CERTIFICATE OF LIABILITY INSURANCE (4)
//
('
11COftD.M CERTIFICt E OF LIABILITY INSURA CE I DATE IMM/DDIYY)
1/16/07
-.....
PRO'DUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Acardia Southeast, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O. Box 31666 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tampa, FL 33631-3666
727-796-6666 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Markel International Ins Co
Field's, Inc. DBA
Barefoot Beach House INSURER B:
P.O. Box 3337 INSURER C:
,Clearwater Bch FL 33767 INSURER 0:
INSURER E:
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 ~<i~~rri~~~~~~ Pgk!fNfJ:~~JJ~~ LIMITS
LTR
A ~ERAL LIABILITY BIND596297 1/10/07 1/10/08 EACH OCCURRENCE $ 1000000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE IAny one fire) $ 50000
I CLAIMS MADE W OCCUR MED EXP IAny one person) $ 2000
- PERSONAL & ADV INJURY $ 1000000
GENERAL AGGREGATE $ 2000000
-
GEN'L AGGREn LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000000
I PRO- n
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $
ANY AUTO lEa accident)
-
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS IPer person)
-
- HIRED AUTOS BODILY INJURY
(Per accident) $
- NON-OWNED AUTOS
- PROPERTY DAMAGE $
{Per accident}
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=i ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
~. OCCUR D CLAIMS MADE AGGREGATE $
$
=l DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I WC STATU-I IOTH-
TORY LIMITS ER
EMPLOYERS' LIABILITY E.L EACH ACCIDENT $
E.L DISEASE - EA EMPLOYEE $
E.L DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: 332 South Gulf Blvd, Clearwater, FL 33767
Rental of Beach Chairs, Umbrellas and Cabanas.
The City of Clearwater is Additional Insured as respects General
Liability.
FLA STATUTE MANDATES 10 DAYS NOTICE OF CANC. FOR NONPA Y OF PREMIUM
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 REPRES~TIIES. ^ /'\
AUT~iJ
I
-
ACORD 25-S (7/97)
47- 71
@ACORD CORPORATION 1988