CERTIFICATE OF LIABILITY INSURANCE (20)
\'l'elch & Willingham Inc
Fi:-:s": Avenue South, 5th :E'l
'=:.~-:: 33020
~'~'cersburg FL 33733
~e:727-522-7777 Fa~:727-521-2902
NO. 330 D1 P.
CUMEE-2 03 16 06
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CER.TIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
'~:-:7~,~2~' 20~Lj~2.6~.~ICAC:~Er,~ Fti~J.~~ITY INSURANCE
~, """' : ::':;1
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-.....::"""
INSURER A:
Mat' 1 r~l:. %1'16 Co ~l[ Hij.~tl'o"d
NAIC#
01505
INSUR.ERS AFFORDING COVERAGE
INSURER B~ Arch! webs "n~ Ii:M~M.1:8 %"3 e
Cumbey &~ai~, Inc.
~463 Enterprise Rd.
'':::''earwater FL 33763
INSURER C:
INSURER D;
INSURE'" E;
Trans ortation Ins. Co.
20494
e,:-vr,::PAGES
-
,:.:s ~Q'.:';;;!es OF INSURANCE LISTED BELOW HAVE BEEN Issueo TO Tf'I'" INSURED NAMED AIlOVE FOR iHE POLICY PERIOD INDICATEO. NOTWITHSTANDING
,~\-:-' R:;;QlJIREMENT. TERM OR CONDITION oF" ANY CONTRACT OR OTHER DOCUMENt WITH RESPECT TO WHICH THIS CERTIFICATe MAY BE ISSUED OR
I MAY P5RTAIN, T1-IE INSURANCE AFFORDED BY THE POL.ICIES CEiSCRleEiD fjEiREiIN 1$ .sUBJECT TO ALL THE TERMS, exCLUSIONS ANO OONDITIOI'lS OF SUCH
POLICIES. AGGREGATE LIMITS Sf'lOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
t:::; ~g;?,ir TYPE 01' INSURANce ' POLICY MlMBER ~~;t.1MlDlfiYyt DATE;'IMMIDD~N LIMITS
.. [ GENERAL LIABILITY
EACH OCCURRENce $1,000,000
I ~MMeRCIAI.. GEiNI;RAl LIABILITY :2086949437 03/16/06 03/16/07 ~~M~U Yl;~~~~~~no"l $ 300 000
IA
.........~ C'.AIMS MAO~ ~ OCCUR MEO EXP (Any one person) $10 000
PERSONAL & ADV INJ URY ..!.bO 0 0 000
GENeRAL AGGReGATE $ 2,000 000
-------. ---,<,"~.." '
, '.:::.>.'L .(;("CP5\3AE LIMIT APPLIES PER: I PROOUCTS - COMP/OF> AGG $ 2,000 000
12'i POLIO\' n ~rg: n LOC : Ello Ben. 1,000 000
-. l AUTOMOBIl.E LIABIl.ITY
i
COMIiIINED SINGLE LIMIT $1/000/000
!Xl "'''IV ,"'lITO 2088208783 03/16/06 03/16/07 (Ei9 OlCl;ldenl)
'''''':-
I ALl. OWNEO AUTOS BOOlL Y INJURY
! C SCH~OULED AUTOS (P~r pel'$on) $
,L H!ReO AUTOS eODIL Y INJuF<Y $
t NON-OWNED AUTOS (per accldenl)
i PROPI;RTY OAMAGE
(Per 9ccidenl) $
I
GAt;AGE LIABILITY AUTO ONLY.. EA ACCIDENT $
W A~ AUTO OTHER THAN Ell ACe $
, I AUTO ONl YI AM $
'__"_''l'' ~E.SSJuMBREl.LA l.IABIl.ITY
, EACH OCCURRENCE $2 000,000
r
I, C I ~ OCCUR D CLAIMS MADE 2086949471 03/16/06 03/16/07 AGGREGATE $ 2,000,000
i $
~ O~DUCTIBLI!. $
I ! X REr=NTION $10000 .$
I
WORKERS COMPENSATION AND ! I TORY LIMITS I IU~~.
:
5MF'l.OYS~S' l.'Al?oll"ITY i
ANY PROPRIETORlPARTNI;R/EiXi:C\JTIVI;: ! I;.L. I;ACH ACCIDENT ~
'JF'=IC~WEMBER IOXCLUDED? E.~. DISEASE. I;A ~MP~OYEI!. s
'f' \',~,~.,' rd~~r:i:b~ t.!t1c'~r i E.L. OISEASE - POI.ICY ~IMIT
'~"2::::'N" P'tOV!SiONS b~Ow .$
_..--~ ----------
....,.. ;EI:~-':ssional Liab AE:rCPG05 I 03/16/05 03/16/08 1,000/000 Each Claim
;=~ ~~~~) .- '~: C ~) DQduct:i.ble 1. 000.000 Aaar8Q'ate
" "; ;:.:V 0' OPBI<:ATIONS I LOCATIONS (VEHICLES (E)(Cl.USIONS ADDeD BY lONDORSEMENT (SPECIAL PROVISIONS
-"....... ,.;0.:;' ~o: 712B Project NamE! : Genera.l a.nd Professional Liabi1:i.ty. the City
;'.~""
',' - C,1g~.rwa t.er is Additional insured with regard. to General Liability.
i
i .
Citv of Clearwater
:?C Z'OX 474 e
~lea~ater FL 33758
CANCELLATION
CI~Y -CL SHOULD ANY OF THE ABOV~ OeSCRIElED POLICIES BE! CANCELLED BEFORE THE ~)(f'IRA1IO
DATE THEREOF. TIlE ISSUING INSURER WILl. ENtleAVO~ TO MAIl. ~ DAYS WRITTEN
NOTIC!: TO THE CERTlFICA TE HOLDER NAMEC TO 'THE I.EFT, aUT FAII.UR.E TO 00 SO SHALL
IMPOSE NO OBI.IGATlON OR '-lABILITY OF ANY KINO UPON THE INSURER., ITS AGEIIITS O~
ru;PRlOSENT A riVES.
AUTHORIZE ESE
~ ACORD CORPORATION 1988
CERTII=ICA TE HOLDER
fl.'(;'JR::l 25 (2001/05)
LD~ 28,2006 8: 26AM
CUMBEV & FAIR, INC
NO, 330
p, 3
_" 0_.____
- CORD CERTIFICATE OF LIABILITY INSURANCE I PATE (N1MIDOIYYI
/~< '1M 3/.24/06
~7'~r~":;;~R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ACOROIA EAST - TAMPA BAY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
, P.O. Box 31666 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
ALTER THE COVERAGE AFfORDED BY THE POLICIES BELOW.
........-- -arnpa, FL 33631-3666
727-796-6666 INSURERS AFFORDING COVERAGE
____n_
e lNSU REO Curnbey & Fair, Inc. INsuIiIZIiA: Florida Retail Federation
2463 Enterprise Road ' INSURER B:
INSUlieli C:
Clearwater FL 33763 i INSUIIER D:
I INSUREI'. E:
COVERAGES
rH; F'OLlCIES OF INSURANCE LISTEO SE;1..0W HAVE BEeN ISSUED TO THE; INSURED NAMED ABOVE roOR THE POLICY Pl':RIOD INDICATED. NOTWITHSTANDING
X'JV REQUI~EMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMI!NT WITH RESPECT TO WHIcH THIS CERTIFICATE MAY ee; ISSUED OR I
cU.!' "'f'FiTAIN, THE INSURANCE AFFORDEO ElY THE POLICIES DEsCRleEO HEREIN IS SUBJECT TO ALL THe TEAMS, EXCLUSIONS AND CONDITIONS OF SUCH
"'0'_'~''::S_ !I.GGREGATE UM1TS SHOWN MAY HAVI! BEEN REDUCED BY PAID CLAIMS.
...... c' o'r. ,~" lNSIJPANCE l'OUCY NUMBER PQUCY' eFFECT~E PR~.fl,~P)~~~~r' UI'III't$
<~:~':"~':;-:S:~."'I~N AND
'_ ,,~,~;,,~,L!-'
52024651
3/16/06
EACH OCCURR.NC. $
FIRE DAMAGE (Any OM fire) t
M 50 EX~ (Any on~ par~on) ~
PERSONA~ &. ADV IIIIJURY ~
GENERAL AGGREGATE e
PP.OOUCTS. COMP/OP AGG S
COMBINED SINGLE LIMIT e
leo ~c~ldontl
ElOOILV'/'lJIJIW ~
IP ar pef&on)
BODILY INJUR Y $
IP~! eecidlll'ltl
~F;O~EIiTY OAMAGe ~
IFer acc1dem)
AUTO ONLY - EA ACCIDENT &
OTHeFl T~AN EA ACC e
AUro ONl.V: AGG ~
oACH OCCURReNCe 9
AGClREGAT. ~
9
~
~
3/16107 X we STATU. I IOlt
E.L. EACH ACCIDENT ~ lOOOOO
e.,.. OISEASE . EA EMPLOYEE C 10DOOO
e."_ OIGEA$E' POLICY LIMIT $ 500000
"'''',''\'',:~'
.:C\fCi'.C'A'. GlZN5FlAL LIAalLITY
~_~Ti CLAIMS MADE 0 OCCUR
~'--'-"""""! .-
i i
~'L AGGFll!_GHATE LIMIT AF. nFLIES FER:
r-l
I i pO~IC,( ~=g;. LOC
I AUTOMOBILE UAIilIUTV
o ANY AUTO
I i .~LL OWNED AUTOS
i1 $C\oIEOULED AUTOS
HI<\,,:J AUTOS
';Ci-;.;Wr-;r;:O AUTOS
.'-H
'-.---1.-
i '.:!\~.r-!:;= liABILITY
~-~
~ ANY AUTO
.. I i
! I EXCESS L1AIilILI'\"Y
i tJ OCCUR 0 CI,AIMS IIr.ADE
i ;2' ::0U CT!8LE
i i, :~~TO'~TION $
_..--_.--
:
':--:'
'1 DESClllPTION OF OPERATIONSILDCATlCNSNliHrCLES/EXCWSIONS ADDED BY ENDORSEMEN'I"/$PEClAL PROVISIONS
I
10 DAYS NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM
--.---.....,-'"T'."~..
_--';;:;'.";'E HOLDER I I AoomONAL INSlJR~: INSUAER \ETTER: CANCELLATION
'~
CITY OF CLEARWATER
RISK MANAGEMENT
PO BOX 4748
CLEARWATER FL 33758-4748
I
. 7.c,;-:? (7197)
SHOULD ANY OF TilE AROVI; DESCmBED POLICIES Il. CAIIlCEllEO BI;FORE THE EXPIRATION
OATE THsu;QF, THE ISSUING INSUFl~~ WILL ENDEAVOR TO MAI~ ~ PAYS WRITI'I!N
!IIOTlCE TO THE CERTIFICATE HOUlEIl NAMeD TO THE LEfT, BUT fAILUR. TO DO SO S~ALL
IMPOSE NO OBUGATION 011 LIABILITY OF ANY K.INO UPON THE INSURER, ITS ACS\l'rS OR
IIS'RSSENTATlVES.
AUTH?Jt~ ~fJJ. ( )
~l~ V-.JY~ }<<.
f ,
@ACORD CORPORATION 1988
~'. /~' r-', -:""
46- 36