CERTIFICATE OF LIABILITY INSURANCE (26)
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Client#. 3206
AUDESHA3
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ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYY)
07/21/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Suncoast Insurance Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O. Box 22668 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tampa, FL 33622-2668
813 289-5200 INSURERS AFFORDING COVERAGE
INSURED INSURER A: United States Fidelity & Guaranty
Aude, Shand & Williams, Inc INSURER B: Fidelity & Guaranty Ins Underwrite
19353 U.S. Hwy 19 N INSURER c: St. Paul Fire & Marine Ins Co
Ste 101 INSURER D: XL Specialty Ins Co
I Clearwater, FL 33764 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.
'~f~ TYPE OF INSURANCE POLICY NUMBER Pgl!fl,~~~%~ P~'a'~J/'if'&J~~N LIMITS
A ~ERAL LIABILITY BK01430766 07/22/06 07/22/07 EACH OCCURRENCE $1 000 000
A OM ERCIAL GENERAL L1AB ILlTY FIRE DAMAGE (Anyone fire) $300 000
f-- CLAIMS MADE [X] OCCUR MED EXP (Anyone person) $10000
-" PERSONAL & ADV INJURY $1 000 000
~- GENERAL AGGREGATE $2 000 000
GEN'L AGGREGATE L1M IT APPLIES PER: PRODUCTS .COMP/OP AGG $2.000 000
h POLICY - rXi ~~gT n LOC
B ~OMOBILE LIABILITY BA01444272 08/07/06 08/07/07 COMBINED SINGLE LIMIT
~ ANY AUTO (Ee accident) $1,000,000
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
- SCHEDULED AUTOS
~ HIRED AUTOS ~DIL Y INJURY
$
~- NON-OWNED AUTOS (Per accident)
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I PROPERTY DAMAGE
- $
(Per accident)
~AGE LIABILITY AUTO ONLY. EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
A EXCESS LIABILITY BK01430766 07/22/06 07/22/07 EACH OCCURRENCE $1 000 000
::!J OCCUR D CLAIMS MADE AGGREGATE $1 000000
I ,
I $
H DEDUCTIBLE $
- RETENTION $ ..... '. ..... .. . - $
C WORKERS COMPENSATION AND WVA7723704 09/01/05 09/01/06 X WC STATU. I IOJ~-
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $500,000
E.L. DISEASE. EA EMPL OYEE $500,000
E.L. DISEASE - POLICY LIMIT $500,000
0 OTHER DPR9419696 07/20/06 07/20/07 i $2,000,000 per claim
professional i I I $2,000,000 aggregate
ILiabilitv I I i
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Professional Liability is claims made and reported.
City of Clearwater is an additional insured w/respect to General Liability
and Auto Liability. Waiver of Subrogation is included except for Workers
Compensation.
CERTIFICATE HOLDER I X I AD 0 mONAL INSURED' INSURER LETTER: CANCELLATION
SHOULD ANY OF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Clearwater DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 31L-- DAYS WRITTEN
Attn: City Clerk NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAlLURE TODOSOSHALL
P.O. Box 4748 1M POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Clearwater, FL 33758-4748 REPRESENTATIVES.
A~ED REPR~TIVE
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ACORD 25-S (7/97)1 of 2
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#S 127172/M 127170
KEB
@ ACORD CORPORATION 1988