CERTIFICATE OF LIABILITY INSURANCE (28)
Client#: 3206
AUDESHA3
ACORDTM
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIVY)
08-15-06
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
INSURERS AFFORDING COVERAGE
INSURER A: United States Fidelity & Guaranty
INSURER B: Fidelity & Guaranty Ins Underwrite
INSURER C: St Paul Fire & Marine
-~--------------------_...._----~----------
INSURER D: XL Specialty Insurance Company
INSURER E:
INSURED
Aude, Shand & Williams, Inc
19353 U.S. Hwy 19 N
Ste 101
Clearwater, FL 33764
I
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 TYPE OF INSURANCE POLICY NUMBER Pgk!fll~~ggJ.X~ P~~fJ ('F::/~~reN LIMITS
LTR
A I GENERAL LIABILITY BK01430766 I 07/22/06 07/22/07 I. EACH OCCURRENCE $1.000 000
r-
LX COM M ERCIAL GENERAL L1AB ILITY I "IRE DAMAGE (Anyone fire) $300.000
1'= ~ CLAIMS MADE [X] OCCUR MED EXP (Anyone person) $10,000
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
n !Xl PRO- nLOC
POLICY JECT
B AUTOMOBILE LIABILITY BA01444272 08/07/06 08/07/07 COMBINED SINGLE LIMIT
~ ANY AUTO (Ea accident) $1,000,000
, , -..--..---..---.-
j ALL OWNED AUTOS I I
1--'" SCHEDULED AUTOS BODILY INJURY $
(Per person)
[----
X HIRED AUTOS BODILY INJURY
- $
X NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(Per accident)
~AGE LIABILITY AUTO ONLY - EA ACCIDENT $
I
ANY AUTO , EA ACC $
OTHER THAN
AUTO ONLY: AGG $
A i EXCESS LIABILITY BK01430766 07/22/06 07/22/07 EACH OCCURRENCE $1.000.000
~ OCCUR D CLAIMS MADE AGGREGATE $1.000.000
$
==j DEDUCTIBLE $
RETENTION $ $
C WORKERS COMPENSATION AND BW02194387 09/01/06 09/01/07 X 1TVX~n~J~~ T IOJ~-
EMPLOYERS' LIABILITY $500,000
E.L. EACH ACCIDENT
I $500,000
I E.L. DISEASE - EA EMPL OYEE
E.L. DISEASE - POLICY LIMIT $500,000
D OTHER DPR9419696 07/20/06 07/20/07 $2,000,000 per claim
Professional $2,000,000 aggregate
Liability
DESCRIPTION OF OPERATIONS/LOCAT/ONSNEHICLES/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 ADDmONALINSURED;INSURERLETTER: CANCELLATION
SHOULD ANYOF TH EABOVE 0 ESCRlBED POLlC/ESBE CANCELLED BEFORE THE EXPIRATION
City of Clearwater DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3.0.- DAYS WRITTEN
AUn: City Clerk NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TODOSOSHALL
P.O. Box 4748 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Clearwater, FL 33758-4748 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
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ACORD 25-5 (7/97)1 of 2
#S128752/M128322
KEB
@) ACORD CORPORATION 1988