CERTIFICATE OF LIABILITY INSURANCE (4),1..�-� CLEAR-6 OP ID: DJ
��'���-"� DATE (MMIDDIYYYY)
� CERTIFICATE OF LIABILITY INSURANCE 01/08/2016
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 CONTACT MORROW INSURANCE GROUP
NAME:
MORROW INSURANCE GROUP PHONE g13-963-1669 aC No : 813-830-7873
LENORA C. OLNEYIA196064 N Ext :
18936 NORTH DALE MABRY HIGHWAY ,Ee,p�+�+oRess: CERTIFICATES MORROWINSURANCE.NET
LUTZ, FL 33548
Steven Mitzel INSURER S AFFORDING COVERAGE NAIC #
INSURED CLEARWATER TOWING SERVICE INC.
ATTN: SEAN CORDNER-JAMES
1955 CARROLL STREET
CLEARWATER, FL 33765
INSURER A: GUARANTEE INSURANCE COMPANY
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION 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.
INSR ADDL SUB POLICY EFF POLICY EXP LIMITS
�� TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MM/DDIYYYY
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGET RENTED
CLAIMS-MADE OCCUR PREMISES Ea occurrence $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY � PR� � LOC PRODUCTS - COMP/OP AGG $
JECT
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
Ea accident
ANY AUTO BODILY INJURY (Per person) $
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE $
HIREDAUTOS AUTOS Peraccident
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION $ S
WORKERS COMPENSATION X PER OTH-
AND EMPLOYERS' LIABILITY STATUTE ER
A ANYPROPRIETOR/PARTNER/EXECUTIVE Y�N WCP101497901GIC 12131/2015 12/31/2016 E.L.EACHACCIDENT $ 'I,OOO,OO
OFFICER/MEMBER EXCLUDED? � N / A
(Mandatory in NH) OFFICERS INCLUDED E.L. DISEASE - EA EMPLOYE $ 'I,OOO,OO
If yes, describe under
DESCRIPTION OF OPER,4TIONS below E.L. DISEASE - POLICY LIMIT $ �,OOO,OO
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 701, Additional Remarks Schedule, may be attached ff more space is required)
TE HOLDER
CITYCLR
CITY OF CLEARWATER
PURCHASING MANAGER
P.O. BOX 4748
CLEARWATER, FL 34618
CANCELLATION
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
� ��
O 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
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