CERTIFICATE OF LIABILITY INSURANCE (30)
ACORDTM CERTI
GRIMCRA3
BILITY INSURANCE
DATE (MM/DDIYY)
06/30/06
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER
Suncoast Insurance Associates
P.O. Box 22668
Tampa, FL 33622.2668
813289-5200
Jll
3 tm6
INSURERS AFFORDING COVERAGE
INSURED
. . CI1Y OF CI c.\:'v;;',Tfq
Gnma.1 Crawford, IIf. p"r~'.Ir: "")PK5 ~'!-:'; ""T!f".1
1511 . N Westshore Brvcr" '.. . .. .' .'
Suite 1115
Tampa, FL 33607
INSURER A: United States Fidelity & Guaranty
INSURER B: St Paul Fire & Marine
INSURER C: Hudson Ins Company
INSURER D:
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.
INSR TYPE OF INSURANCE POLICY NUMBER Pgk!fJ/~~5g~\, p~~iJ li,xrrJ~~Wr LIMITS
LTR
A GENERAL LIABILITY BK01231322 10/14/05 10/14106 EACH OCCURRENCE $2 000 000
-
.x. COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $2 000 000
- =:J CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $10000
- PERSONAL & ADV INJURY $2 000 000
- GENERAL AGGREGATE $4 000 000
GEN'L AGGREGATE L1M IT APnS PER: PRODUCTS .COMP/OP AGG $4,000 000
I POLICY rxl ~bl,s>T LOC
~OMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
I---
I--- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
I---
HIRED AUTOS BODILY INJURY
c-- $
NON.OWNED AUTOS (Per accident)
f-- ~-
f-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY ! AUTO ONLY. EA ACCIDENT $
H ANY AUTO I OTHER THAN EA ACC $
I AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
:::J OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
-
RETENTION $ .' . ..., '. ... .'- .co .._. .... ..... . $
B WORKERS COMPENSATION AND BW02178650 OS/22/06 OS/22/07 X I,'X? STATI{-o, I 10TH.
T RY LIMIT ER
EMPLOYERS' LIABILITY $1,000,000
EL EACH ACCIDENT
EL DISEASE - EA EMPL OYEE $1,000,000
EL 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
~iabilitv
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Professional Liability is claims made and reported.
CERTIFICATE HOLDER I I ADDmONALINSURED 'INSURER LETTER: CANCELLATION
SH OULD ANYOF TH E ABOVE 0 ESCRIBED POLICIES B E CANCELLED BEFORE TH E EXPIRATION
City of Clearwater DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL3D--DAYSWRITTEN
Engineering Department NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TODOSOSHALL
PO Box 4748, Ste 220 IMPOSE NO OBLIGATION OR L1ABILlTYOF ANY KIND UPON THE INSURER,ITSAGENTS OR
Clearwater, FL 33758-4748 REPRESENTATIVES.
~ED REPR~ATIVE
I . ~ Ol.. .a ~
ACORD 25-S (7/97)1 of 2
#S125748/M123060
BJM
@ ACORD CORPORATION 1988