CERTIFICATE OF LIABILITY INSURANCE (23)
ACORD~ CERTIFICATE OF LIABILITY INSURANCE CSR ME I DATE (MM/DDIYYYY)
BAKEBAR 06/26/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA TE
J Rolfe Davis Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 945255 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Maitland FL 32794-5255
Phone: 407-691-9600 INSURERS AFFORDING COVERAGE NAIC#
INSURED i INSURER A: u. S. Fideli ty & Guaranty Co.
i INSURER B: Zenith Insurance Companv 13269
Baker Barrios Architectsf Inc. : INSURER C: Continental Casualty Company 20443
300 S. oran~e Avenue Sui e 900 !INSURER 0:
Orlando FL 2801
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.
'LTR ~~~ TYPE OF INSURANCE POLICY NUMBER PD9N'E (MM/DDfy~E P~k!f"EY(AAUJb'ID~y~N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 2000000
- 11/15/05 11/15/06 ~~~~iS~s (Ea accurence)
A ~ COMMERCIAL GENERAL LIABILITY BK01253562 $ 1000000
o CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000
I--
PERSONAL & ADV INJURY $ 2000000
I--
GENERAL AGGREGATE $ 4000000
I--
GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $4000000
Ii n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
I-- $ 2000000
ANY AUTO (Ea accident)
I--
ALL OWNED AUTOS BODILY INJURY
I-- $
SCHEDULED AUTOS (Per person)
I--
A X HIRED AUTOS BK01253562 11/15/05 11/15/06 BODILY INJURY
I-- $
X NON-OWNED AUTOS (Per accident)
I--
-. " 1::.:::.:._ _:.:.~-~~'::.::~-'-.=----==-.=..:..::=-:;:~-,----'- - -- - - ,,---- - ---- " -'-" ,--- '-- I PROPERTY DAMAGE ~-----
-- TP'er accldenlJ-- - --.- -
GARAGE LIABILITY I AUTO ONLY - EA ACCIDENT $
=1 ANY AUTO OTHER THAN EA ACC $
I
! AUTO ONLY: AGG $
EXCESs/UMBRELLA LIABILITY EACH OCCURRENCE $ 5000000
A ~ OCCUR D CLAIMS MADE BK01253562 11/15/05 11/15/06 AGGREGATE $ 5000000
~ DEDUCTIBLE -I :
X RETENTION $ $
WORKERS COMPENSATION AND X I TORY LIMITS T IUJ~-
B EMPLOYERS' LIABILITY Z067644101-FLORIDA 09/01/05 09/01/06 $ 1000000
ANY PROPRIETORfPARTNERIEXECUTIVE I E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? I , E.L. DISEASE - EA EMPLOYEE $ 1000000
~~~(;,~tS~~c5v~~~o~S below I
E.L. DISEASE - POLICY LIMIT $ 1000000
OTHER
C Professional Liab AEA276199421-CLAIMS MADE 11/15/05 11/15/06 Per Claim 3000000
& REPORTED-BASIS . Acrcrrecrate 5000000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS .;?t( ~\;F"::"'r- '
*Except as required by Florida Statute- . \ '.'., :_"'~ .,.... I,...", [,.,._,', - .. -- -
I
.. ; ',,,,' '-~ ~.... ... ~- .i . i':i
CERTIFICATE HOLDER
CANCELLATION
~::'i.'~~,'~f j~T;\:'t "rj\:.'.......,.: ; 'l'~ I
CITYCLE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10* 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
REPRESENTATIVES.
~--
City of Clearwater
Attn: City Clerk
POBox 4758
Clearwater FL 33758
ACORD 25 (2001/08)
@ACORD CORPORATION 1988