Loading...
CERTIFICATE OF LIABILITY INSURANCE (10) , Client#: 84252 ACORD'M CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 4/26/06 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. PRDDUCER HRH Df Philadelphia 600 W. Germantown Pike Suite 300 Iymouth Meeting, PA 19462-9998 Global Spectrum LP 3601 S. Broad Street Philadelphia, PA 19148 INSURERS AFFORDING COVERAGE INSURER A; CDmmerce & Industry INSURER B; Axis Specialty Insurance Company INSURER C; INSURER D; NAIC # 19410 15610 ,H6URED 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 PERT AIN. 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'fR NSR[ TYPE OF INSURANCE PDLlCY NUMBER PDOAL,'~~~~~~,w\E p~~iJ ~~~t'~N LIMITS ~ERAL LIABILITY EACH OCCURRENCE $ ~ COMMERCIAL GENERAL LIABILITY !2~~f.~~ yo, RENTE,?pnc.\ $ ~ ~CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ ~ - GENERAL AGGREGATE $ ~'L AGGREAE LIMIT APAS PER; PRODUCTS. COMP/OP AGG $ PRO. POLICY JE CT L OC ~OMDBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea acciden1) - - ALL OWNED AUTOS BODIL Y INJURY $ SCHEDULED AUTOS (per person) - - HIREDAUTOS BODIL Y INJURY $ NON.OWNED AUTOS (Per accidenl) f--- PROPERTY DAMAGE $ (Per accident) RAGE LIABILITY AUTO ONL y. EA ACCIDENT $ I ANY AUTO OTHER THAN EA ACC $ AUTO ONL Y; AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ o OCCUR 0 CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ A WDRKERS COMPENSATION AND 9688960 03/30/06 03/30/07 X I T~~VS~ 'iJ.~~ I IOJ~' EMPLDYERS'L1ABILlTY $1,000,000 ANY PROPRIETORlPARTNER/EXECUTIVE E.l. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.l. DISEASE. EA EMPLOYEE $1,000,000 If yes, describe under E.l. DISEASE. POLICY LIMIT $1,000,000 SPECIAL PROVISIONS below B OTHER Professional . ENN581653 04/01/06 04/01/07 $2,000,000 Each Claim liability $2,000,000 Aggregate $5,000 Deductible DESCRIPTIDN DF DPERA TIDNS / LDCA TlDNS / VEHICLES / EXCLUSIDNS ADDED BY ENDORSEMENT / SPECIAL PRDVISIDNS Re: Harborview Center; 300 Cleveland Street; Clearwater, FL 33755 City of Clearwater, Florida is included as Additional Insured where required by cDntract, sDlely with respect to the operations of the Named Insured. CERTIFICATE HOLDER CANCELLATION CITY OF CLEARWATER 112 S. OSCEOLA AVENUE CLEARWATER, FL 34618-0000 SHDULD ANY DF THE ABDVE DESCRIBED PDLICIES BE CANCELLED BEFORE THE EXPIRATIDN DATE THEREDF. THE ISSUING INSURER WILL ENDEAVDR TO. MAIL -31L- DAYS WRITTEN NDTICE TO. THE CERTIFICATE HDLDER NAMED TO. THE LEFT. BUT FAILURE TO. DO. so. SHALL IMPDSE NO. DBLlGATIDN DR LIABILITY DF ANY KIND UPON THE INSURER. ITS AGENTS DR ACORD 25 (2001/08) 1 of 2 #M313756 1 LDAR @ ACORD CORPORATION 1988 CERTIFICATE OF INSURANCE 0711112006 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 POLICY BELOW. RODUCER American Specialty Insurance & Risk Services,lnc. 1142 North Main Street Roanoke, Indiana 46783 SURED C3Iobal Facillties, L.P.. Global Spectrum, Inc. 3101 Soulh Broad Street Philadelphia, PA 19148-5290 CERT NUMBER: 1000433634 COVERAGES THIS IS TO CERTIFY THAT THE POLICiES OF INSURANCE LISTl:D ~ELOW HAVE BEEN ISSueD TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IoJDlCATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDlT10N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERl1F1CATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDeo BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDIT10N OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS POLICY POLICY POLICY LTR TYPE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS General AtImeaale . Per location 2 oon nnn GL PHPK178272 0613012006 06/3012007 ProcIucf.8.Comnleled Ooerations Acoreeale 1 000 000 A . . InluN 1 000 000 12:01 a.m. 12:01 a.m. ce 1 000 000 FInt Down..".. .. , nn.. FI.A 1 100000 Medlca'-~v""nse Ilmll lAnv One Personl Blcluded L1auor UablillV 1 000000 5 000 000 UMB QK06500871 0613012006 0613012007 ~_.. 10000000 B 5 000 000 12:01 a.m. 12:01 a.m. !DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/sPECIAL PROVISIONS . The Umbrella Policy contains a Sail Insured RetenUon In \he amount of $10,000. . The CertlflcalBhofder Is only an AddlUonallnsured with _pect to lIebllly caused by lhe negllgenlllcls or omissions ofll1e Named Insured, but only whh respect 10 HARBORVIEW CENTER, 300 CLEVELAND ST, CLEARWATER, FL. · General Liability policy is subJecl10 a $10,000 per occurrence Self-Insured Retention with no annllBr e9gregate. CERTIFICATE HOLDER CITY OF CLEARWATER 112 S OSCEOLA AVE CLEARWATER, FL 34618 CANCELLATION StlOULO NoIY OF THE ABOVE OE8CRlIlED POLICIES eE CANCaED BEFORE THE EXPIRATION DATE THEREOF. THE ISS\JING COMPANY WIU ENDeAVOR TO MAIL 30 DAYS WRITTEN NOllCE TO THE CERllFICATE HOl.DER. BUT FAILURE TO MAIL SUCH NOllCE SHALL IMPOSE NO OBUGATlON OR UABILlTY OF ANY KINO UPON THE COMPNfY. ITS ~NTS OR REPREseNTATlVES. AUTHORIZED REPRESENTATIVE ~t.~ : ~ ~ORI?:..:::.~!:~~~~-J(~AT:E 'O~:;,.~j~~:~LJ~;}i~~:~:~:NC.E . "," ,',. : DA6~5~~~g~/YY) 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. COMPANIES AFFORDING COVERAGE PRoDUCER Aon Risk services, Inc. of pennsylvania One Liberty place 1650 Market Street suite 1000 Philadelphia PA 19103 PHONE. (215) 255-2000 FAX. (215) 255-1893 INlSURED Global Facilities, LP / Global spectrum, comcast-spectacDr, LP 3601 south Broad Street philadelphia PA 19148-5290 USA COMPANY A St paul Fire & Marine Insurance Co. COMPANY B COMPANY C COMPANY D ':;GbVE~GES!:' .;; ":::1)~~~f~;:;i!f:i~!j::j;:j;~;!;:;:~';:; ~.: ,1" ::: :':; 1,',' 'j;' ::~.'! ::....:::. ":;.':~i'~~),:~ :" :::-. ,';,'.: li~:;"..: ;.C :;~\~::i:;~1:~:I!I~:{1:i:~:::i!;!;~!j,~~L;:~:;:;:.:~~:<;~::..:', "" THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING ANY REQUIREMENT. TERM OR CONDmON Of ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, I;XCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~ POLIcY 'EFFECrIVE POLIcY EXPIRA nON DATE(MMlDDJY\') DATE(MM/DD/YY) LIMITS TYPE OF INSURANCE POLlcY NUMBER GENERAL LIABILITY I-- COMMERCIAL GENERAL LIABILIlY f.::--, D ~. --I CLAIMS MADE OCCUR _ OWNER'S & CONTRACTOR'S PROT - GENERAL AGGREGATE PRODUCTS - COMPIOP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGEIAnv one firel MED EXP IAnv one personl AUTOMOBILE LIABILITY - ANY AUTO - ALL OWNED AUTOS - SCHEDULED AUTOS - HIRED AUTOS ~ '- - COMBINED SINGLE LIMIT BODILY INJURY ( Par pemm) NON-oWNED AUTOS BODilY INJURY (Per eccictenl) PROPERTY DAMAGE : ~RAGE LIABILITY , _ ANY AUTO - AUTO ONLY - EAACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE S25,OOO,OOC $25.000,00 .. ., : Ai EXCESS LIABILITY · fx1 UMBRELLA FORM n OTHER THAN UMBRELlA FORM Q1 06400426 06/30/06 06/30/07 WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE: I TWC STATU- I 10m:. ".. . El EACH ACCIDENT EL DISEASE.POLlCY LIMIT El DISEASE-EA EMPLOYEE RINCL EXCL ~r: RtPTION OF OPERATlONSlLOCATlONSNeHICLESlSPECIAL m;MS C ty of clearwater is included as an Additional Insured regarding Harborview Center, 300 Cleveland Street, c earwater, FL. ;C!R:nFICATE'JIOt9ER1~!:;li'!'~':::i:'i'"., 'l;';:.":: ;...:' ',;:"\',:,::' ::1::;'~::: ::::~:;:.:;;:::~ Tl,:;.:!l;~ ;... :. ,: ., ::.::'~.:'C:u.~EEIi!A"tIQN;:;lli!11H:~}\:i""~',,~:; :1', -.:; :'~' : :..;:.: :":.: '~:.;!::.:~:ii::.ir!';(!~::l:' ;:..::" .'" SHOULD ANY OF THE ABove DESCRIBED POLICIES BE CANCELLED BEFORE THE city of clearwater 112 S. osceola Avenue Clearwater FL 34618 USA EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESF'NTATIVES. AUTHORIZED REPRESENTATlIIE ~r""'/ d. "J""u.;n d i;:~oRD~25~i'(:a:/96)'::r;;;:i;~tJ;!:;~:/~~;,ii~;:',~,::::-:; :",: .:;:.:; :~" .::~: ;:i. /i .;: ;::::::i;:;i::;~~~il:ii::;;l;'; :1 i.' ! ;::~:: :;;:!;;:. ::: :.:: ::.:::1:~::;;:~];.::i~F~:!:i~~j'~i~~~\;:~H/li:';":. f :=: ,\ ,;: . \. ':i:~:!-A'~t.iDD:le'~/" " t a I; ~ ~ a "l; .. . a "l; c ::r: a ,.., oc g( .. .... oc .. c: c: ,.., v c Z Ql ~ l:: ::: s- o; ~ " .. " - ~ ~ :a.....: R..,- 1"'1:I ..... ~ .~ ~ ~ iio::. ~ !lIl:.: ~ Q..J ~ iILI fiJ - ACORDTM ::~:::' ::;:::Wwtc~j~::iilfi!~BlmBJ.tiig!:j':.!::::~ .......li:~;,~(..:.....::,:..';.:i.;"::'.,:1 DATE (I'H/DD/VV) r .1 l"...... B' '".' "III"r"41" 04/06/06 ::: , :\ j': .~ :. ;" 1'* l:::!>~j' :;:~:;;l/ .::~?': ~:I; .. "....:~:~:.~~.. "'L~I' . ".. ,I. I' P~OOCER nos CERTIFICATE IS ISSUED AS A MATI'ER OF INFORMATION ONLY "ND AOn Risk services, Inc. of pennsylvania CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE One Liberty place DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 1650 Market Street POLICIES BELOW. Suite 1000 philadelphia PA 19103 USA COMPANIES AFFORDING COVERAGE COMPANY zuri ch American Ins Co PHONE. (21s) 255-2000 FAX- (215) 255-1893 A QlStIIlED COMPANY .. .. Gl oba 1 Facilities, LP/ B ~ = Global spectrum, Inc. - COMPANY s:: 3601 S. Broad Stree1: II> phi 1 adel phi a PA 19148 USA c :2 .. COMPANY ~ 'l:I D C '., . . .; ..' 'u I :It ~ .~~ h~~:~il ~t~a!:~:!li~m:ml~m~;i~: ~ !:::I ~~~H ~ :m[~: ~ : 'i~~. ~:i; ~: : r' :;~i! :;:iii;; :!;:i!~@t;ila' l!l:~:: 1:1 ~ i;;r~ r: :~~;\~!:ii:t!:Jl!it:~ 1i~~;i;! .~:!;i\ '~j~ilm!m~t.1 ~ ~i\imili!~:t(~i1i!!;;til: ;~; )::;! ::;, ::::::i !;::(!, {II ~ :,j:' :;;; ,::i!':i,;:' ; I ~::i: ii~1li; 'I;:!, : i;i':' , ' f "i:! :~:~~ ~.t!:1:- 'I~ :l~::i: f;1 :c TIllS IS TO CERTIFY THA TllIE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO tHE INSURED NAMED ABOVE FOR TIm POLlCY PERIOD INDICATED, NOlWIIHSTANDING ANY REQUIREMENT. TERM OR CONDmON OF ANY CONlRACT OR OTHER DOCUMENT wrm RESPECT TO WHICH nus CERTIFlCAlE MAY BE ISSUED OR MAYPERTAlN.mE INSURANCE AFFORDED BY tHE POLICIES DESCRJDED HEREIN IS SUBJECT TO ALL mE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS. to TYPE 01' INSURANCE POLICY NUMBER POLICY EFFECTIVE roLlCY EXPlRAno~ COVERED PROPERTY LIMITS l>1R DATE (MMIDIIIYY) DATE (MMIDDIYY) =r PROPERTY BUILDINO - CAUSES OF LOSS PERSONAL PROPERTY - - BUSINESS INCOME BASIC - vd.l!aa~ I-- BROAD ExrRA EXPENSE i-- f- SPECIAL BLANKET BUILDING r-. - - N BLANKET PERS PROP rl - EARTHQUAKIl - ;!i BLANlCET BLDG" PP M FLOOD - ,... - .-I 0 - - 0 ,... lI'I INLAND MARINE - - TYPE OF POLICY .. i-- t , i-- ,oC:l I 2USES OF LOSS E I-- ;I NAMED PER.lLS Z - i-- 011 OTHER .... 1S A X CRIME FID3739206-02 04/01/06 04/01/07 Employee Sl, 000,00( = ~ - .. - Deductible 011 TYPE OF POLICY ~ 55,DOC U crime coverage U BOILER" MAClONERY - , [J OTHER : LOCAnON 01' pREMISES \ DESCRIPTION OF PROPERTY - ~ ..-:-; ~ ~ SPECIAL CONDlnONS f OTIIER COVERAGES "--=" ~ ~ ~ ~ :LII , .. .....~......,........ .:', : . ., '" :r........'.\i!!tmll!fl:i:~il!!~E!.;!~11ti;:!::~:I~:r !.~. ::I;ii. ~!!i;i;j!: :ii~m:i!;I!i1ii~Unn~iltI'!~;ll~!fIPHt;~!:i~~~;::~i;ill~%~ar~GE~tm'0MiiU!;:i;~~1U~~~;P.ii~:~~jdl!:t:: ;;l~~:il~:;!t!~':i!!ij;l i!:ji;!~ij.i~{!;::;~.i~1:7:i,:!~j~;~::::f.~!:!~~;'!~)~il ~ . , . . -=-= SHOULD ANY OF THI! ABOVE DESCRIBED POUCIES BE CANCELLED BEFOIlETHE ~ city of clearwater EXPIRATION D" TE THER.l!Ol' THI! ISSUING COMPANY WILL ENDEAVOR TO MAIL !IIO..!! 112 south osceola Avenue 30 DAYS WRITTEN NOTICE TO nm CERTIFICATE HOLDER NAMED TO THE LEFT. ~ cl earwater FL 34..618 USA BUT PAlLtlIlE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ~ OF ANY KIND uPONTHI! COMPANY, ITS AGENTS OR I\EPRESeJlITATIVES. ~ ~ AUTHORIZED IlEPIlESENTATIVE ~ lOOItD::2l iliJI9.5)'j!r.1!f !i;111!m~~til!lM~!!I:H!i;;~:::{;!mt:~~:;:;:~. :l;';.:;::.I~:~ ;~. ;:;'1; ,ili!l~?:;'tr.:ii:ii~~i!i,!r;!!:,:HI'!iII:t~i!i:iii:~:~i!:!;g:'1H:~I;~~!H~l!him~:n~~:li!r:ll:ii.i1ih.!'~~l~i;,::n:I~:: ;~:~11';:~Jei:A:MRD!~mip!OR)iffrtiSli~ 99~:!~~\;!;:~l, - . i POLICY NUMBER: FID 373920601 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY', CR 104701 89 JOINT LOSS PAYABLE This endorsement applies only to COVERAGE FORM A X COVERAGE FORM 0 0 COVERAGE FORM P 0 A. PROVISIONS You agree that any loss payable under the Coverage Form indicated above shall be paid jointly to you and the Loss Payee designated below:, as their interest may appear: See attached schedule City of Clearwater (NAME OF lOSS PAYEE) and any such payment shall constitute payment to you. We agree that we will make all such payments jointly to ,.you and the Loss Payee, and we will not make any payment solely to you unless we receive a request in writing from the Loss Payee to make such payment to you. B. Our liability under the Coverage Form indicated above as extended by this endorsement shall not be cumulative. ,C. No rights or benefits are bestowed on the Loss Payee other than payment of loss as set forth herein. !D. No termination or cancellation of the Coverage Form, whether at your request or ours, shall take effect prior to the expiration of 30 clays after written notice of such termination or cancellation has been filed with the above named Joint Loss Payee. Page 1 of 1 , ,I I .