CERTIFICATE OF LIABILITY INSURANCE
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Sender's Fax ID: Barber Agency
Page 2 of3
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ACORD.. CERTIFICA TE OF LIABILITY INSURANCE OP 10 S, DATE (MMJDDIY'YY'Y)
HARBO-l 05/01/06
PR'JDU':;ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Barber Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2321 state Road 580 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
C~earwater FL 33763
Phone: 727-733-9385 Fax: 712-734-5252 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSLRER A: Zurich Insurance
INSlRER B: Citizens Insurance
Harbor Barber & Beauty Salon INSlRER C:
25 Causeway Blvd INSlRER D'
Clearwater Beach I!"L 33767
INSlRER E:
COVERAGES
THE POLICIES 0= I NSLRA'JCE LISTED BELOW HAilE BEEN ISSLE:l TO TH= I~JSUF;ED NftNED AECVE Fffi TH= POLICY PERIOD INJICAT =D. N01WITHSTA'JDING
ANY REQUIREMENT, TERM OR CONDITICI'J OF ANY CONTRACT:lR OTHER DOCUMEN1 WITH RES"EC1 TO WHICH ~IS C::R-IFICATE M.'\Y 8:: ISSUED OR
MAY PERTAIN, THE INSURANCE .'\FFORCED BY 1l-E POLICIES :lESCRIBED HEREI'J IS SUB,IECTDALL THE TERMS, EXCLUSIONS AND CONDITIONS CF SLa-I
POLlCI=S. AGGF;EGATE _IMITS S~CWN MAY HA'IE 3EEN REDUCEC BY PAl) CLA MS.
"LTR lJsRE: TYPE OF INSURANCE POLICY NUMBER DATE IMMlDDIYY) I "i5kWI (MMIOD/YY) L1J.1ITS
GENERAL LIABILITY EACH OCCUPRENC= $1,000,000
r--
A X X COIVIMEF;CIAl GEi'-ER'\L _1A3 LlTY PASOOB48160 04/23/06 04/23/07 PREMISEs iE~~;';~'L'r'enco) $ 50,000
r-- tJ CLAIMS Vl'\DE ~ OCCLR
rAED El(P (Any Ole person, $ 5,000
PEPSCNI\_ & ACV INJUIW $1,000,000
-
GENERAL AGGREr;A TE $2,000,000
-
GENL I'.GGR=GATE LIMIT I'PF_IES PER PRODUCTS - Cav'P.'OF AGG $1,000,000
in PRO- nLOC
POLICY JEC
AUTOMOBILE UABILITY COMBI'JED SINGL= LIMIT
f-- $
MY ALTJ (Ea a:cidef1l)
r--
ALL OW~IED ALITOS BODI_ v I~JJR'I
r-- (Per persol: $
SCHEDJLED AUKS
I--
HIRED AUKS BODI_ v Ii'-JJR'I
I-- $
NON-OW'JED AUTOS (Per accident)
-
- PROPERTY DAVl'\GE $
{Per accident}
GARAGE UABILITY AUK O~JL Y - EA ACCIDENT $
RMYALTJ O-HER 1H'\ 'J EI'.ACC $
AUK ONLY AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCUPHENC= $
~ OCCLR o ClAIMS MADE AGGREGATE $
$
==l DECUCTl8LE $
RETEI,mOI, S $
WORKERS COMPENSATION AND IKRY LIMITS I rVER
EMPLOYERS'LIABIUTY
I'J\/Y PR:lPRIETOR/PARTNE'<JE><ECU-I\/E EL EACH ACCIDEN1 $
OFFICE~iMErv8E'< E><8LUDED? EL DISEASE - EA EMPLCYE= $
If yes, dascribe under
SPECIAL PROVISIONS teo,", EL DISEASE - POLICY LIMIT $
O~ER
B Windstorm 1408376 06/06/06 06/06/07 Contents 2,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEJ.lENT i SPECIAL PRO\1SIONS
The below named certificate holder is named an additiona~ insured as their
interests may appear.
CERTIFICATE HOLDER
CANCELLATION
City of Clea~Tater
25 Causeway Blvd
Clearwater FL 33767
CLEARWC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CI\NCELLED BEFORE THE EXPlRATlON
DATE THEREOF. ~E ISSUING INSURER 'NILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTlFICATE HOLDER N.A.MED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
I\UTHO 0 R ES
@ACORD CORPORATION 1988
ACORD 25 (2001i08)