CERTIFICATE OF LIABILITY INSURANCE (8) CERTIFICATE OF LIABILITY INSURANCE DATE
T� /13/2
7-T-HTs CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LY AND CONFERS RIGHTS THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOT AFFIRMATIVELY OR NEGATIVELY AMEND,E)ITEND OR ALTER THE COVERAGE AFFORDED Y THE POLICIES
BELOW. THIS I IC T INSURANCE DOES NOT CONSTITUTE A CONT T BETWEEN THE ISSUING INSURER(S ),AUTHORIZED
REPRESENTATIVE THE CERTIFICATE L E .
IMPORTANT: I e certificate holder Is an ADDITIONAL INSURED, a ollcy(i )must be andorsed. If SUBROGATION IS WAIVED,su je o
the tenns and conditions oft the policy,certain policies may require an endorsement. to ent on is certificate does not confer rights to the
carttficato holder in flea of such en a ent(s).
PRODUCER
NAME:
Alley, Rehbaum & Capes s PHONE 727® 7® 1 727® 2 .577
2433 t Blvd, N®I:
ADD S:
P.O. 4620 INSURER(S)AFFORDING O GE NAIL
Clearwater, Fl. 33758 INSURERA: Philadelphia it
INSURED r Li -Academy Inc INSURER B; Progressive Express 10193
751 Kings Highway INSURERC:
Clearwater, FL 337SS INSURER D-
INSURER E"
INSURER F
COVERAGES CERTIFICATE NUMBER: 1 5-16 REVISI
THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE INSR D POLI NUMBER mD ® LIMITS
GENE L ILITY 3 1010112015 1 112 1 EACH OCCURRENCE $ , ,
Lm COMMERCIAL GENERAL L ILITY -PREMISES(Ea occurrencal $ 300,00
CLAIMS DE OCCUR MED P(Any ana Person) # ,
PERSONAL&ADV INJURY $ 1,000,00
GENERAL AGGRE TE $ 3,000,00
GEN'L AGGREGATE LIMIT PLIES PER: PRODUCTS®COMPIOP AGO $ 3.000,0010
POLICY PRO-
JECT LOC $
AUTOMOBILE LIABILITY 03389473-1 17joII2615 1 112 1 Ee accldem $ �.® 00,
ANYAUTO BODILY INJURY(Per person) $
B ALL
UTOS OWNED AUTOSULEb BODILY INJURY(Per accident) $
HIREDgUTOS NON-OWNED
AUTOS Per accident $
$
UMBRELLA T CCUR EACH OCCURRENCE $
CE LAIMS- DE AGGREGATE � $
DED $
WORKERS COMPENSATION
AND EMPLOYERS'L1ABI YIN TORY LIMITS ER-
PROPRIErO THE ECUTI E.L.EACH ACCIDENT $
OFFICE EMBER EXCLUDED? NIA
(IMandetory in NH) E.L.DISEASE-EA EMPLOYE $des
OF cribs under
D RIPTIO OPERATIONS below
E.L.DISEASE-POLICY LIMIT $
fJ
SCIV
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (A ah ACORD 101,Additional Remarks Schedule,If mare space Is required)
ertificate Holder is ii Insured
Location: 1751 Kings Highway, Clearwater, FL 33755
CERTIFICATE L CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
E EXPIRATION DATE THEREOF,N0710E WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Clearwater AUTHORIZED REPREsr:NTA E
100 S. Myrtle e
Ater, FL 33756 Signature on fi w/co
1988-2010 CORPORATION. Il rights se e .
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD