The URL can be used to link to this page

CERTIFICATE OF LIABILITY INSURANCE (3)® ,4 CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 07/12 /2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Aon Risk Services, Inc of Florida 7650 Courtney Campbell Causeway Suite 1000 Tampa FL 33607 USA CONTACT NAME: PHONE (866) 283 -7122 I FAX (800) 363 -0105 (NC. No. Ext): (NC. No.): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Pinellas County School Board C/O Risk Management Department 301 4th Street SW Largo FL 33770 USA INSURER A: Illinois Union Insurance Company 27960 INSURER B: T7 /01/ & conditions INSURER c: EACH OCCURRENCE INSURER D: — X INSURER E: DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER F: MED EXP (Any one person) CERTIFICATE NUMBER: 5700507281 THIS IS TO CERTIFY THAT 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR LTR TYPE OF INSURANCE I.. - INSR SUBR MD POLICY NUMBER POLICY EFF MMIDD POLICY EXP f MMID f LIMITS A GENERAL LIABILITY PEP G1985162A 003 SIR applies per policy terns T7 /01/ & conditions 0770I/201 EACH OCCURRENCE $2,000,000 — X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) included MED EXP (Any one person) EXCI uded PERSONAL & ADV INJURY Included GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG EX Cl uded GEN'L AGGREGATE LIMIT APPLIES PER: TI POLICY n PST n LOC SIR/DeductIble $500,000 A AUTOMOBILE LIABIUTY PEP G1985162A 003 SIR applies per T "uzw.+ 07/01/2013 rctNlditions K:1 s- 6i 07/01/2014 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 X —' _HIRED ANY AUTO BODILY INJURY (Par person) ALL OWNED AUTOS AUTOS — — _ SCHEDULED AUTOS NON-OWNED BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) SIR $500,000 — UMBRELLA UAB EXCESS UAB — OCCUR CLAIMS-MADE ,& q 4,;�;i,) yak n r A ' 1 ;,��;: ..� R'. isc� � EACH OCCURRENCE AGGREGATE DEDI (RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC STATU- I TORY LIMITS OTH- ER E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) The City of clearwater is included as an Additional Insured with respect to the General Liability and Auto Liability policies. CERTIFICATE HOLDER CANCELLATION Holder Identifier Certificate No : 570050728100 III f74 The City of Clearwater Attn: City Clerk PO Box 4748 Clearwater FL 33758 -4748 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Seiteteeed, Toe., eat IrA ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD