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CERTIFICATE OF LIABILITY INSURANCE (3)
TM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDWM) 12/15/2010 PRODUCER (203)354-6200 FAX (203)354-6480 Shoff Darby Companies, Inc. 401 Merritt 7, Plaza Level 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 COVERAGE AFFORDED BY THE POLICIES BELOW. Norwalk, CT 06851 Bethany Cassidy INSURERS AFFORDING COVERAGE NAIC # INSURED TOWER OPTICAL CO INC INSURER: Hartford Casualty Insurance Co 29424 27S EAST AVENUE INSURER& Hartford Underwriters 30104 EAST NORWALK, a 068 S S INSURER C: Multiple Companies 00914 INSURER D: INSURER E: COVERAGES 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. INSR DD' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION DATE (MMIDD/YY) LIMITS GENERAL LIABILITY 31SBAKV9492 01/01/2011 01/01/2012 EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PRFMI $ 300,000 CLAIMS MADE OCCUR MED EXP (Any one person) $ 10,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO LOC JECT AUT OMOBILE LIABILITY 31UECIB93 S 7 01/01/2011 01/01/2012 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1 1 000 , 000 ALL OWNED AUTOS ry / p ) BODILY INJURY B SCHEDULED AUTOS G ?EC E ?f ? ?"/ HBr (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS , D EC (Per accident) $ Cr r 2010 PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY LEGIS' AL ? ? OPC ? AUTO ONLY - EA ACCIDENT $ ANY AUTO A ? ? CS ?? 1r OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY 31SBAKV9492 01/01/2011 01/01/2012 EACH OCCURRENCE $ 2,000,000 X OCCUR EICLAIMS MADE AGGREGATE $ 2.000,000 A $ R DEDUCTIBLE $ X RETENTION $ 10,00 $ WORKERS COMPENSATION AND 31WECRJ1379 01/01/2011 01/01/2012 we STATUY rR C EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ S00,000 If yes, de under SSPECIIALscribe PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re: Pier 60 he City of Clearwater, Marine & Aviation Department are included as Additional Insured on the above eneral Liability policy as per written contract. I Except ten (10) days notice of cancellation for non payment of premium'* CERTIFICATE HOLDER CANCFI 1 ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Clearwater 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Marine & Aviation Dept BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 20 Causel ay Blvd OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Clearwater, FL 33767 AUTHORIZED REPRESENTATIVE Bethany Cassidy/GRANB ACORD 25 (2001/08) ©ACORD CORPORATION 1988