CERTIFICATE OF LIABILITY INSURANCE (7)
~.ACORI). CERTIFICATE OF LIABILITY INSURANCE OP 10 1~ DATE (MM/DDNYYY)
COMMU-1 07/12/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Carlisle Fields & Company, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 7910 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Clearwater FL 33758-7910
Phone: 727-797-0441 Fax:727-725-3663 INSURERS AFFORDING COVERAGE NAIC#
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INSURED INSURER A: MOUNT VERNON FIRE INS CO
INSURER B:
communitf Pride Child Care INSURER c:
Center 0 Clearwater, Inc.
1235 Holt Ave. INSURER 0
Clearwater FL 33756
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 NSRC TYPE OF INSURANCE POLICY NUMBER PDl}.1lnJ~rJ6'~E P!!~~_Y(fXPIRAT~~N LIMITS
DATE MMIDDIYY
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
-
A X COMMERCIAL GENERAL LIABILITY CL2315160 06/30/06 06/30/07 PREMISES (E~~~~~r~nce) $ 50,000
I CLAIMS MADE ~ OCCUR r,,~ED EXP (Anyone person) $ 5,000
PERSONAL & ADV INJURY $1,000,000
-
GENERAL AGGREGATE $1,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1,000,000
I n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $
ANY AUTO (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS BODILY INJURY
- (Per accident) $
NON-OWNED AUTOS
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY.. EA ACCIDENT $
=l ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY I EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE AGGREGATE $
i $
R DEDUCTIBLE $
j RETENTION $ $
WORKERS COMPENSATION AND I TORY L1Mmi I IU~~"
EMeLOYERs' LIABILITY " , ,,",,' n_____ . - c .. E.LEACHACCIDENT- -. $'"
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L. DISEASE.. EA EMPLOYEE $
! If yes, describe under
, SPECIAL PROVISIONS below E.L. DISEASE.. POLICY LIMIT $
OTHER
I
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
CITYC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
City of Clearwater NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Real Estate Services Manager IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Earl Barrett
P.O. Box 4748 REPRESENTATIVES.
Clearwater FL 33758-4748 AUTHORIZED REPRESENTATIVE
John R. Fields
ACORD 25 (2001/08)
@ACORDCORPORATlON 1988