED, subject to the
orsement A statement on this certificate does not confer rights to the
CONTACT
NAME:
(A/C. No. Ext): (866) 283-7122 (AAX. No.Y (847) 953-5390
E-MAIL
ADD
UCER
PROD
10582315
O
ST MER ID
C
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A; Illinois union insurance Company 27960
INSURER B:
INSURER C:
INSURER D:
INSURER E:
NSURER F-
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m
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9
0
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COVERAGES CERTIFICATE NUMBER: 570039535LIZI t[cvwtvm mumclupm.
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 13Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as reuestl
_INSR FF POLICY EXP
LTR TYPE OF INSURANCE AINS WVD POLICY NUMBER IDD/YYYY M IDD/YYYY
A GENERAL LIABILITY PEP G19851254 U7/U1/1UTU 07/01/2011
SIR applies per policy ter & condit ons
X COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE FX]OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO- LOC JFGT
A PEP G19851 4 7
AUTOMOBILE LIABILITY SIR applies per policy ter & condit ons
X ANYAUTO
ALL OWNED AUTOS
IV
??i ?
®®
M
SCHEDULED AUTOS V
HIRED AUTOS
10
NON OWNED AUTOS JUL 1
UMBRELLA LIAR OCCUR
EXCESS LIAB CLAIMS-MADE
V' J
DEDUCTIBLE L
RETENTION
WORKERS COMPENSATION AND
ANY PROPRIETOR I PARTNER I EXECUTVE
OFFICER/MEMBER EXCLUDED? N /A
(Mandatory in NH)
If yes, describe under
nFAr.RIPTION OF OPERATIONS below ...
LIMITS
EACH OCCURRENCE $2,000,000
OAMAGI:_ TO RENTED
PREMISES Ea occurrence Excluded
MED EXP (Arty one person) Excluded
PERSONAL &ADV INJURY $2,000,000 N
O
GENERAL AGGREGATE $2,000,000
PRODUCTS -COMPIOPAGG Excluded rn
cn
SIR/Deductible
COMBINED SINGLE LIMIT
Ea Accident) $500,000
$2,000,000 0
BODILY INJURY ( Per person) C
Z
BODILY INJURY (Per accident)
PROPERTY DAMAGE
Per accident) V
SIR $500,000 e
EACH OCCURRENCE U
AGGREGATE
WC STATU- OTH
E.L EACH ACCIDENT
E.L DISEASE-EA EMPLOYEE
E.L DISEASE-POLICY LIMIT
DESCRIPTION OF OPERATIONS, LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
The City of Clearwater is included as an Additional Insured with respect to the General Liability and Auto Liability policies.
Cancellation Provision shown herein is subject to shorter or longer time periods depending on the jurisdiction of, and reason
for, the cancellation.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
The City of clear-water AUTHOR12EDREPRESENTATIVE
Attn: City clerk
PO Box 4748
Clearwater FL 33758-4748 USA
H
01968-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD