CERTIFICATE OF LIABILITY INSURANCE (5)
PRODUCER
DAY MARK MARINE, INC.
P. O. BOX 46564
PASS A GRILLE BEACH, FL 33741
800.230.0555
DATE (MMlDDIYY)
032806
THIS CERTIFICATE I~ ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOL.DER. THIS CERTIFICATE. DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMP"NY
A NATIONAL FIRE & MARINE
INSURED
WAVEJAMMERZ, INC
466 PURPLE FINCH WAY
PALM HARBOR, FL 34683
COMP"NY
8
COMPANY
C
COMP"NY
o
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.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMlDDlYYI DATE (MMlDDIYY)
LIMITS
A GENERAL LlA.BILlTY
COMMERCIAL GENER"L LIABILITY R 72 LP167239
CLAIMS MADE [X] OCCUR
OWNER'S S CONTRACTOR'S PROT
X WATERS PORTS L1A ILlTY
040106
040107
GENERAL AGGREGATE $1 000 000
PRODUCTS - COMP/OP AGG $1 000 000
PERSONAL & AOIIINJURY $1 000 000
EACH OCCURRENCE $1 000 000
FIRE DAMAGE (Anyone fi,e)
MED EXP (Anyone pe",on)
AUTOMOE'lILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREO AUTOS
NON-OWNED AUTOS
COMBINED SINGLE LIMIT
BODILY INJURY
(Per person)
BODILY INJURY
(per accident)
$
PROPERTY DAMAGE
GARAGE LIABILITY
AUTo ONLY ~ EA ACCIDENT
ANY AUTO
OTHER THAN AUTO ONLY
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
AGGREGATE
$
$
THE PROPRIETORI
PARTNERS/EXEC UTIVE
OFFICERS ARE:
OTHER
INCL
I EXCl
OTH-
ER
EL DISEASE - EA EMPLOYEE
DESCRIPTION OF OPERATIONSlLOCATlO~SNEHICLES/SPECIALITEMS
WATERSPORTS RENTALS & BANANABOAT RIDES
CITY OF CLEARWATER, CITY MARINA
25 CAUSEWAY BD
CLEARWATER, FL33767
SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLEO BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAil
~ DAYS WRITTEN NOTICE TO THE CERTlFICATI; HOLDER NAMED TO THE LEFT,
SHALL IMPOSE NO OBLIGATION OR LIABILITY
Y, ITS AGENTS OR REPRESENTATIVES.