CERTIFICATE OF LIABILITY INSURANCE
,~
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ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 1~ DATE (MMIDDNYYY)
WINNI-l 01/23/06
PRODUCER' 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 AL TER 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 Zenith Insurance Company
INSURER B AJa.rican Alternative Ins corp.
Winning Inning Inc INSURER C:
PO Box 15953 INSURER D:
Clearwater FL 33766
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 MAYBE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO 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 DA~ (MMlDDIYY) DATE (MMlDDIYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
I-- 01/01/06 01/01/07 I PREMISES (' E';,c~~~~~ence)
B ~ COMMERCIAL GENERAL LIABILITY BINDER $ 300000
~ CLAIMS MADE ~ OCCUR MED EXP (Anyone perBon) $ 10000
-
PERSONAL & ADV INJURY $ 1000000
-
GENERAL AGGREGATE $2000000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000000
I n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- (Ea accident) $
ANY AUTO
-
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
-
HIRED AUTOS BODILY INJURY
- (Per accident) $
NON-OWNED AUTOS
-
PROPERTY DAMAGE $
(Per aCCident)
GARAGE LIABILITY AUTO ONL Y - EA ACCIDENT $
==l ANY AUTO OTHER THAN EAACC $
AUTO ONL Y: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
~ OCCUR D CLAIMSMAOE AGGREGATE $
$
==l DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND ITORVlIMI'-rs I IVE~-
A EMPLOYERS' LIABILITY Z067810701 11/05/05 11/05/06 E.L. EACH ACCIDENT $ 100000
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 100000
If yes. describe under EL DISEASE - POLICY LIMIT $ 500000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CERTIFICATE HOLDER
CI'1'Y005
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATIE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10
DAYS WRITTEN
City of Clearwater
100 s. Myrtle Ave.
Clearwater FL 33758
NOTICE TO THE CERTlFICATIE 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
ACORD 25 (2001/08)
PO RATION 1988