CERTIFICATE OF LIABILITY INSURANCE (41)
ACORDTI.
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYYYY)
11/2/2006
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
Brown & Brown Insurance - Clearwater
P.O. Box 2456
Suite 660
Clearwater FL 33757-2456
INSURED
Kisinger Campo & Assoc.
KCCS, Inc
POBox 25261
Tampa FL 33622-5261
Corp.
INSURERS AFFORDING COVERAGE
INSURER A: Hartford Fire Insurance CO.
INSURERB: Hartford Casualty Insurance
INSURERC: Lexington Insurance CO.
INSURER D:
INSURER E:
NAIC#
19682
C 29424
19437
COVERAGES
1HE 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
1 HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH PO~ICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ~DD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
A X ~ERAL LIABILITY 21UUNAG7547 9/1/2006 9/1/2007 EACH OCCURRENCE $1,000,000
'::DM~::;~::~E~IA~~L~~YR I... m." ". - - --- ---- -- . - ".. ~~~~~~~9E~~~~~nce\ $'100,0 un'
MED EXP (Anyone person) $5,000
PERSONAL & ADV INJURY $1,000,000
r--
I GENERAL AGGREGATE $2,000,000
r--
n'LAGGRE~E LIMIT APnS PER: PRODUCTS - COMP/OP AGG $2,000,000
POLICY X ~~?T LOC
j, X AUTOMOBILE LIABILITY 21UUNAG7547 9/1/2006 9/1/2007 COMBINED SINGLE LIMIT
X $1,000,000
ANY AUTO (Ea accident)
-
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
-
X HIRED AUTOS
- BODILY INJURY $
NON-OWNED AUTOS (Per accident)
-
- PROPERW DAMAGE $
(Per accident)
~AGE LIABILITY I AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
. , AUTO ONL Y:
I AGG $
n X TIESS/UMBRELLA LIABILITY 21XHUAG7607 9/1/2006 '9/1/2007 EACH OCCURRENCE $2,000,000
X OCCUR D CLAIMS MADE I AGGREGATE $2,000,000
I
I $
~ DEDUCTIBLE I $
X RETENTION $10,000 $
A ..1I\'ClR!<,ERS ~MI'".Nl>~I()-"L 1\.N.0,.__ __ ,_ 7, .l.NBNJ&:1.Q3.3_ ----------...- . )_<lL lL2_.D_QJ; .. ~1QlJ.12QQJ X I T"Xg$mrgs I I01,tl-
'M~O~'" U"'UIT r -
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $500,000
OFFICER/MEMBER EXCLUDED? EL. DISEASE - EA EMPLOYEE $500,000
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500,000
C' OTHER 0526346 10/24/2006110/24/2007 Per Claim 2,000,000
Professional Liability
I Aggregate 5,000,000
Deductible 200,000
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
C,'rtificate Holder is an additional insured with respect to general liability, auto liability and umbrella liability.
EI ldorsements available upon request. Waiver of Subrogation applies to general liability and workers compensation.
*:'0 Days for Non Payment.
CERTIFICATE HOLDER
City of Clearwater
Attn: City Clerk
POBox 4748
Clearwater FL 33758-4748
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER
WILL ENDEAVOR TO MAIL 30* 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.
AUTHORIZED REPRESENTATIVE
~J2.~
ACORD 25 (2001/08)
@ACORDCORPORATlON1988