CERTIFICATE OF LIABILITY INSURANCE (61)
ACORD~'
CERTIFICATE OF LIABILITY INSURANCE
CSR MB DATE (MMIDDIYYYY)
BAKEBAR 09/08/06
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
J Rolfe Davis Insurance
P.O. Box 945255
Maitland FL 32794-5255
Phone: 407-691-9600
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
Baker Barrios Architects{ Inc.
300 S. Orange Avenue Sui~e 900
Orlando FL 32801
INSURER A:
INSURER B
INSURER C:
INSURER 0:
INSURER E:
u.s. Fidelity & Guaranty Co.
Zenith Insurance Company
13269
20443
Continental Casualty Company
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.
L TR INSR[ TYPE OF INSURANCE POLICY NUMSEij,..~.,..,. ,.:. ,~9N~r:~J'.f~E Pgk~CEY(~~b~J!gN LIMITS
GENERAL LIABILITY ,., " EACH OCCURRENCE $ 2000000
I--
A X COMMERCIAL GENERAL LIABILITY BK01253562 11/15/05 11/15/06 ~REK~~ES (E~~~~~~nce) $ 1000000
- =:J. CLAIMS MADE ~ OCCUR RE C~EIVEr) MED.EXP (Any onepersoo). $10000 ..'
PERSONAL & ADV INJURY $ 2000000
GENERAL AGGREGATE $ 4000000
-
GEN'L AGGREGATE LIMIT APPLIES PER: ,.'.,,. ) ] - 2006 PRODUCTS - COMP/OP AGG $ 4000000
I n PRO- nLOC -, .. .1
POLICY JECT
AUTOMOBILE LIABILITY '::'+HCiAL RfCORu" ANl .. COMBINED SINGLE LIMIT
I-- $ 2000000
ANY AUTO EGIS/ATI ~E SRVCS DEP (Ea accident)
I--
ALL OWNED AUTOS
f-- BODILY INJURY $
SCHEDULED AUTOS (Per person)
I-- 11/15/06
A ~ HIRED AUTOS BK01253562 11/15/05 BODILY INJURY
$
X NON-OWNED AUTOS (Per accident)
I--
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5000000
A I!J OCCUR D CLAIMS MADE BK01253562 11/15/05 11/15/06 AGGREGATE $ 5000000
$
8 DEDUCTIBLE $
X RETENTION $ $
WORKERS COMPENSATION AND X ITORy"LIMITS I rom-
ER
B EMPLOYERS' LIABILITY Z067644102 FLORIDA 09/01/06 09/01/07 $ 1
E.L. EACH ACCIDENT
- - OFFICER/MEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYEE $ 1000000
If yes, describe under $ 1000000
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT
OTHER
C Professional Liab AEA276199421-CLAIMS MAIlE 11/15/05 11/15/06 Per Claim 3000000
& REPORTED BASIS Aggregate 5000000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
*Except as required by Florida Statute-
CERTIFICATE HOLDER
CANCELLATION
CITYCLE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10* DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
IZE REPRESENTATIVE
City of Clearwater
Attn: City Clerk
POBox 4758
Clearwater FL 33758
@ACORD CORPORATION 1988
ACORD 25 (2001/08)