CERTIFICATE OF LIABILITY INSURANCE (3)
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ACORD~
CERTIFICATE OF LIABILITY INSURANCE
OP ID J DATE (MMIDDNYYY)
LITTL-1 02 19 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
Mutual Insurance Agency
at Clearwater, Inc.
P.O. Box 1779
Clearwater FL 33757-1779
Phone: 727-446-6064 Fax:727-442-9751
INSURED
Bruce Littleri Inc.
25 Causeway B vd.
Clearwater FL 33767-2064
INSURER A:
INSURER B:
INSURER C:
INSURER 0:
INSURER E:
Auto Owners Insurance Co
NAlC#
18988
INSURERS AFFORDING COVERAGE
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.
NSR[ POLICY NUMBER Pq~~IEF~~E POLlC!IPPI~J!RN LIMITS
LTR TYPE OF INSURANCE DATE MMID DATE MMIDD
~ERAL LIABILITY EACH OCCURRENCE $ 1000000
A X X COMMERCIAL GENERAL LIABILITY 91-130168-00 04/01/07 04/01/08 ~R~~iS~s lEa occurence) $ 50000
I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 5000
PERSONAL & ADV INJURY $ Excl .
~ GENERAL AGGREGATE $ 1000000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $
JtlpoLlCyn ~~& n LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
'--
ALL OWNED AUTOS BODILY INJURY
'-- (Per person) $
f---,- SCHEDULED AUTOS
'-- HIRED AUTOS BODILY INJURY
(Per accldent) $
NON-OWNED AUTOS
I---
'-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R 'ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
~ OCCUR D CLAIMS MADE AGGREGATE $
$
==] DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X I TORY LIMITS I IU~lt
A EMPLOYERS' LIABILITY 17 20664154 02/24/07 02/24/08 E.L. EACH ACCIDENT $ 100000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100000
if yes. describe under E.L. DISEASE - POLICY LIMIT $ 500000
SPECIAL PROVISIONS below
OTHER
A Plate glass 04/01/07 04/01/08 ACV
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Gift shop, including all rooms.
City of Clearwater is named as an Additional Insured.
COVERAGES
CERTIFICATE HOLDER
CANCELLATION
City of Clearwater
F727-462-6957
Bill Morris - Harbormaster
25 Causeway Blvd
Clearwater FL 33767-2604
CITYO 0 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 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 LIABIL F ANY ,N THE INSURER, ITS AGENTS OR
John Ga
. ACORD 25 (2001/08)
@)ACORDCORPORATION 1988