Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
CERTIFICATE OF LIABILITY INSURANCE
ACORO CERTIFICATE OF LIABILITY INSURANCE 11111 DATE(MM /DD/YYYY) 10/26/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 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 Brown & Brown Insurance - Clearwater P.O. Box 2456 Suite 660 Clearwater FL 33757 -2456 CONTACT NAME: Linda Waldorf PHONE FAX (A /C. No. Ext):727-450-7055 (A /C,No):727- 450 3353 ADDRESS: lwaldorfbbpinellas.com PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Coachman Reserve COA, Inc 6972 Lake Gloria Blvd Orlando FL 32809 -3200 INSURER A: Zenith Insurance Company 13269 INSURERB:Greenwich Insurance Co. 22322 INSURERC:Travelers Cslty & Surety Co. 19038 INSURERD:Arch Specialty Insurance Co. 21199 INSURER E : DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER F : ERAGES CERTIFICATE NUMBER: • 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. INR TYPE OF INSURANCE ADDL INSR SUER W VD POLICY NU '_a FF YY) POLICY EXP (MWDD/YYYY) LIMITS D GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X OCCUR AGL00562801 "W ,,.> S a`�,.� - . i'ze:..L ' %� " j !i + f CISL ei ,...t:'�''CS 0 015 ,J,_„s. L�.E (vi iw -, `= ' 'i .. ,:t 10/26/2016 J EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000 CLAIMS -MADE MED EXP (Any one person) $10, 000 GEN'L )7—I PERSONAL BADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC PRODUCTS - COMP/OP AGO $2,000,000 $ D AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AGL00562801 10/26/2015 10/26/2016 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE PPP7452822L13A 10/26/2015 10/26/2016 EACH OCCURRENCE $25,000,000 AGGREGATE $25,000,000 X DEDUCTIBLE RETENTION $0 $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS Y / N N / A Z072919602 10/26/2015 10/26/2016 X WCSTATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $100, 000 N E.L. DISEASE - EA EMPLOYEE $100,000 below E.L. DISEASE - POLICY LIMIT $500, 000 C C Crime /Fidelity Policy D &0 105852606 105978157 10/26/2015 10/26/2015 10/26/2016 10/26/2016 Forgery /Alteration $370,000 Employee Theft $370,000 General Agg $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Clearwater Police Department is an additional insured with regards to General Liability. CERTIFICATE HOLDER CANCELLATION Clearwater Police Department 645 Pierce Street Clearwater FL 33756 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 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD