CERTIFICATE OF LIABILITY INSURANCE (3)05131/2011
1
14:50 7275816440 GLOBAL CONSULTING PAGE 02102
DATE(MM/DDhYYY)
I r,(-Al 4-70-t I
CEI? 41FICATE OF LIABILITY INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OI- INFORMATION
ONLY AND CONFERS I40 RIGHTS UPON THE CERTIFICATE
Commonwealth Insurance, Of Florida HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2401 WeSt Bay D=ivy 4124 ALTER THE COVERAGF. AFFORDED BY THE POLICIgrit L W
Largo, Florida 33770
7?-7 :5. -r% t
INSURED CLEARWATER ANGLJR, LLC.
ADDITIONAL INSU]IRD -
CITY OF CLbPJtWAiER
INSURERS AFFORDING COVERAGE NAIC#
INSURER A; mO MIT VEIaN FIM INSURANCE co.
INSURER 8;
ftc4 IRFR C!
INSURER D;
THE POLICIES OF INSURANCE LISTED E
ANY REQUIREMENT, TERM OR COW
MAY FhK I AIN, I nE INSUR+NtE APPOR
POLICIES. AGGREGATE LIMITS SHOWN
N HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIC'
OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIL
BY THE POLIOICS DC +CRIBC0 HEREIN is SUBJECT TO ALL THE TFRM$.
HAVE BEEN REDUCED BY PAID CLAIMS.
:FFE
POLICY NUMBER oATrIMA,W _ POLICY E/D OY
'PERIOD INDICATED. NOTWITHSTANDING
H THIS CERTIFICATE MAY BE ISSUED OR
FYC:I I ISInNS AND CONDITIONS OF SUCH
LIMITS
EAOH =dURRLNCC
PREMISES Ea uucgeence E .0 0
MED EXI' (Any 0nr. peBOn) 6 .0-
PERSONAL&ADVINJURY s
GENERAL AGGREGATE $ QQ
PRODUCTS - COMPIOP AGG 8
COMBINED SINGLE LIMIT
ICn aaddenl)
BODILY INJURY g
(Per prrs0n)
BODILY INJURY $
(Per ecadenl)
PROPERTY DAMAGE $
(Pef accident)
AUTO ONLY-EA ACCIDENT S
ERT14AN EAACC $
OTH
AUTO ONLY: AGG $
CACM OCCURRENrE
AGGREGATE $
$
S
W C STATU- 07 -
IlAIT4
F-L- EACH ACCIDENT
E.L. DISEASE - FA EMPLOYEE g
s
t=,L. ImeASt - rOLIGY LIMIT
TOTAL PROPERTY LIMIT :
$62,000
GENERAL LIABILITY _?
COMMERCIAL GENERAL LIA91LSfY
CLAIMS MADE [7X OCCU4
$P2550338B
tikN•L ACGnEGATE UMIr APPLIG3
POLICY PRD- L
J
AUTOMONLE LIABILITY
ANYAUTO
ALL OWNED AUTOS
'JCliCDULrD AUTOS
_ HIRED AUTOS
NON-OW NED AUTOS
GARAGE LIASILrTV
ANYAUTO
EXCESS 1 UMBRFLLA LIABILITY
OCCUR CI CLAIMSMAD?
DEDUCTIBLE
AND EMPLOYERS' LIABILITY YI
ANY PROPRIETDRIPARTNEIIlEXECLITIVE r
oFFICeRRAEMBER EXCLUDED? L
(MmndMerr In NH)
06/01/11 106/01/12
OTHER
PROPERTY ; BP25-S0338E1 06/01/11 1 06/01/12
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I FXCLUSIONS ADPFD By ENDORSEMENT I SPECIAL PRO
RETAIL BAIT SHOP
1-45 CAUSEWAY BOULE?, CLEARWATER, FL. 33767
WIND/RAIL EXCLUSION (APPLIES TO POLICY
y. IIII 9,o , ANr m YW, &FdrW nFrMMFD POLICIES HE CANCELLED OF,FORE THE EXPIRATION
MCI Y OF CLEARWATZR BATE THEREOF, THE ISSIMS RAMER WILL ENBEAVOR TO NAIL _'JD__ DAIS WRITTEN
10 0 S. MYRTLE AVENUE No= TO THE CERTIFICATE NOi,1)6R NAMED TO THE LEFT, [IL T FAILURE M DO 30 SHALL
CLEA,RWATER, rL -3-3756 IBPOSE n4 OBLIGATION OR UABILLTY Or ANY KIND UPON THE RISURER. ITS AGENTS OR
? ATNes
A QED PRE ATIV
09 10 C PORATION. All rights reserved.
ACORD25(20401)
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e ACORD name and logo are registered marks OR
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