CERTIFICATE OF LIABILITY INSURANCE (135)DATE(MM/DDI"YYY)
��� CERTIFI`CATE OF LIABILITY INSURANCE i�. Zo �2oi2
PRODUCER THIS CERTIFICATE 1S ISSUED AS A� MATTER OF INFORMATION
Great Florida Insurance ONLY AND GONFERS NO RIGHTS U80N THE CERTIFIGATE
HOLDER. THIS CERTIfICATE DOES NOT qMEND, EXTEND OI�
625 Coir¢nerce Dr, Suite 302 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOIN.
Lakeland, FL 33813
(863) 682-4434 INSURERS AFFORDING COVERAGE NAIC#
INSURED Re/Max Action First wsuReR n: Travelers Insurance Company
Re/Max International �r,suReR B Llo d' s of London
First in Real Estate Corp/DSA wsuReR c
483 Manclalay Ave Ste 201 ir,suReR o.
Cleaxwater FL 33%G% INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDlCATE0. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEGT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,?HE INSURANGE AFFORDED BY THE POLIGIES DESCRIBED HEREIN ISSUBJECT T0 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITSSHOWN MAYHAVE BEENREDUCED BY PAIDCLAIMS.
INSR Dt POIICY EFFECTIVE POWCYEXPIRATION
L7R NSRD TYPE:6F INSURANCE POLICY NUMBER DA7E MM/DDlYY .DATE MMlDD/YY LIMITS
GENERALLIABILITY EACH OCCURRENCE $ 1 OO�D OOO
X' COMMERCIAL GENERAL LIABILITY PREMISES (Ee occurence) S 1 ��Op � OOO
CLAIMS MADE � OCCUR MED EXP (My one person) $ 1(p � 0 �
A Y 499M544A 11/9/12 11/9/13 PERSONAL&ADVINJURY s 1 OOU 000
GENERAL AGGREGATE $ 2� OOO � OOO
GEN'LAGGREGATELIMITAPPLIESPER�. PRODUCTS-COMP/OPAGG $ 2 OOA OOO
X POLICY jE�7 lOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ee accidenty
ALL OWNED AUTOS BODILV INJURY
SCHEDULED P,UTOS (Per person) $
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accidenq
PROPERTY DMM\GE $
(Per acciderd)
GARAGELIABILITY AUTOON�Y-EAACCIDENT $
ANY AUTO OTHER THAN EA ACC $ _
AUTOONLY AGG $
EXCESSNMBRELLA LIABILITY FACH OCCURRENCE $
OCCUR CICLAIMSMADE AGGREGATE $ .
$
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND
TORYLIMITS ER
EMPLOYERS' LIABILITY E.L EACH ACCIDENT $
ANY PROPRIETOR/PARTNERIEXECUTNE -
oFFiCERiMEmeER Exc�uoeor E.L DISEASE -� EA EMPLOYEE $
If yes, describe under '
�SPECIAL PROVISIONS��below E.L. DISEASE - POLICY LIMIT $
OTHER
B Property ASLF11202012 11/20/12 11J20/13 BPP 5,000
Glass 5,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS RDDED BY ENDORSEMENT / SPECIAL PROVISIONS
re: 25 Causeway Blvd Ste 101 Clearwater Beach FL 33767
City of Clearwater is recoqnized as additional insured on the Oeaeral Liability
policy.
HOLDER
CANCfLLATION
Clty Of Clearwater SHOULD ANY OF THE ABOVE DE3CRIBED POLICIES BE CANCELLED BEFORE THE EXPIF�4TION
�. S.�Z S. Osceola Avenue �`� ""��"'} , _ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS YVRITfEN
�� �� � NOTICE TO THE CERTIFICATE HOLDER MNIdED TO THE LEFT, BUT FAILURE TO 00 S0� SHALL
Clearwater FL 33756 ��� '���,;
� , �- +��� IMPOSE NO OBLIGATION OR LIP$ILITY OF ANY KIND UPON � NSURER, ITS AGEMS OR
�3 `y L: .::
^�� REPRESENTATIVES.
�I � b n^ 2 , AUTHORIZED REPRESENTATIVE
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ACORD25(2001/08) �•--� -- - .. - OACORDCORPORATION1988
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