CERTIFICATE OF LIABILITY INSURANCE (4)
A CORaM
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YY)
9/28/06
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
ACaRDIA EAST - TAMPA BAY
P.o. Box 31666
Tampa, FL 33631-3666
727-796-6666
INSURERS AFFORDING COVERAGE
INSURED
PACT, Inc., Performing Arts
Center Foundation, Inc.
1111 McMullen Booth Road
Clearwater FL 33759
COVERAGES
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
ZURICH-AMERICAN-09593
ZENITH INSURANCE CO-DB
AMERICAN GUARANTEE & LIABILITY
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 ~9.~~YMEttggT~~~ PgJt.fUNJ~~T.J$~ LIMITS
LTR
A GENERAL LIABILITY CP0278060502 10/01/06 10/01/07 EACH OCCURRENCE $ 1000000
f--
r-K- COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 100000
I CLAIMS MADE W OCCUR MED EXP (Anyone person) $ 10000
PERSONAL & ADV INJURY $ 1000000
GENERAL AGGREGATE $ 2000000
-
~'L AGGREfl LIMIT AP~ PER: PRODUCTS - COMP/OP AGG $ 2000000
POLICY ~~g;. X LOC
A ~TOMOBILE LIABILITY CP0278060502 10/01/06 10/01/07 COMBINED SINGLE LIMIT
(Ea accident) $ 1000000
- ANY AUTO
ALL OWNED AUTOS BODILY INJURY
I-- $
~ SCHEDULED AUTOS (Per person)
r-K- HIRED AUTOS BODILY INJURY
$
r-K- NON-OWNED .AUTOS (Per accident!
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
='1' ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
C EXCESS LIABILITY UMB937678902 10/01/06 10/01/07 EACH OCCURRENCE $ 10000000
Q OCCUR 0 CLAIMS MADE AGGREGATE $ 10000000
$
R DEDUCTIBLE $
RETENTION $ $
B WORKERS CQl\II!'ENSAJION AND _~ _ Z83B094212__.. . ..,_.1/01/06 c. VOll07 J WC STATU-; I IOTH-
~, XrOR'Y L1MITS_ ER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT $ 1000000
E.L. DISEASE - EA EMPLOYEE $ 1000000
E.L. DISEASE - POLICY LIMIT $ 1000000
OTHER
DESCRIPTION OF OPERATIONS/LOCATlDNS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CITY IS ADDITIONAL INSURED FOR INTEREST HELD IN PREMISES OF
RUTH ECKERED HALL.
*10 DAYS NOTICE OF CANCELLATION APPLIES FOR NON PAYMENT.*
CERTIFICA TE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF CLEARWATER DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~
DAYS WRITTEN
ATTN: LEO SCHRADER, RISK MGMT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
POBOX 4748 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
CLEARWATER FL 33758-4748 RE~ES. '.
AUTH .~A~~.
I
ACORD 25-S (7/97)
46- 64
@) ACORD CORPORATION 1988