CERTIFICATE OF INSURANCE (4)
M.ARSH
CERTIFICATE OF INSURANCE
CERTIFICATE NUMBER
NY C-002334 777 -04
PRODUCER
Marsh USA, Inc.
1166 Avenue of the Americas
New York, NY 10036
Attn: NewYork.Certs@Marsh.Com
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Fax 212-948-0500
COMPANIES AFFORDING COVERAGE
I COMPANY
~_ A FEDERAL INSURANCE COMPANY
I COr;ANY
COMPANY
C
09513-ALL-CAS-06-07
INSURED
PricewaterhouseCoopers LLP
300 Madison Avenue
New York, NY 10017
COMPANY
i D
COVERAGES This.certificate.supersedes.and.replaces.any..previously .issued..certificate. for.the .poHcy..perlod..noted.below.
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE I POLICY EXPIRATION LIMITS
LTR, DATE (MMIDDfYY) DATE (MM/DD/VY)
A I GENERAL LIABILITY 7350-83-15 09/30/06 09/30/07 GENERAL AGGREGATE $ 2,000,000
COMMERCIAL GENERAL LIABILITY I PRODUCTS - COMP/OP AGG $ 1,000,000
CLAIMS MADE [8] OCCUR PERSONAL & ADV INJURY $ 1,000,000
I OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 250,000
1$ 1,000
A AUTOMOBILE LIABILITY 7497-74-17 09/30/06 09/30/07 $ 1,000,000
COMBINED SINGLE LIMIT
ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
I NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
A WORKERS COMPENSATION AND 7170-68-12 09/30/06 09/30/07 X i TV;:;~1[tJI~S
EMPLOYERS' LIABILITY
EL EACH ACCIDENT
THE PROPRIETOR! INCL EL DISEASE-POLICY LIMIT
PARTNERSJEXECUTIVE
OFFICERS ARE: X EXCL EL DISEASE-EACH EMPLOYEE
o HER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAlITEMS
CITY OF CLEARWATER
FINANCE DEPARTMENT
ATTN: CAROL BARDEN
100 S. MYRTLE AVE.
CLEARWATER, FL 33756
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE VlnLL ENDEAVOR TO MAIL --30 DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: Jennifer Ellefsen
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