Loading...
CERTIFICATE OF LIABILITY INSURANCE (450)ACc b CERTIFICATE OF LIABILITY INSURANCE 12/31/2013 DATE (MMDDI Y3 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOCKTON COMPANIES, LLC -1 KANSAS CITY 444 W. 47TH STREET, SUITE 900 KANSAS CITY MO 64112 -1906 (816) 960 -9000 CONTACT Mai , Ext)- I FAx No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Zurich American Insurance Company 16535 INSURED SERVICE AMERICA ENTERPRISE, INC. 1343427 2755 NW 63RD COURT FORT LAUDERDALE FL 33309 INSURER B : American Guarantee and Liab. Ins. Co. 26247 INSURER C : Pennsylvania Manufacturers' Assoc Ins Co 12262 INSURER D : EACH OCCURRENCE INSURER E : DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER F : COVERAGES FIRCO1 • THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF IMM /DD/YYYY) POLICY EXP IMM /DD/YYYYI LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY N N GL06555467 OCT °' d e ii. :, ��� 2013 5/2013 �= q a ate ., �, 10/25/2014 EACH OCCURRENCE $ 1,000,000 $ 1,000,000 $ 10,000 DAMAGE TO RENTED PREMISES (Ea occurrence) CLAIMS -MADE X OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 5,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: 1,28-f PP LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE X — _ X LIABILITY ANY AUTO AUTOS OWNED HIRED AUTOS _ X SCHEDULED AUTOSWNED N N LA 1 ��°. BAP655 4 . " I0 .1 '1it,13 10/25/2014 a wEDtSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ XXXQOOO( BODILY INJURY (Per accident $ XXXXXXX (PeracEcidenDAMAGE $ XXXXXXX $ XXXX0O(X B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N AUC 6555463 -04 10/25/2013 10/25/2014 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I X I RETENTION $0 $ C 21:11 MS- RRS' L ABILITY Y / N ANY OFFICER/MEM ER EXCLUDED? ECUTIVE N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A N 201280 7650856 12/31/2012 12/31/2013 X 1 ORY LIMITSI IOFR E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) Evidence of Coverage CERTIFICATE HOLDER CANCELLATION 11498795 City of Clearwater 100 S. Myrtle Ave. Clearwater FL 33756 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) ©9 8 -2010 AC ORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD