CERTIFICATE OF LIABILITY INSURANCE (2)
Mar 06 06 12:10p
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ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP 10 J~ DAte (MMlDO/YYYY)
IaITTI.-l 03/06/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Mutual Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
at Clearwater, J:nc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 1779 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Clearwater FI. 33757-1779
Phone: 727-446-6064 Fax:727-442-9751 INSURERS AFFORDING COVERAGE NAlC#
INSURED INSURER A: Auto OWners IB9BB
INSURER B:
Bruce Littleri Inc. INSURER C:
25 Causeway B yd. INSURER D:
Clearwater FL 33767-2064
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BelOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING
NlY REQUIREMENT. TERM ORCONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO AILL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUceD BY P~D CLAIMS.
NSR~ TYPE OF INSURANCE POLICY NUMBER PRY~~ POLICY EXPIRATION LIMITS
LTR DATE DATE1IIIMlDDIYYl
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
- =~S lea occurencel
A ..!... COMMERCIAL GENERAL LIABILITY 91-13016B-00 04/01/06 04/01/07 $ 50000
f-- =:J CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5000
PERSONAL &ADV INJURY $ Excl .
GENERAL AGGREGATE $ 1000000
f--
GEN'L AGGREnE LIMIT AnS PER: PRODUCTS - COMPtOP AGG $
II PRO-
POLICY JECT LOC
AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT
--'- (Ea accldenl) $
ANY AUTO
-
ALL OWNED AUTOS BODILY INJURY
~ (Per per&On) $
SCHEDULED AUTOS
'--
HIRED AUTOS BODILY INJURY
f-- (Per accident) $
~ NON-OWNED AllTOS
PROPERTY DAMAGE $
(Per accldenl)
GARAGE LIABIUTY AUTO ONLY - EA ACCIDENT $
==j ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCE5SfUM8RELLA UABJUTY EACH OCCURRENCE $
=:J OCCUR D CLAIMS MADE AGGREGATE $
$
==J DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND -rTORY UMln3 I IOJ~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $
~~~M..t"~~~vls1~~s below E.L. DISEASE - POLICY LIMIT $
OTHER
A Plate glass 04/01/05 04/01/07 ACV
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES t EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAl. PROVISIONS
Gift shop, including a1l rooms.
City of Clearwater is named as an Additional I:nsured.
-
cERTIFICATE HOLDER
City of Clearwater
Bill Morris - Harbor.master
25 causeway Blvd
Clearwater FL 33767-2604
CANCElLATION
CJ:TYO 01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHAlL
IMPOSE NO OBUGATION OR LIABlUTY OF ANY KIND UPON THE INSURER, rrs AGENTS OR
RePRESENTATIVES.
AUTHORIZED REP
John Ga
@ ACORD CORPORATION 1988
ACORD 25 (2001/08)