CERTIFICATE OF LIABILITY INSURANCE (25)
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ACOROM CERTIFICATE OF LIABILITY INSURANCE 06/01/2007 D~;~~~~~D;;~)
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
T E F W.
Lod<looCanpcnies
444 W, 47th SlreEi, Suite 900
Kqn~Cty Mo 64112-1906
(816) 960-9000
INSURERS AFFORDING COVERAGE
INSURER A
INSURER 8
C AGES INSURERISI. AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER.
\ TH~POLlCJES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING
i ,ANY REQUIREMEIIIT,lSRMORGONDlTION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
v;. '{ PERTIl,IN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
"':'U::'ES ,~.GGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAlhAS.
- .-, . __ .__....2:~:: OF \NSURANCE pOLICY NUMBER ~~~ri~cii~-XE PJ'Al!-~~ri~J~Ny?N LIMITS
~-:::~;:::::;:/\'- UAS1UTY EACH CCCURRENCE $ 1 000 000
-~--
-. A . CO>/'_ERCIAL GENER.I>L LIABILITY GL03504583 06/01/2006 06/01/2007 FIRE D.t.MAGE IAnv one lire\ $ 1 000 000
!~C,-AI~SI!ADE GO OCc'UR MED Ey,P IAnv one oerson\ $ 10 000
Contradual Liab. PERSON.I>L & ADV INJURY $ 1 000 000
i -~ GENER.>L AGGREGATE $ 2 000 000
,4~ AGGRErilLlMlT APGZl,PER PRODUCTS. COI.1PIOP AGG $ 2 000 000
I ' POLICY X ~:g X LOC
18 ~OMOBILE LIABILITY COMBI~JED SII<GLE LIMIT
$ 2,000,000
iL ANY AUTO BAP3504584 06/01/2006 06/0 l/2 007 (Ea acddent)
I ~'-L OWNED AUTOS 80DIL Y INJURY
,_..,---, $ XXXXXXX
SCHEDULED AUTOS (Per person)
-
X H'R=:D AUTOS 80DII. Y INJURY $
- XXXXXXX
X NO\-OWNED AUTOS iPer occident)
-
:---j PROPERTY DAMAGE $ XXXXXXX
i ! (Per accident)
~AGE UAIJILITY AUTO C-NL y:=",ACCIDENT $ XXXXXXX
-~-_._--..
: 1..:..-: ANY A~TO NOT APPLICABLE OTHER THAN EA ACC $ xx:xxxxx
I I I AUTO ONL Y: AGG $ XXXXXXX
I . EXCESS LIABILITY EACH OCCUR'iENCE $ 1,000,000
IB ~ OCcUR o CLAIMS MADE AUC3808400 06/01/2006 06/01/2007 ~~ATE $ 1,000,000
i (EXCLUDES PROF, LIAB) $ XXXXXXX
1----: [R) UlIlIREUA
-- :l~CUCTIB~E F(IIII $ XXXXXXX
1" =?=-=~JTrOI\ $ $ XXXXXXX
C 90-14910-01 06/01/2006 06/01/2007 X JfC STA~YiJ IPTH-
WORKERS COMPENSATION AND I _LQKLI.IMITS ER
='~P'-OYERS' !-IABILlTY ..----- --..-
- 90L 1491 OL02 06/01/2006 06/01/2007 $ 1,000,000
- E,L. EACH ACCIDENT
EL DISEASE. EA EMPLOYEE $ I 000 000
I E.I.. DISEASE. POLICY LlM IT $ 1 000 000
~ OTHE'l PLA113978408 06/01/2006 06/0112007 PERCLAlM: Sl,OOO,OOO. AGO: $1,000,000.
c.
.,RCES &: "NOS PROFESSIONAL
I LIA3ILIIY
i
DESCRIPTION OF OPERATlONSILOCATlONSlVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
I CITY OF CLEARWATER, FLORlDA IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY AND AUTOMOBILE LIABILITY.
CERTIFICATF ~nl m:~ I I ADDITIONAL INSURED' INSURER LETTER: .....^........<::, ATlON
310118 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION
CITY QF ClEARWATER DATE THEREOF, THE ISSUING INSURER WILL E;Ni:l..."OR +C- MAIL ~ DAYS WRITTEN
RISK MANAGEMENT DEPARTMENT NOTlCE TO THE CERTIFICATE HOLDER NAMED TO THE LEfT,IlUT fAILURii TO CO SO SHALL
A TTN: ETHEL RAYBURN
PO BOX 4748 IMPO&. ...0 olllleATro... OP ~1I'i11~ITY Of ^~y KI~9 "PON n.1I;; I~'ii' 'R.R, I,:;; ^<;;i!/'H:;; 01'/
i CLEARWATER FL34618 RiPR.:;;....TATI'IES.
AUTHORIZED REPRESENTATIVE /2 __AfI"'" .
I ~~"'I
SA
THIS CERTIFICATE OF INSURANCE DoeS NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING
ACORD 25.5 (7/97)
For quntions ~rding thi. cerHfiQt., conbct t'- number Ib.t<<t in 1'- 'Produuo.... section 31bov. and spKify the client cod. 'HDRlN01',
o ACORO CORPORATION 1588