CERTIFICATE OF LIABILITY INSURANCE (15)
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GRIMCRA3
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ILITY INSURANCE
DATE (MMlDDIYV)
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
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INSURERS AFFORDING COVERAGE
INSURERA: United States Fidelity & Guaranty
INSURER B: St Paul Fire & Marine
INSURER c: Hudson Ins Company
INSURER D:
INSURER E:
....URED
CITY Of CtqPWAT[R
Grirnilll Crawford,l . PIJRUC wO~~~~W"'I'~~rrrl'"
1511 N Westshore B v
Suite 1115
Tampa, FL 33607
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD !NQICATI;D. 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.l\MITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE ~~~~,=~N LIMITS
A ~ERAL LIABILITY BK01231322 10/14105 10/14/06 EACH OCCURRENCE $2.000.000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) 52.000.000
I-- ~ CLAIMS MADE [i] OCCUR MED EXP (Anyone person) 510.000
PERSONAL & ADV INJURY 52000.000
I--
- GENERAL AGGREGATE 54 000 000
~\. AGG~filLlMIT AnSPER: PRODUCTS.COMProPAGG 54 000 000
POLICY X ~~,Q; LOC
~OMOBILE UABILITY COMBINED SINGLE LIMIT 5
ANY AUTO (Ea accident)
-
- Au. OWNED AUTOS BODILY INJURY
(Per plIfSOn) 5
- SCHEDULED AUTOS
- HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident) 5
-
- PROPERTY DAMAGE 5
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 5
~. ANY AUTO OTHER THAN EA ACC 5
AUTO ONLY: AGG 5
EXCESS LIABILITY EACH OCCURRENCE $
~-OCCUR D CLAIMS MADE AGGREGATE 5
5
1 DEDUCTIBLE 5
IIiEl'ENTlON $ 5
B WORKERS COMPENSATION AND BW02178650 05122/06 OS/22/07 X 1.)!g,.l?T~T~_ I IOJIt
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000
E.L. DISEASE -EA EMPLOYEE 51,000,000
E.L. DISEASE . POLICY LIMIT 51.000,000
C OTHM AEE71371-01 05129/06 OS/29/07 $1,000,000 per claim
Professional $1,000,000 aggregate
,""iabillty
DESCRPTlON OF OPERATlONSlLOCATIONSlVEHICLESlEXCLUSlONS ADDED BY ENDORSEMENT/SPEClAL PROVISIONS
Professional Liability is claims made and reported.
CERTIFICATE HOLDER I I ADDmoNALINSURED'INSURERLETTER: CANCELLATION
SHOULD ANYOF TliE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TliE EXPIRATION
City of Clearwater DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TOMAIL3.0..-DAYSWRITTEN
Engineering Department NOTlCETOTliE CERTIFICATE HOLDERNAMED TO THE LEFT. BUT FAILURE TODOSOSHALL
PO Box 4748, Ste 220 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Clearwater, FL 33758-4748 REPRESENTATIVES.
~DREPR~TIVE
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ACORD 25-S (7/97)1 of 2
#S125748/M123060
BJM
@ ACORD CORPORATION 1988