CERTIFICATE OF LIABILITY INSURANCE (8)i�l`���I��
���TIF�VA A � �F LII'7�ILI� i ������N�� DqTE(MMlPPIYYYY}
��— �, �„ �, � �,,,�, , 'I��%���'�'f
THIS C�l2TfFOCaTE iS ISSt1Em AS A MATFER OF fNFi]RMATION ONLY AND CON�ERS NO RtGH75 UPON iH� CERTIFICA7E HpLDER. THIS
CIERTIFICATE DOES Nd7 AFFfF2MATlVELY OR NEGATIVELY ANiEN�, EXTEN� OR ALTEp2 TH� GpVERAGE AFFORDEI7 BY 7M� POLICIE3
BELOW. THfS CERi[FECAITE QF lNSURANCE QQ1�5 NQT CANSTiTUTE A CONTRACT BE"CINEEN iHE ISSUING iN3URER(Sj, AUTHpREZEE7
FiEPIi�8�N7AiIVC t}R PFi()DUCER, ANb 7NE CERiEFICAT� HO�DER.
IMPORTANi: If the certificate halcEer is an AI�PITIONAL iNSUR��, the p�licy{ies) musY �e endor5ed. if SUBItOGATION IS WA1V��, subject 40
the F�rms end cont[itiorrs of the polity, certai€t pvlicies may require an endarsement. R1 statement on ft�is certificate does not confer rights ia the
cert�fica#e holder €n iieu of such endorsement(s�.
PRODUCER �omrnercial Lines - t813) 639-30DD r�ian�neA�� Gerkificate f�epartmen!
Wells �argo Insurance Services USA, ine. (�C Ns,.�xt}:.813 639 30DQ _��Cy�oi 893.639,7180
E•MAIL �.... ......... _........._._�
25D2 N. Rocky Point Dri�e, Suite 4pQ P�oauc�-R- dw cer3request@wellsfargo.com
_ �. _.._ ,__._...,.�--
�.V�T9MER iD if�—,--- �0087
Tamna. FL 33607 .,..._.,..--. . ------- -_____ _
fNSUREU
Field's, Inc. �BA Barefaa# Beach Hause
P.O. Box 3337
Cl�arwater Bch FL 33767
CQV�RAG�S
C�RirFrCaT� IVUMBER:
INSURER�S�AFFORLING GOVERqGE NA1C #
.. . ._.._..._.. ................... ._.W.W.._._` _�
Er�su�ea A: Landmark Amarican Insurance Company 35637
4NSURER B :
REVI5IDN NUME3�62: See below
TH�S IS TO CERTIFY THAi THE PpLICIES OF iNSL3RANCE LISiEC� BELOW HAV� B�EN 185U�D T� THE iNSURE� NAMED ABOVE FOR THE pC)L.ICY P�RIOD
ENDICATEC?. NOTWITHSTANDING AiJY REQUiRE€VIENT, 7ERM OR CqNI�IiION QF ANY CqN7i'�ACT �R OTNER DOCUMENT WITH RESPECT TO WHICH THIS
CERi1FICATE MAY BE ESSUE� OR MAY PERTAIN, THE INSURANGE AFFORilE�7 BY TH� POLICI�S L7ESCRIBE6 HEREIN IS SUBJECT TO ALL THE iERMS,
EXCLUSIONS ANd CONDITIONS OF SUCH POLICIES. �IMITS SHOWN MAY HAVE 6EEN REDIiGE[? BY PAtp CLAEMS.
—_._ � _.��_.�_,_—
INSR E.. . ADDLISUBR � � � P6LICY EFF ...POL3CY EXP -�
�yR , TYPE OF 1PlSURANGE pOL1CY NUNIBER � MMf��lYYYY MMlDL�fYYYY �' 41M[TS
A €..GEN£RALLiA81iITY 3 i ��i LSA10�€735-00 � p111412E319 n1l9412092 �AC�€occuR�t�t�cE § �,��,a�o
- ---- -
= 6AMAGE TO fZ�IJ"i�CS � ..��,._
X E�. �CLAIPv15-MADE���� 4CCUR 3 i I� ' PREMlSES Ea occurronce 5 50.00�
co ; t �} ..L_.__._ .
� � � � ° : X i ! � l�AED EXP jAny one person} � $ , 2 090
_
` ; � P�RSQNAI. & AE]V €N,1URY ; $ 1 60� 606
� ... ...... ..._�.�.� — ; , — . .. ..._.. _ _. ..�. � . .__.._..._......
� �� GENEHAL AGGREGATE ' $ z,aao.000
_ ... . .__..._....._._. � ........._ _.___. .___. —_.,,. �...----
E GEN'L AGGREGATE LiMtT APPLEES PER�, - I ''�, PRO6UCT5 CQMPlOP AG�$ 3,000,0�0
` �� ---- -��--- .._..__ ,,,� ___ ---�
-- �
PQI.ICY : � PRO- L.QC � '� �� $
� AUT4MOBILE LIA6i�I7Y i ��,; � �i C6M�iNED SiNGLE LIMI7 $
� �. �� ALL DWNE� AUTOS 3 I i(Ea accident)
� � . .. .. . . .._..,.._.___�__
�...._.. ..
I�_..... ..---...----_.,....... _-' _ —'_—
` � �Of�ILY [NJl1RY (P9r pal'SPn) $
= ANY AUTO '
E..,,._.. _ � . I
: � -..,._"-"_'__'-'_-'___�..._._.....,�,-`_-
� - i ; BODILY €N3llRY (Per accideni) E �
� SCHE�ULEDAUTQ9 i I i -_....� � ....—... _,�..
� -'�' ' i ° �PROPERTY DAMAGE �
� HIREn AU705 � �, � (Per accident} � �
_. ....,... _�.�.._,___.,.......�
................ NON-OWNEDAUTOS ,, 3 ' ' .�_.....,.,...., $
3 , .�...,--- ._.m
$
_._.. UfN6R£I.LA LIAB � OCAIivIS-MA€7E III, i i i AGGREGATE I' $
- i E_ACH OC_CURFt�NC�.
' E%CE55 LIAB ` ' � " " � ��..��
�..— ..............................._ ' �. $
, __„_.... .__— __
i. DEbUC7i6E.0 ���
I $
, i . _,__,...,.......�_.._...----- __....._.,._._._
RETENTION 5 II $
i W4RKEiiS COMPENSAT39N : WC BTATll- OTH-
j ANC? EMPLaYERS' LIA8ILITY Y 1 N i � : �.�RY�MiS�.i..,.,.._L._�.13__ _ ___-,_..__...__
? ANY PROPRI�TOFtIPA12TNERIEXECtITNE _ � E,L. EACH ACCIDEt�fT $
� aFF10EFi1MEMBEf2 ESCCLll13Eb7 � N f A : i ._...-----.......-°-----........---._.._�.__
�I (Mandatory in Nt!} , i �.L. DlSEASE - EA EMPLOYG $_.—..........,_..,�
If es, dgsc�j6e under � '� � �..."'�'—
!
��sc�i�r#a�u o� n��szn�rior�s �eiow � 3 ; �.G o�s�nse - PoG�cv €.i�n�r ; s
�� ,
��SCItIPT16N OF OP�RAiItlN5 ! i.00ATIONS ! VEHICLES (Attach ACOR� Tp1, AddifiOndi RCrridTks $Ch�dWlO, iF inare space is required)
Ren#al of Beach Chairs, Ur�tbrellas and Caba�as.
City of Clearwater is arldicional insured re General Liability.
City af Clearwaier
P. Nfunicipal Corporation
25 Causeway Hi�d.
Clearwater, FL 33767
CAAICELLATEphE
SHOUL6 ANY Q� TH� ABOVE DESGRIBEI] pOLICl�5 BE CANCELLE� F3�FOR�
THE EXpIFtATtON DATE THEREO�, i+IOTICE WIL� B� CSELIVEREO EN
ACCOR�ANCE WITH THE POLICY PitQVt51QNS.
AUTHOREZEC� REPRESENTATIVE
�� �
O 1988-20i19 ACqRR CORPORATIOI�. All rights reserved.
ACORD 25 (20�9i09) 7he AGORb name and loga are registered rr�arks of ACORf3
i�OBi
�d"� � �ATE (MMfIlOfYYYY}
� _-. ��fl�]�NCE C�F IPF�(�P'�F'�i'Y I�SUi�e4CVCE �rz7�za��
'THIS EVInEIVCE OF PFtOPERiY INSURANC� 15 l55U�C� AS A MAT7�R OF 1NFORMATtON ONE.Y ANp CONFERS NO RIGHTS i1PON THE
t1pDITfONAL 1N7�REST NAMEt� BEL�W. THIS �VtpENCE t�flES NOT AFFIRMATiV�LY OR NEGATIVELY AMEN�, EXTEN� QR ALTER TH�
CC3VERAGE A�FqiZpED E�Y 7h3� POLICIE5 8�Lf7V4i. iHlS EV[t?ENCE D� 1NSURAhICE �OES NOT CpNSTf7UT� R CQNTRRCT 8E'iV41�EN iHE
iSSt31PiG [NSEIRER(S}, l�UiHOFt€ZE6 REPRESENTRTIVE OR PRat3UCER, F1t�A TH� A�DIiIONAE. {Ni�Ft�ST,
. .. .
AGENCW I PNON� .. ____ ___.. _ _... ........... . ......... ......... ...........
,��,. ,.,, ��.,. 813.638.30f3a camPar+v
Cnmmerciai Lines - (813) 639-3000
Welis Fargn insurance 5ervices U5A, Inc.
2502 N. Rocky Point �rive, Suite 400
Tampa� FL 33607
_
�nx � �a�� ciw c
rarc r�os: &13.839.718D kL7DRES5:
IN5URED
Fisld's Inc. DB�
BarefQCai Beach House
PQ Box 3337
Clearwater Be�ch, FL 33767
PROPEF2TY lNFORMATiC}N
LOCAiIONfDESCRIPTIOM
Lnc 1, Bldg 1: 332 Snuth Gulf Bi�d.; Lpc 1, Bldg 2: 332 Sauti� G�If Sivd
Citizens Property insurance Corp
lL3AN NUMB�Fi
EFFECTIVE f7ATE EXPIRA710N [7ATE
fl8195120i0 08115I2011
__ _.,,..�.......--=------------
TNIS FiEPLACE5 PRItlf2 EViD�NCE DA7�D:
PpLiCY NUMBER
1098�75
GONT1NlikD IINTIL,
TERMiNA'CEfJ i� CHECKEf3
THE POi.1GIE5 OF [NSURRNCE I.ISTED BE�QW HAVE BE�N iS5llED 70 i�HE 1N5UREC3 NAN€ED ASOVE �QF� THE PQLIGY PERIO{J [N[31CAT�E7.
NOTWITHSTANDING ANY RECtUIREMENT, TERM OR CflNplTfOf� OF ANY GQNiRAC:7 C71� pTHEFt pflCUMENT WiTH RESPECT TQ WHICH THiS
�VID�NC� C3F f'ROP�RTY iNSURANCE ivIAY BE [SSUED OR NcRY PERTAIN, THE INSIJRANC� AFFdRDED BY 7H� POLiC€ES �ESCRf6G❑ H�R�1N iS
SUBJECT 7Q ALL TH� T�RMS, EXCLt3S1C)NS AND COf�DiTION5 OF SUCH POLICIES. LIM?TS SHQWN iv1AY HAV� B��N REL7UC�D BY F'F�I[3 CLAfUIS.
CDVERAGE INFORR+�ATi�N
cov��ac� r P�Ri�.s r �oan�s
Loe 1, Btdg 1: 6uiiding
Lae 1, Bidg 1: Contenfs
Lae 1, $�dg 2: Building
Loc 1, Bldg 2: Ganients
n
Ah9pUNT i3F IN9URANCE '��, REDUCTIBLE
. . , , , .,{._ .....................---- ----
_ —��s;aoo'' - s�ro
�a,aflo' s�io
91,�fl0 �j 3%
14JrVUL 3 3p�P
CANCELLLIilC7N
SHOUl.C3 ANY f)F THE ABOVE �1�5Ci216�D F��lC1�5 B� CANCEL�ED BEFOFtE THE �XPIRATEOIV BATE THEREOF, NOTiCE WiLL BE
DELNERED iN ACCORL7ANCE WtTH THE POLICY PRt�V1510hIS.
A D D ITIC}NA�. I NTE REST
t�A€�� nwv a.oe�re�s5
City of Clearwater
A Municipal Cnrpnratinn
25 Causeway Bivd
Glearwaier, Fi� 33767
acoR� z7 (zatrs��z) 134278
IMORTGl�GEE
. _ . �_LD55 �AYEE
t.QAN #
aurr�o�t¢�n ��pu�s�tdT.art��
ADC11TIfINAL 1NSliF'EO
, �
OO 1993-2UU9 ACpRp CORFOR�TION. All rights reserved.
ihe ACORD name and logo are registered marks of ACORC3