CERTIFICATE OF LIABILITY INSURANCE (16)
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ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYY)
05/18/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Suncoast Insurance Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O. Box 22668 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tampa, FL 33622.2668
813 289-5200 INSURERS AFFORDING COVERAGE
INSURED INSURER A: United States Fidelity & Guaranty
Grimail Crawford, Inc. INSURER B: St Paul Fire & Marine
1511 N Westshore Blvd INSURER c: Hudson Ins Company
Suite 1115 INSURER D:
I Tampa, FL 33607 INSURER E:
Client#. 6108
GRIMCRA3
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER Pgk!fll~~~g~~ P~~fl (~&J~;wr LIMITS
LTR
A GENERAL LIABILITY BK01231322 10/14/05 10/14/06 EACH OCCURRENCE $2.000.000
f--
eX- COM M ERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $2.000.000
f-- o CLAIMS MADE [Xl OCCUR MED EXP (Anyone person) $10000
f-- PERSONAL & ADV INJURY $2.000.000
f-- GENERAL AGGREGATE $4.000.000
n'L AGGREffiE L1M IT APAS PER: PRODUCTS .COMP/OP AGG $4.000.000
POLICY X ~~?T LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
I- $
ANY AUTO (Ea accident)
I-
ALL OWNED AUTOS BODILY INJURY
f-- $
SCHEDULED AUTOS (Per person)
l-
f-- HIRED AUTOS BODILY INJURY
(Per accident) $
I- NON-OWNED AUTOS
f-- PROPERTY DAMAGE $
(Per accident)
RAGE LIABILITY AUTO ONLY. EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE AGGREGATE $
$
q DEDUCTiBLE $
-RETENTION $ - - - " .. ',-- ,'--, -,-, .... - --'.,.- '- - --- --- - ._n _ -- $ ------ u,
B WORKERS COMPENSATION AND BW02178650 OS/22/06 OS/22/07 X 1-ro~~I~JI~s I IOJ~-
EMPLOYERS' LIABILITY $1,000,000
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPL OYEE $1,000,000
E.L. DISEASE. POLICY LIMIT $1 000 000
C OTHER AEE71371-01 OS/29/06 OS/29/07 $1,000,000 per claim
Professional $1,000,000 aggregate
Liabilitv
DESCRIPTION OF OPERATiONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Professional Liability is claims made and reported.
RE: Engineer of Record - Mike Crawford
CERTIFICATE HOLDER I I AD D mONAL INSURED . INSURER LETTER: CANCELLATION
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Clearwater DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3.0.......... DAYS WRITTEN
Susan Chase, Document & Records Supervisor NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAlLURE TO DOSOSHALL
PO Box 4748 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Clearwater, FL 33758-4748 REPRESENTATIVES.
A~EDREPR~TIVE
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ACORD 25-5 (7/97)1 of 2
#M123059
KEB
@ ACORD CORPORATION 1988