CERTIFICATE OF LIABILITY INSURANCE (35)
: ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYVYY)
08/25/06
P~ODUCER 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
813289-5200 INSURERS AFFORDING COVERAGE NAIC#
INlluRED INSURER A: United States Fidelity & Guaranty 25887
Advanced Engineering & Design, Inc. INSURER B: St. Paul Fire & Marine Insurance Co 24767
6161 Dr. MLK Jr. St. N. INSURER C: XL Specialty Insurance Company 37885
Suite 101 INSURER 0:
St. Petersburg, FL 33703 INSURER E:
Client#. 5243
ADVAENG3
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 NSR TYPE OF INSURANCE POLICY NUMBER PJ>;i~~ri~iJ'8m,E Pg~fJI~~~t~!gN LIMITS
A ~NERAL LIABILITY BK01313775 02/15/06 02/15/07 EACH OCCURRENCE $1 000.000
1L 3MMERCIAL GENERAL LIABILITY R~~jf;~~~J 9,J3ENTcD $1 000.000
f-- CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $10.000
I PERSONAL & ADV INJURY $1.000.000
GENERAL AGGREGATE $2.000.000
GEN'L AGGREAE LIMIT APAS PER: PRODUCTS - COMP/OP AGG $2.000.000
n PRO-
POLICY JECT LOC
A AUTOMOBILE LIABILITY BK01313775 02/15/06 02/15/07 COMBINED SINGLE LIMIT
I---- $1,000,000
ANY AUTO (Ea accident)
-
- ALL OWNED AUTOS BODILY INJURY
(Per persDn) $
- SCHEDULED AUTOS
, ~ HIRED AUTOS BODILY INJURY
$
~ NON-OWNED AUTOS (Per acclclent)
!
. - PROPERTY DAMAGE $
(Per acciclent)
RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
I EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
! tJ OCCUR D CLAIMS MADE AGGREGATE $
.
I $
R DEDUCTIBLE $
RETENTION $ .- .... s
B, WORKERS COMPENSATION AND BW02194388 09/01/06 09/01/07 X I T~~JT,~~~~ I IOJ~-
EMPLOYERS' LIABILITY $100,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E,L. EACH ACCIDENT
i OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $100,000
If les, describe under $500,000
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT
C OTHER DPR9418026 02/15/06 02/15/07 $1,000,000 Each Claim
Professional $1,000,000 Ann Aggr
Liabilitv
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Professional Liability is written on a claims made and reported basis.
CERTIFICATE HOLDER
CANCELLATION
i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Clearwater DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -3D- DAYS WRITTEN
AUn: Alice Eckman NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
P.O. Box 4748 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Clearwater, FL 33758-4748 REPRESENTATIVES.
A~ED REPRESENTATIVE
I . ,.,.." M-~..,.a. ~
ACORD 25 (2001/08) 1 of 2
#M129478
KHK
@ ACORD CORPORATION 1988