Loading...
CERTIFICATE OF LIABILITY INSURANCE (601)PRIOR -1 OP ID: AC "�—...'/NG CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 10/20/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. HOLDER. THIS BY THE POLICIES AUTHORIZED IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER West Coast Insurance, Inc. 8377 Gunn Highway Tampa, FL 33626 GEORGE LACKEY CONTACT NAME: AURELIE C CUOCO PHONE (A/C. No. Ext): 813- 935 -4440 FAX No): 813 - 935 -4450 Mass: ACUOCO@WCIFLA.COM e° INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: WESCO INSURANCE COMPANY COMMERCIAL GENERAL LIABILITY INSURED PRIORITY MARINE LLC BILL TEMPLEMAN 161 BRIGHTWATER DR. APT #2 CLEARWATER, FL 33767 " — _. — - _ _ _ rSrvury INSURER B: ATLANTIC SPECIALTY LINES OF 27154 INSURER C : PROGRESSIVE EXPRESS CO. 10193 INSURER D: $ 50,000 INSURER E : INSURER F : $ 5,000 • •1VIV. IMLJIIIIL,L.fl• THIS IS TO CERTIFY THAT THE POLICIES OF ,!-. +1- • NCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUI' 'Ally T, 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER 102314 -01 POLICY EFF (MM /DD/YYYY) 10/23/2014 POLICY EXP (MM/DD/YYYY) 10/23/2015 LIMITS EACH OCCURRENCE $ 1,000,000 B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR E PRMIISEST PREMES ( (Ea REN occurrED ence) $ 50,000 MED EXP (Any one person) $ 5,000 X P & I COVERAGE PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OPAGG $ 1,000,000 $ C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS 01400514 -0 03/05/2014 03/05/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) ( ) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WWC3101396 08/01/2014 08/01/2015 PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 5 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) WORKERS COMPENSATION INSURANCE POLICY INCLUDES UNITED STATES LONGSHOREMEN & HARBOR WORKER'S COMPENSATION ACT COVERAGE. GENERAL LIABILITY INCLUDES CREW COVERAGE. CERTIFICATE HOLDER CITYCLE CITY OF CLEARWATER 700 BAYWAY BLVD. CLEARWATER BEACH, FL 33767 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD