CERTIFICATE OF LIABILITY INSURANCE (2)
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A CORaM
CERTIFICATE OF LIABILITY INSURANCE
DATE IMMIDDIYY)
1/16/07
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
Acordia Southeast, Inc.
P.O. Box 31666
Tampa, FL 33631-3666
727-796-6666
INSURERS AFFORDING COVERAGE
INSURED
INSURER A:
INSURER B:
INSURER C:
INSURER 0:
INSURER E:
Markel International Ins Co
Field's, Inc. DBA
Barefoot Beach House
P.O. Box 3337
Clearwater Bch FL 33767
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 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 ~~~g;J~~%;':'~~ Pgk!fEY(~'gJ~~;r.:~~ LIMITS
LTR
A GENERAL LIABILITY BIND596297 1/10/07 1/10/08 EACH OCCURRENCE $ 1000000
-
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 50000
I CLAIMS MADE W OCCUR MED EXP (Anyone person) $ 2000
PERSONAL & ADV INJURY $ 1000000
f---
GENERAL AGGREGATE $ 2000000
f--
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 1000000
Ii n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- (Ea accident) $
ANY AUTO
-
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
-
HIRED AUTOS BODILY INJURY
- (Per accident) $
NON-OWNED AUTOS
-
PROPERTY DAMAGE $
{Per accidenll
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
==i ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
=:J OCCUR D CLAIMS MADE AGGREGATE $
$
==i DEDUCTIBLE $
RETENTION $ $
I.WC STATU- I IOTH-
WORKERS COMPENSATION AND TORY LIMITS ER
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLlCY.lIMIT $
OTHER
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DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESJEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS - -. .. --
RE: 332 South Gulf Blvd, Clearwater, FL 33767
Rental of Beach Chairs, Umbrellas and Cabanas. . J/~N 1 B 2007
The City of Clearwater is Additional Insured as respects General
Liability. OFFICIAL RECORDS AND
FLA STATUTE MANDATES 10 DAYS NOTICE OF CANC. FOR NONPAY OF PREMIUM lEGrSLATIVE SRVCS OEPT
CERTIFICATE 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
A Municipal Corporation NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
25 Causeway Blvd. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Clearwater, FL 33767 REPRESFJt1""TI.ES. ^ /
AUT~~
I -...
ACORD 25-S (7/97)
47- 71
@ACORD CORPORATION 1988