Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
CERTIFICATE OF LIABILITY INSURANCE (15)
_ I BDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 12/10/2016 - THIS CERTIFICATEIS 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 have ADDITIONAL INSURED provisions or 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). PROWLER CONTACT NAME: AUTOMATIC DATA PROCESSING INS AGCY PHONE FAx (AIL.No.Exq, (AfC,No): 250717 P: F: R'ESS: PO BOX 33015 INSURER(S)AFFORDING COVERAGE NAIL# SAN ANTONIO TX 78265 INSURER A: Hartford U ride rxriiLers Zns co INSURED INSURER B: ALEXANDRA OF CLEARWATER BEACH INC DBA INSURERC: PIER 60 CONCESSIONSFIELDS INC DBA BAREF INSURER D: PO BOX 3337 INSURER E: CLEARWATER FL 33767 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 CONDIT IONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ITPFOFINSI)RA.VCE ADDLSUBR PULICT.VL,tfBFR 110LICTEFT 1'O1JCTF11P LAfflS 1,TR (AfAf/DD/Y)TY) A A 1)>/" COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED CLAIMS-MADE❑OCCUR PREMISES(Ea occurrence) MED EXP(Any one person) g PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY a PRO--❑LOC PRODUCTS-COMP/OP AGG S JECT OTHER AUTOMOBILE LIABILrrY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per parson) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LLAB OCCUR EACH OCCURRENCE g EXCESS LIAR CLAIMS-MADE AGGREGATE D REfEemON S PER OTH- »UiU:EdSC'USiPEHSfIlUN STATUTE ER .L�'U F.S/PWFz2S'ILt1ll12T ANY PROPRIETORIPARTNERIEXECUTIVEYIN E.L.EACH ACCIDENT "100, 000 OFFICERIWMBER EXCLUDED? A (Mandatory in NH) ❑ NIA /. (y_r. cF,•6�j 01./04/'2017 01/04/2013 E.L.DISEASE-EA EMPLOYEE S100, 000 If yes,describe under E.L.DISEASE-POLJCY LIMIT *500, 0 0 0 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERA TINS/LOCAT70NS/VEHIC(ABSDRD 101,Additional Remarks Schedule,may be attached if more space Is required) Those usual to the Insured's Operations- CERTIFICATE HOLDER 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. The City Clear Water AUTHORIZED REPRESENNTAnVE PO BOX 4748 CLEARWATER, FL 33758 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD I