CERTIFICATE OF LIABILITY INSURANCE (5)
ACORDN
CERTIFICATE OF LIABILITY INSURANCE
CSR LS DATE (MM/DDNYYY)
CIVAI-1 02 27/07
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
Huntleigh McGehee
8235 Forsyth Boulevard, #1200
Clayton MO 63105
Phone:314-746-4700 Fax:314-889-3700
INSURED
INSURERS AFFORDING COVERAGE
INSURER A: Old Republic Insurance
INSURER B st. Paul Travelers
INSURER C:
INSURER 0:
INSURER E:
NAIC#
Co.
Civil Air Patrol Inc.
Bldg714,Maxwell Air Force Base
Montgomery AL 36112-6332
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.
POLICY NUMBER PD~l,fEiJ'~rJW~E PQ~!CY E~n~TlgN I LIMITS
LTR lNSR TYPE OF INSURANCE DATE'/MM/DDIYY
GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,000
- P~~~:SES '(E~~~~r~nce)
A X X COMMERCIAL GENERAL LIABILITY AP690410 03/01/07 10/01/08 $100,000
l CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $25,000
PERSONAL & ADV INJURY $1,000,000
-
GENERAL AGGREGATE $2,000,000
-
GEN'L AGGREAE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000
Xl PRO- n
X POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $1,000,000
B ~ ANY AUTO PBI0750KB74 7TIL06 - AOS 10/01/06 10/01/07 (Ea accident)
ALL OWNED AUTOS BA750K8760COF06 - T K 10/01/06 10/01/07 BODILY INJURY
- $
SCHEDULED AUTOS PBI0750KB759TIL06 - HI 10/01/06 10/01/07 (Per person)
-
~ HIRED AUTOS BODILY INJURY
$
~ NON-OWNED AUTOS (Per accident)
c-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY r.! rlo-L"::VCL' AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
kJ IA ,; (\ .., "Inn., AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY I-I . V'T LUUI EACH OCCURRENCE $
~ OCCUR D CLAIMS MADE OFF/Cb U. RECORDS AI AGGREGATE $
lESISLJ ~D $
R DEDUCTIBLE TNE SRVCS DE PT $
RETENTION $ $
WORKERS COMPENSATION AND X! W{;::iIAIY.: ! !UJ~-
TORY LIMITS
A EMPLOYERS' LIABILITY OCAW01779706 09/01/06 10/01/07 $1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E. L. DISEASE - EA EMPLOYEE $ 1,000,000
rf yes, describe under E L. DISEASE - POLICY LIMIT $1,000,000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
City of Clearwater is included as an additional insured in relation to the
general liability regarding the trailer at 1000 Hercules Ave.
CERTIFICATE HOLDER CANCELLATION
CITOFCL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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
City of Clearwater
Clearwater Municipal Marina
25 Causeway Blvd
Clearwater FL 33767
@ACORDCORPORATION 1988
ACORD 25 (2001/08)