CERTIFICATE OF LIABILITY INSURANCE (4)
CERTIFICAF OF LIABILITY INSURAN'~.: LITTL-1 DAT;~MM;;~
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.
".
,~
ACORD..
PRODUCER
Mutual Insurance Agency
at Clearwater, Inc.
P.O. Box 1779
Clearwater FL 33757-1779
Phone: 727-446-6064 Fax:727-442-9751
INSURED
INSURERS AFFORDING COVERAGE
Auto Owners Insurance Co
NAlC #
18988
Bruce Littler1 Inc.
25 Causeway B vd.
Clearwater FL 33767-2064
COVERAGES
INSURER A:
INSURER B;
INSURER C:
INSURER D:
INSURER E:
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 POLICY NUMBER POIt~11 EFFE~~ I P9!-!.<!..Y EXPI~~N LIMITS
LTR TYPE OF INSURANCE DATE MM/DD DATE'/MMlDD
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
f-- I UAMA(;c ~ YEr<"" I "u e)
A X X COMMERCIAL GENERAL LIABILITY 91-130168-00 04/01/07 04/01/08 PREMISES Ea occurence $ 50000
f-- ~ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5000
PERSONAL & ADV INJURY $ Excl.
f--
GENERAL AGGREGATE $ 1000000
f--
GEN'L AGGREGATE LIMIT APnS PER: PRODUCTS.COM~OPAGG $
Xl n PRO-
X POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $
ANY AUTO (Ea accident)
I---
ALL OWNED AUTOS BODILY INJURY
I--- $
SCHEDULED AUTOS , (Per person)
f-----,-
HIRED AUTOS BODILY INJURY
I--- $
NON-OWNED AUTOS (Per accident)
f--
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
~ OCCUR o CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND xl TORY LIMITS I IO~~-
A EMPLOYERS' LIABILITY 17 20664154 02/24/07 02/24/08
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 100000
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100000
~~~~I~tS~~~J1~?6~s below E.L. DISEASE. POLICY LIMIT $ 500000
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.
CANCELLATION
CITYO 0 1 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 LIABILIT ,N THE INSURER, ITS AGENTS OR
CERTIFICATE HOLDER
City of Clearwater
F727-462"'-6957
Bill Morris - Harbormaster
25 Causeway Blvd
Clearwater FL 33767-2604
ACORD 25 (2001/08)
John Ga
@ACORDCORPORATlON 1988