CERTIFICATE OF LIABILITY INSURANCE (15) 0087
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RTIFICATE DOE$N�IOTAFFIRMATIVELY"MATTER
OR NEGATIVELY AMEND,ONLY
EXTEND OR ALTER THE COVER A CERTIFICATE
O AFFORDED BY HOLDER. CTHIS
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),THE THORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED the palicyllesl mII'st be end.r"d. If SUBR�OATION IS WAIVED,sltbjed t to
the terms and conditions rsf the P, 'y d:ertain policldas may raquure an endorserttent A statement on this certificate does not confer rights to the
certificate holder In Iieu of such endorsementlsg.
PRODUCER 'A S' Certificate�Iep'rtmlent
Commercial lanes-(813)639-3f?{lIJ — — _ 1ANC Nrr .. �. ..._
PNdoNE 8t 3 639. 0 FAx 855-299-7117
Wells Fargo Insurance Services tJSA,II9c. I i�aL° �cg} — — I � 1..
xDDRESS_.dlwW certredluest WeiCsfe, corn
2502 N.Rocky Point Olive,Suite 45ff rt m _. _ .
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INSURER A-. Covington RER[St,AFf'IJRt.�IMCa C4�vEfxAC�.E.,.— µ NAIL rd
Tampa,FL 33607 �
on Specialty Insurance Company 13J27
INSURED
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I�r wslsRE a
Field's,Inc...17I3A Barefoot 13eadfl House
NS C:
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P.0,Box 3337 —tIRER
N'SIIRER D, I
IN'SUREFR E
Clearwater Bch FL 33767 — .., . ,
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW'W�HAVE BEEN IS FOR See below
COVERAGES CERTIFICATE NUMBER 863 REVISION NUMBER
,�Sk1EC TO THE INSURED NAMED ABOVE FOR THE POLICY PERtlOb
INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WI IT14 RESPECT TO tidINhIICH'NIPS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, 'rHE 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 PAIL?CLAIMS.
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COMMERCIAL'Ca GENERAL 9..U41.31LI'N'Y
1439608D I�V141201? EACH OCCURRENCE S ...._ � uo
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yCLAIMS-MADE ' " OCCUR I ? T1AMM�.a� T4 RFNfr."� ffi 5Ia��� ..
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POLICY C`ENFPEAI AGGRE"`ATF m CHOW 000
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,CA AUTOMOBILE LIABILITY" 1439808(.3
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d4E�D SIN G E,jjMIT,71 ,
A V1 AUTO BODILY INJURY(Per person)ALLG4IEC SCHEDULED
AUTOS BODILY IPer a[cadEn C 11 N-I RLD AUTOS NO .C,)VrTw
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WORKERS COMPENSATION pER
AND EMPLOYERS'j ANY UABILITY Y... NNA L,.L�EACH�Fr�"Cp6E.N'F CR
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0ESC'RIPTION OF OPERATIONS I LOCATIONS d VEHICLES IACORD 909,AdditionaI Remarks Schedule,may,he altached If mare apace Ie requ,redl m..._.......
Rental of Beach Chairs,Umbrellas and Cabanas-
City of Clearwater is named as additional Insured as it relates to general liability in accordance with the terms and conditions of the policy,
CERTIFICATE HOLDER CANCELLATION
City of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED PC7LICtES BE CANCELLED BEFORE
A Municipal Corpera ion THE EXP'I'RATION DATE THEREOF„ NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
PO Box 4748
Clearwater,FL. 33758 AUTHORIZED REPRESENTATIVE
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD C)9958,-2014 ACORD CORPORATION. All rights reserved.