CERTIFICATE OF LIABILITY INSURANCE (3)
From: Qndy Johnson At: Carlisle Fields & Company FaxlD: 727-725-3663 To: Linda
Date: 9/21/2006 03:33 PM Page: 2 of 2
, ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID c4 DA IE (MMIDDIYYYY)
CLEAR42 09/21/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Carlisle Fields & Company, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 7910 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Clearwater FL 33758-7910
Phone: 727-797-0441 Fax:727-725-3663 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A Auto owners Insurance Company 18988
INSURER B FCCI Insurance Group 33472
Clearwater Regional Chamber of - .._------.--
Commerce INSURER C
P.O. Box 2457 INSURER D
Clearwater FL 33757
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
LTR NSRJ: lYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYY) I "'~k!!ET (MMlDDIYY) UMITS
GENERAL LIABIUTY EACH OCCURRENCE $ 1,000,000
- ~IVKC"'CV
B X COMMERCIAL GENERAL LIABILITY GLOO04382 08/01/06 08/01/07 PREMISES (Ea occurence) $ 100,000
- ~ CLAIMS MADE ~ OCCUR
MED EXP (Any ane person) $ 5,000
-
PERSONAL 8. ADV INJURY $ 1,000,000
-
GENERAL AGGREGATE $ 2,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 2 , 000 , 000
Xl n PRO- nLOC
X POLICY JECT
AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT
- $
ANY AUTO (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
-
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE UABIUTY AUTO ONLY- EA ACCIDENT $
~ ANY AUTO OTHER THAN EAACC $
AUTO ONLY AGG $
EXCESSIUMBRELLA UABIUTY EACH OCCURRENCE $ 2 ,000,000
A ~ OCCUR D CLAIMS MADE 4346391200 08/01/06 08/01/07 AGGREGATE $
$
~ DEDUCTIBLE $
--
X RETENTION $10,000 $
WORKERS COMPENSA liON AND I T~~ lT~~s I IU~~-
EMPLOYERS' UABIUTY
ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? E L DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E L DISEASE - POLICY LIMIT $
OTHER
A Crime 2024700806 08/01/06 08/01/07 Schedule $250,000
DESCRlP110N OF OPERA110NS I LOCA110NS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
certificate holder is named as an Additional Insured with respects to
General Liability only.
CERTIFICATE HOLDER CANCELLATION
CITYOFC SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPlRA110N
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10
DAYS WRITTEN
City of Clearwater
100 S. Myrtle Avenue
Clearwater FL 33756
NOl1CE TO THE CERl1FICA TE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBUGA110N OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTA liVE S.
AUTHORIZED REPRE
PO RATION 1988
ACORD 25 (2001/08)