CERTIFICATE OF LIABILITY INSURANCE (13)
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
6/29/2006
PRODUCER (215) 567-6300 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
The Graham Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Graham Building HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
1 Penn Square West
Philadelphia, PA 19102 INSURERS AFFORDING COVERAGE NAIC#
INSURED Resun Leasing Inc. INSURER A: Travelers P & C Co of America 25674
22810 Quicksilver Drive INSURER B: American Guarantee & Liability Ins. Co. 26247
Dulles, VA 20166 INSURER c:
INSURER D:
INSURER E:
RESULEA-01
WIHE
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 ~~~~ TYPF nF POLICY EFFECTIVE POLICY EXPIRATION
LTR POLICY NUMBER Y LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
-
A X COMMERCIAL GENERAL LIABILITY P6605071 A702TIL06 7/1/2006 7/1/2007 UAM.,:~r;.~ YE~~~Tcu $ 300,000
PREMISES Ea occurence
I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 10,000
PERSONAL & ADV INJURY $ 1,000,000
-
GENERAL AGGREGATE $ 2,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000
-l POLICY n ~b'?T n LOC
I AUTOMOBILE LIABILITY .'
- COMBINED SINGLE LIMIT $ 1,000,000
A X ANY AUTO P81 05071 A82A TIL06 7/1/2006 7/1/2007 (Ea accident)
-
ALL OWNED AUTOS i~E(:FI\ FC' BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS . J. .! .i,DOG (Per accident)
.j..-- -~ -_~:-~c- -'~~'_--____ ---. --_. ...-..- - - -- - __..___c..... - ..- C=:--. ---- .- - -.
- PROPERTY DAMAGE $
H'.'ll ~' :", l,t.l.. '/. (Per accidenl)
~ .,. . ',1.
RAGE LIABILITY '!: pISU,liV,F .:'V:; :~ : AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 15,000,000
B tKi OCCUR D CLAIMS MADE AUC913839500 7/1/2006 7/1/2007 AGGREGATE $ 15,000,000
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X I WC STATU. I IOTH-
TORY LIMITS ER
A EMPLOYERS' LIABILITY UB9279B31506 7/112006 7/1/2007 500,000
ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? EL. DISEASE - EA EMPLOYEE $ 500,000
If yes, describe under 500,000
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
OTHER
'06 JUL ? F'H2:
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
~II States Coverage is provided on Workers' Compensation Coverage.
~ctual Cash Value on Owned and Leased Autos, a $100,000 Sublimit applies to Hired Autos, subject to a $1,000 Comprehensive & $1,000
Collision Deductible.
Project: Pinellas County Head Start: 6698 68th Avenue, N., Suite D, Pinellas Park, Florida 33781
~)
.~-
CERTIFICATE HOLDER
CANCELLATION
City of Clearwater
Clearwater Housing and Urban Development Office
112 S. Osceola Avenue - Room 105 - P.O. Box 4748
Clearwater, FL 34618-
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3~ 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
REPRESENTA TIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08)