CERTIFICATE OF LIABILITY INSURANCE (15)Stephen Apetz Insurance 8639377217 p.2
..r•"1 HIGHTIM-02 ANNMC9
'`��,�,_.°R°� CERTIFICATE OF LIJABILITY tNSURANCE � °�'�`�"�"'�`'
9/1912Q72
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THIS CERTIFICATE IS ISSUED AS A MATTER aF INFORMATION ONLY AND CONFERS NO RiG�iTS UPON THE CERTFFICATE HOLDER. THIS
CERTIFlCATE DOES NOT AFFlRMATWELY OR NEGATIVELY Ai�IEND, EX'TENg OR ALi'ER THE COYERAGE AFFORDED BY�'HE POUCIES
BELOW. THIS CER'YIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BEiWEEN 7HE ISSUM[G INSURER(S), AUTHORIZED
REPRESENTATiVE OR PRODUCER, AND THE CERTIPICATE HOLDER.
I UYIPORTANT: If the certlficate holder is an ADDITIONAL INSURED, tfie po]icy(ies) must be endorsed. Ff SUBROGATION IS WAIVFA, subject to
the tertns and conditior►s of the policy, certain polic�s may require an endorsement. A statement on tfiis ceKificate dces not corsfer rights to the
certiflcate holder in Ileu of such endarsement(s). _
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�oouc�te _._ _ ..__ cauracr
liAME:
First Flight Insurance Group, 1rtC. PHONE 252 261-f903 �, �:_ 855 814�591
P o aox �oas co���w, �n: t ) - __-[c-- �t t- 1-._ _._._
Kiqy Hawk, NC 27949 E D���ss:
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� IMSURER(S�AFFONOMGCOVERAGE ` _ NA1C0
�NSU�Rw: Certain Underwriters at Lloyds �
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. INSUREO -�----- -- ---- �----- � -�---- --- - --- . ..
i � INSURERB: . .. . ._. . . ........� _ .__ �.
's HfghTimes,lnc ;iNS�RC: _-.�— — � _.---_.---I
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� 466 Purple Finch Way i INSURERD: _..------------- ---_ .. ;_._ . i
� pS�1Tl Hd��, FL �3 i INSUR£RE: � ��_� ����—I
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COVERAGES CERTIFICA7E NUMBER: REVISI�J NllAABER:
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; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEIOW HAVE BEEN ISSUED TO TIiE INSURED NAIAED ABOVE FOR THE POLfCY PERIOD �
INDICATED. NO'fWITHSTANDING ANY REQUI72EMETIT, iERM OR CONDITION OF RNY COIdTRACTOR OTNER QOCUhSENT WRH RESPECTTO WHtCH THIS ,
CERTIFICATE MAY BE ISSl1ED OR MAY PEf2TAIN, THE INSURANCE AFFORDED BY THE POLIGES DESCRiBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONUITIONS OF SUCH POLICIES. UMITS SHOWN Al1AY HAVE BEEN REDUCED BY PAID CtAIMS.
Llli : TYPE OF N$lEU1NGE
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A' X� c�neti+=_rscw. r�n�� unsum
I.... � ' .� � CLAIMS�IADE � OCCUR
; X; 52,500 per acc ded.
GEN'L AGGREGATE LWSIT APPLIES PER:
�.POLJCY.❑. j�G7 .�_LOC _
AUiOM081LE LIABIUiY
X
ANY AUTO
ALLOVVNED I SCHEpULED
AlfT0.S L AUTCS
FBREDAUI'QS I HON-0WNED
auros
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EJCCE35 L]AB i �q�MSd1ADE
DED�RETENTION S
1NORKERS CONPENSA710N
AND ENPLOYERS LIABILRY Y 1 N
,WYPROPRIE70FLPARTNEiLEXECUTVE .... Nf
aFF..CERIMEMBER EXCIUDED7
1-12581
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9f2412012 : 9/24/2013
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LIMII'S
E1ICHOCxIRRENCE S
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ME6DfP(Myor.epersonl S _ _-�1,0�
PERSONAL&ADVIYJURY S ���r�
Gou�ai.AGC�xECnre 3 1,00O,�Od
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PROOUCTS-COMPfOPAGCa $ EXCIII�
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CObflINED $INGLE LIMIT
L6 a�dentl � $
9QDILYINJURY(PerPetsonJ � 3
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BODILYINJURY�Peraoede��)� i
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EACH OCCURRE�lCE -----. S __...._._... . —
acGRECa� S
E1.FACHACG�ENT :i
El pS£AS= - EA EM1APLOYEE 3
F_.L. dSEASc-POIICYI_iMR � $
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�. �ESCRIPT70N OF OPERAlTONS! LOCATONS I VEtMCLES (ACaeh ACORD tbt. AdEltional Renarka Stlxdule, � mo�e spaoe is requimd�
' Parasait! Jetski Rentai 8 Banana Boat F�ccursivn Operation at the toNowing tocatron: 400 Mandalay Ave., Cle�rwa�er FL 3376T C�tTIFICATE HOLDER 1S
'115TF_O AS AN ADDITIOFIAl �lSI1RE0 WITH RESPEC7 i0 GENERAL LIABILITY.
CERTlFICATEHOLDER ------ ---
,— — --- . . . .
City of Clearwater
25 Caaseway Blvd.
P o Bmc a7a8
Ciearwater, F! 33767-9000
CANCELLA'IION
SHQULU ANY Of THE ABOVE DESCRIBED POLICIFS BE CANCEIIED BEFORE
T1iE E%PIRATIflN DAiE TH£REOF, 1J01'ICE W{LL 8E �3.1VERED �
ACCBRDAt�E VY17H 7'F!E POL.ICY PROY[5K�IS.
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l� 198&201fl ACORD CaRPORA710Ni. All rights reserved_
ACORD 25 (2010J05) The AGORO name �d Iogo aze reg�stered marks of ACORD