CERTFICATE OF LIABILITY INSURANCE
Date: 4/3012007 05:31 PM
sender's Fax 10: tJaroer Agency
Page 2 of2
ACORDN
CERTIFICATE OF LIABILITY INSURANCE
OP 10 DATE (MMIODIYYVY)
HARBO-1 04/30/07
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO
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
Barber Agency
2321 state Road 580
Clearwater ~L 33763
Phone: 727-733-9385
Fax:712-734-5252
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
Zurich Insurance
Citizens Insurance
Harbor Barber & Beauty Salon
25 causeway Blvd
Clearwater Beach FL 33767
I~ SURER A
I~ SURER B
I~ SURER C:
11\ SURER D
I~ SURER E
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TI-iE POLICY PERIOD INDICATED. NOlWlTHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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.
NSR[ POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR TYPE OF INSURANCE DATE (MMIDDIYY) OA TE (MM lOONY l
GENERAL L1A BILlTY EACH O::CURREIKE ~ 1,000,000
-
A X ~ COMMERCIAL GENERAL L1ABLITY PAS00848160 04/23/07 04/23/08 ~~mG~S 'tE';,t:~~~;;;ncel ~ 50,000
b CLAIMS MADE ~ OCCUR MED EK" (Any om paGon) ~5,000
-
PERSONAL 6 ADV I~JYU ~1,000,000
-
GEt~ERAL AGGREGATE ~ 2,000,000
-
GEN'L AGGREGATE LIMIT APP .IES PEO? PRODUCTS - COMP/OP N>G ~l,OOO,OOO
I nPRO- 'n
POLICY JECT LOC
AlITOMOBILE LIABILITY COMBNEJ SINGLE L1MT
e-- RE~ ~E'VED (Ea accidan:) ~
ANY AUTC
c---
ALL OWlyED .,^UTOS
>-- BODL '( I~JJ O?Y ~
SCI-ECULEDALTOS 2001 (Per person!
>-- \ 4 .' . 0:
HIRED AJTOS J,.r~J SODL '( I~JJ O?Y
e-- ~
NON<)VV~ED AUTCS (Per accident!
- RECORDS AND
OFFICIAL PROPERTY DAMAC.E .
I ...,..ICI ATI ~IC C:DV~S DE' r (Par accidenti
GARAGE LIABILITY AUTO ONLY - EA ACCICENT ~
~ ANY AUTC O-HER THAN EI'.ACC ~
AUTO ONL Y: AGG ~
EXCESS.uMBRELLA LIABILITY EACH O::CURRENCE .
=:J OCCUR 0 CLAIMS MAJE AGGREGATE ~
.
=l DEDLCTI8LE ~
RETENTON $ .
WORKERS COMPENSATION AND lrC~YL:MI'r~' I IV~R-
EMPLOYERS' UABILITY
ANY FROPRIETORIPAI'TNEO?,'EXECJTlVE EL EACH ACCIDEW .
OFF CERIMEMBER EXCLLDEC? EL DISEASE - EA EMPLOYEE .
If Y3S, dascribE' urdar
SP:OC AL FROVISIONS ,alow EL DISEASE - POLICY LIMIT .
OlHER
B Windstoxm 1408376 06/06/06 06/06/07 Contents 2,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEfilCLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ".-
The below named certificate holder is named an additional insured as their
interests may appear.
COVERAGES
CERTIFICATE HOLDER
CANCELLATION
CLEARKC
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER Vv'ILL 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
REPME/d~
City of Clearwater
25 causeway Blvd
Clearwater FL 33767
ACORD 25 (2001108)
@ ACORD CORPORATION 1