CERTIFICATE OF LIABILITY INSURANCE (21)
ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP ID T~ DATE (MMIDDIYYYY)
SCHEH-1 05/04/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Olin Hill & Associates Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2804 Del Prado Blvd. #107 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Cape Coral FL 33904
Phone: 239-945-1900 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Southern Owners Insurance Co. 10190
INSURER B: Mt. Hawley Insurance Co.
Schehr Construction Company INSURER C: Auto Owners Insurance Co. 09703
17430 Alico Center Rd INSURER 0:
FtMyersFL 33912
INSURER E:
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.
INSRI I POLICY NUMBER PD~,;!~iJ'~fD~~E POLlC!tFXPIRAT,!('jN LIMITS
LTR TYPE OF INSURANCE DATE MM/DDIYY
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
I--
A X COMMERCIAL GENERAL LIABILITY 20599885 05/19/06 05/19/07 PREMISES (E~~~~~~nce) $ 50000
I-- ~ CLAIMS MADE ~ OCCUR
I-- MED EXP (Anyone person) $ 5000
PERSONAL & ADV INJURY $ 1000000
I--
I-- GENERAL AGGREGATE $2000000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 1000000
n n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
I-- $1000000
C ~ ANY AUTO 9651795500 05/19/06 05/19/07 (Ea accident)
ALL OWNED AUTOS BODILY INJURY
I-- $
SCHEDULED AUTOS (Per person)
I--
X HIRED AUTOS BODILY INJURY
f----- $
~ NON-OWNED AUTOS (Per accident) .
I-- I PROPERTY DAMAGE $
I (Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $5000000
B ~ OCCUR D CLAIMS MADE 9915684A 05/19/06 05/19/07 AGGREGATE $ 5000000
$
8 DEDUCTIBLE $
X RETENTION $10000 i $
WORKERS COMPENSATION AND I TORY LIMITS I IU1H-
ER
C EMPLOYERS' LIABILITY 20626991 05/19/06 05/19/07 $ 1000000
- NN~ROPRI=rog/PARTNER!EXECUTIVE. E.L EACH ACCIDENT
- . ----.-- - - ----. ___H_ _____ ____.___
OFFICERIMEMBER EXCLUDED? c' -.- .. E.L DISEASE - EA EMPLOYEE $100 OUO (Y-
It yes, describe under $ 1000000
SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT
OTHER
I i ~ ~i=~r=IVi=n
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS .-.,- -'
Carpentry 0 7005
1999 CHEVROLET CHASSIS CAB 1GBGC24ROXF049785 r-i:.f\Y 9
i~ECEIVE[) Finance Department
I " ?nn~
CERTIFICATE HOLDER
CANCELLATION
(;FHCiAL t<E~~Oi?O;,) ~Ny.RoO
lEGISlATIVE SRVCS DcP1
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 OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
City of Clearwater
100 South Myrtle Ave.
Clearwater FL 33756
@ACORDCORPORATION 1988
ACORD 25 (2001/08)