CERTIFICATE OF LIABILITY INSURANCE (2)
From: Cris:>-y Readey At: Carlisle Fields FaxID: 727-725-3663 To: Kyle Killian
Date: 1/25/2006 02:27 PM Page: 2 of 2
""'~ :~.
ACORDm CERTIFICATE OF LIABILITY INSURANCE OP ID C~ DATE (MMlDDIYYYYI
ISLAN-7 01/25/06
1iR0DUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Carlisle Fields & Company, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 7910 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Clearwater FL 33758-7910
Phone: 727-797-0441 Fax:727-725-3663 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Cincinnati Insurance Co. 01209
INSURER B:
Island Estates civic Assoc., INSURER C
Inc.
140 Island Way Box 239 INSURER D
Clearwater FL 33767
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 SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSRC TYPE OF INSURANCE POLICY NUMBER DATE (MMlDDIYY) DATe (MM/DDIYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
-
A X ~ COMMERCIAL GENERAL LIABILITY CAP7869968 01/14/06 01/14/09 PREMISES '( E~~~~~'U~ence) $ 100,000
- tJ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $5,000
PERSONAL & ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
f--
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000
n n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
f-- $
ANY AUTO (Ea accident)
f--
ALL OWNED AUTOS BODIL Y INJURY
f-- (Per person) $
SCHEDULED AUTOS
f--
HIRED AUTOS BODIL Y INJURY
f-- $
NON-OWNED ALn:OS (Per accident)
f--
f-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONL Y - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
:=J OCCUR D CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I TORY LiMITS I IUER
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $
If yes, describe under $
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
City of Clearwater is listed as additional insured with respects to General
Liability.
CERTIFICATE HOLDER
CANCELLATION
CITYC-l
SHOULD /lJof( OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30
DAYS WRITTEN
city of Clearwater
Dept of Parks & Rec
P.O. Box 4748
Clearwater FL 33758
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPR
PORATION 1988
ACORD 25 (2001/08)