CERTIFICATE OF LIABILITY INSURANCE (48)
I
Client#: 5243
ADVAENG3
"ACORD", CERTIFICATE OF LIABILITY INSURANCE
DATE (MMJDDIYYYY)
02121/07
THIS CERTIFICATE IS ISSUED AS A MAlTER 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
Suncoast Insurance Associates
P.O. Box 22668
Tampa, FL 33622.2668
813 289.5200
INSURED
INSURERS AFFORDING COVERAGE
INSURERA: United States Fidelity & Guaranty
INSURER B: St. Paul Fire & Marine Insurance CO
INSURER C: XL Specialty Insurance Company
INSURER D:
INSURER E:
NAIC#
25887
24767
37885
~dvanced EngIneering & Design, Inc.
6161 Dr. MLK Jr. St. N.
Suite 101
St. Petersburg, FL 33703
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.
NSRi TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE Pg~fJ(~:~~N LIMITS
LTR D
A ~NERAL LIABILITY BK01313775 02115/07 02/15/08 EACH OCCURRENCE $1 000 000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $1 000 000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $10 000
PERSONAL & AOV INJURY $1 000 000
. GENERAL AGGREGATE $2 000 000
n'L AGGREn LIMIT APnS PER: PRODUCTS. COMPIOP AGG $2 000 000
POLICY ~r8i LOC
A ~OMOBILE LIABILITY . BK01313775 02115/07 02115/08 COMBINED SINGLE LIMIT
ANY AUTO (Ee accldenl) $1,000,000
I--
I-- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS . (Per person)
I--
~ HIRED AUTOS BODILY INJURY
$
~ NQN-OWNED AUTOS (Per ac:cldent) .'
PROPERTY DAMAGE $
..... .. (peraccldenl)
RGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
OESSIUMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR 0 CLAIMS MAOE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $. $
B WORKERS COMPENSATION AND BW02194388 09/01/06 09/01/07 X I. WC STATU- IO~-
EMPLOYERS' LIABILITY $100 000
ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT
OFFICERlMEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $100000
If yea. describe under $500.000
SPECIAL PROVISIONS below E.L. DISEASE. POLICY LIMIT
C OTHER Professional DPF9603642 02/15/07 02115/08 $1,000,000 per claim
Liability $1,000,000 ann I aggr.
f re ~ r? n nn I? -
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS lb l\.n (!:::; U V!1 ~
Professional Liability is written on a claims made and reported basis.
RECEIVED FEB 26 2007 ~
CERTIFICATE HOLDER CANCELLATION ....... ......
ttts ~ Ii SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELlED BEFORE TlON
_City of Clearwater DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ....30-. DAYS WRmEN
CITY OF OLeAAWAfE~ NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
P.O. Box 4748 PUBLIC WORKS CON~f~#J6f~e ~~OSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Clearwater, Fl 33758-4748 REPRESENTATIVES.
A~D REPRE~T1VE
. ~ QJ... .JO. -
ACORD 25 (2001/08) 1 of 2
#M139171
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<5l ACORD CORPORATION 1988