CERTIFICATE OF LIABILITY INSURANCE (9)
Clienti.': 13438
;LEARCOMMU
ACORDTM
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDfYYYY)
11/03/06
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
Gowrie, Barden & Brett, Inc.
70 Essex Road
Westbrook, CT 06498
860 399-5945
Clearwater Community Sailing Assoc.,lnc
1001 Gulf Blvd.
Clearwater, FL 33767
INSURERS AFFORDING COVERAGE
INSURER A: Federal Insurance Company
INSURER B:
INSURER C:
INSURER D:
INSURER E:
NAIC#
20281
INSURED
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OiR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 NSR TYPE OF INSURiANCE POLICY NUMBER PDO}f~':J~fJ~'wlE Pg~fJ ~~~~N LIMITS
A ~NERAL LIABILITY 35823516 11/06/06 11/06/07 EACH OCCURRENCE $1,000,000
ex.. OMMERCIAL GENriERAL LIABILITY ~~~~~'~J9ta~T~~enre $1 000 000
~ CLAIMS MADE [K] OCCUR MED EXP (Anyone person) $10000
- PERSONAL & ADV INJURY $1,000,000
- GENERAL AGGREGATE $2 000 000
GEN'L AGGREGATE LIMIT APnS PER: PRODUCTS - COM PlOP AGG $included
I n PRO-
POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
f--
f- ALL OWNED AUTOS BODILY INJURY
(Per pen:;on) $
f-- SCHEDULED AUTOS
f- HIRED AUTOS ,BODILY INJURY
$
NON-OWNED AUTOS (Per accident)
-
- PROPEF:TY DAMAGE $
(Per accident)
~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
:=JESS/UMBRELLA L1ADIUTY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
=1 DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I T~i~l~I~WS I IOTH-
ER
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under E.L. DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
The City of Clearwater is named as Additional Insured on General
Liability Policy only.
CERTIFICATE HOLDER
CANCELLATION
City of Clearwater
25 Causeway Boulevard
Clearwater, FL 33767
SHOULD ANY OF THE ABOVE DESCRIBED POLlCtES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ 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
'\
ACORD 25 (2001/08) 1 of 2
#S20189/M20188
MED
(9 ACORD CORPORATION 1988