EVIDENCE OF PROPERTY INSURANCE (7) 26284
DATE(MM/DD/YYYY)
ACORDTM EVIDENCE OF PROPERTY INSURANCE F03/29/2016
THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE
ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST.
AGENCY PHONE 727 447-6481 COMPANY
A/C No Ext
Bouchard Insurance(CLW) Atain Specialty Insurance Co
101 N Starcrest Dr.
Clearwater, FL 33765
FAX A/C No):727-447-6481 ADDRESS:cicertsftmyers @bouchardinsurance.com
CODE: SUB CODE:
AGENCY 26284
CUSTOMER ID#:
INSURED Alexandra of Clearwater Beach LOAN NUMBER POLICY NUMBER
dba Pier 60 Concessions CIP284015
PO Box 3337 EFFECTIVE DATE EXPIRATION DATE UNTIL
Clearwater, FL 33767
02/15/16 02/15/17 TERMINATED IF CHECKED
THIS REPLACES PRIOR EVIDENCE DATED:
PROPERTY INFORMATION
LOCATION/DESCRIPTION
10 Pier 60 Drive
Clearwater, FL 33767
Concession Building
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
EVIDENCE OF PROPERTY INSURANCE 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.
COVERAGE INFORMATION
COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE
Commercial Property Location Specific Coverages
Location#: 1 10 Pier 60 Drive Clearwater, FL 33767
Building#: 1 Concession Building
Coverage: Building 250,000 $1,000
Cause: Special
(See Attached Coverage Info.)
REMARKS(Including Special Conditions)
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.
ADDITIONAL INTEREST
NAME AND ADDRESS MORTGAGEE ADDITIONAL INSURED
City of Clearwater,A Municipal
LOSS PAYEE X Additional Interest
Corporation LOAN#
25 Causeway Blvd
Clearwater, FL 33767 AUTHORIZED REPRESENTATIVE
ACORD 27(2009/12) 1 of 2 S9205 @ 1993-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD VICDE
COVERAGE INFORMATION (Continued from page 1.)
COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE
Coverage: Business Personal Property 50,000 $1,000
Cause: Special
Coverage: Business Income Only 150,000
Cause: Special
Special Causes of Loss-excluding wind/hail
SAGITTA 27.3(12/09)2 of 2 S9205 VICDE
ALEXANDR4
DATE(MM/DD/YYYY)
ACORDTM EVIDENCE OF PROPERTY INSURANCE 1 08/24/2016
THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE
ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST.
AGENCY PHONE 727 447-6481 COMPANY
A/C No Ext
Bouchard Insurance(CLW) Atain Specialty Insurance Co
101 N Starcrest Dr.
Clearwater, FL 33765
FAX A/C No):727-447-6481 ADDRESS:cicerts @bouchardinsurance.com
CODE: SUB CODE:
AGENCY 26284
CUSTOMER ID#:
INSURED Alexandra of Clearwater Beach LOAN NUMBER POLICY NUMBER
dba Pier 60 Concessions CIP284015
PO Box 3337 EFFECTIVE DATE EXPIRATION DATE UNTIL
Clearwater, FL 33767
02/15/16 02/15/17 TERMINATED IF CHECKED
THIS REPLACES PRIOR EVIDENCE DATED:
PROPERTY INFORMATION
LOCATION/DESCRIPTION
10 Pier 60 Drive
Clearwater, FL 33767
Concession Building
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
EVIDENCE OF PROPERTY INSURANCE 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.
COVERAGE INFORMATION
COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE
Commercial Property Location Specific Coverages
Location#: 1 10 Pier 60 Drive Clearwater, FL 33767
Building#: 1 Concession Building
Coverage: Building 250,000 $1,000
Cause: Special
(See Attached Coverage Info.)
REMARKS(Including Special Conditions)
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.
ADDITIONAL INTEREST
NAME AND ADDRESS MORTGAGEE ADDITIONAL INSURED
City of Clearwater,A Municipal
LOSS PAYEE X Al -State or P
Corporation LOAN#
25 Causeway Blvd
Clearwater, FL 33767 AUTHORIZED REPRESENTATIVE
ACORD 27(2009/12) 1 of 2 S11694 @ 1993-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD VICDE
COVERAGE INFORMATION (Continued from page 1.)
COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE
Coverage: Business Personal Property 50,000 $1,000
Cause: Special
Coverage: Business Income Only 150,000
Cause: Special
Equipment Breakdown per Occurrence 200,000 250
Equipment Breakdown Aggregate 400,000 250
SAGITTA 27.3(12/09)2 of 2 S11694 VICDE