CERTIFICATE OF LIABILITY INSURANCE (10) A4LOVrvu,": %01 a—4 N A I I a 1%0191% 1 a— 140 1 1 W 941OR— 09/2912016
THIS CERTIFICATE 1 11 AS A—MATTER OF INFO—RMA'n3—NG-N—LY-'A—NDCONF—ERS—N'O'—RIGHTS U'P-6NT-H—E-—C9KnF1`C7E HOLDER.THIS
CERTIFICATE DOES NOT AFFIR mArVELY OR NEGATivmy AMEND,ExrEND OR ALTER THE,COVERAGE AFFORDED BY THE POUCIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE7WEEN THE ISSUING INSURER($),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND T14E CERTIFICATE HOLDER,
must andorse
'the terms and conditions of"policy,certain poll id"may require an andoovernent. A statement on this cartificate does not conW rights to tho
cor0cate holder In Itou of such endorsernent(s).
PRODUCER
—TT ...........
Alley, Rehbauni & Capes Assurance, Inc. 727 797.5193 OAK'
C No Extj.1 yo o,
Sj112 7.72 S.S 7 73
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2433 Gulf to Say Blvd. ell
-AWREM., ------
P.01. Box 4620 INSURUP tffl APPOMNO CoVMWZ, MAX#
Clearwater, FL 33758
USURER A Philadelphia Indemnity Ins Co
INSURE-RD, Progressive Express
175I Kings Highway WSURE R C
Clearwater, FL 33755
j!!3UR1RE;
IN3URIN F
COVERAGES CERTIFICATE NUMBER: 16/17 ALL REVISION NUMBER-.
7R7T9 IYEITTIS-00150Y F4L'.19§'CrFZff URKMOD—AN&W-F-W TR i IJ I fdB—'
INDICATED. NOTWTHSTANDING 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 SUBJECTTIC ALL THEE TERMS,
EXCLUSIONS AND CONDITMNS OF SUCH POLICIES.LIMTTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAJMS-
)ME SUM,
LTA IWE OF 018U CE INAR W POLICY NUMBER M DNM LINKS
2A2 EWLW y
mLA-
00
GIRNMAL F PHPK1539446 1010112016 10101=117 0001
1 COMIJERCIAI.GENES LLAWLITY PREMBES(Ea G=Ivenc 6 3 OPO 010(
CLAMS44ADE, LA J OCCUR MED ENP I AAV we peruan) 8 mr
A J -_.'ADV INJURY $ 1 000 00(
................... 0
OLNERAL AGWEIGNFE
GEN'LAGGFIEGATE LIMMAPPLICS PER PRMUCTS-COMNOP AGG 3,000.00C
PRO- ............. ------
Lc i Lc, L 1.J E��",T LAC
AUTOMOBILE LtAMLBY 03399473-11210112015 1210112016
( 00
ANY AUTO ROWLY 1UJURY O'er�a7sW��- 5
ALL OWNED F—V SM4EDOLED
AUTOS utos
A
NON-UMED
HIREr)Avroa AUTOS aWda
—
rWr BRELI.A LLAH oacwp EACH OCCURRENCE
Exce"LAB CLAIMS-MAOL $
RETENTION$
WORKIWO COMPERSAIM
AND EMPLOWKWIJABILPff y I N, I'll,=S .
ANY PROPMETOFUPARTNEWEXE EA-EACH ACCOENT
EWMEMBER EXCLUDED? 111 A
(Mand"M UK) CUTTI E.L.DISEASE-EA EWL0YK-, $
OFFIC,
ffr,dead1boinder
0 S( P(W uw
mcmFmON Of OPERATIONS bekw El,DISEASE
irecters cers PHS01172694 10101=10 10101120117 $1,000,000
A
DEWHIPTJON OF OPERAT"S I LOCATM8 1VEH$C9.Y-8 Aftech AC',C71to 101,Addjilwanj Raft uavks
. rtifi cat'e Holder, is Additional Insured
-ocation., 1751 Kings Highway. Clearwater, FL 33755
CERTIFICATE HOLDER CANCELLATION
SHOULD MY OF 13W ABOVE WMCRMED FOLICLES BE CAMM1ED CALF W E
INE EDWRAMON DATE THEREOF,NOTICE iMLL W.M.LNERED N
ACCORDANCE-Wrn-l'"M POLICY PROVISIONS.
City of Clearwater AUTHOR=D REPRESENTATIVE
100 S. Myrtle Avenue
Clikarwater, FL 337%
lames Parent
0 1988-20,10 ACORD CORPORA'1711014. III rights reserved.
ACORD 2 5(2010105) The ACOI D name and logo are registered rnaft of AC D