CERTIFICATE OF LIABILITY INSURANCE (9)
IJf;08D.
CERTIF.ICATE OF LIABILITY INSURANCE
OP 10 i:lATE (MM/nD/YVYV)
CLEAR-l 06 19 07
THIS CERrl~ICATe IS ISSUED AS A MATTER OF INFORMATION
ONLY ANO CONFE~S NO fliGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOes NOT AMEND, EXTEND OR
AL TE~ THE COv!:RAGE AFFORDED 6Y THE POLICies BELOW.
PRODUCeR
Rea1 rnsurors, ~DC.
5005 w. Laure1 S~reet, ste 209
Tampa FL 33607~3836
Phone:8~3-2S8-1000 Fa~:813-2a1-2411
Il'I3U ~e;1)
_~~.';l~~~E OWners Ineu",nfjM!l 1;(1.
IIIAIC t#
lO~90
-_....~"._..._-
INSURERS AFFORDING COVERAGE
clearwa~er Gazeete ~ Beaeh
ViewS Inr:
2$ Causeway B1vd
C~earwate~ FL 33757-2064
INSURER A:
INSURER B:
INSURF.R C:
INSUI'lER ",
INSUR~R 10:
'rill: POI"ICIEG OF INSURANCC LlSTt:D BELOW HAVE B~~N 168l!100 "0 THF. INSURED NAlAGD ADOVC POR TH~ POLICY PERIOD INDICATECi. NOTWITHSTANDING
ANY RCQUIRt:MENT, TERM OR CONDITION OF ANY CONTRACT OR OTHm DOCUMENT WITH RE5P~CT TO WHICH THIS CEflTIFICATt; MAY DC ISSUED OR
MAY Pt;RTAIN, TI~C INSURANCE AffORDED BY THE 1"01.ICIE5 DI;GCRIBED l'IE:RGlN IS SlJDJCCT TO ALL THE TERMS. exCLUSIONS AND CONDITIONS OF SUCH
POLlCIIOS. AGGFtF.GATl; LIMITS 51-laWN MAY HAVE BEEN REDUCED BY t'AID Cl.AIMS.
lNlJ~CDO'Ll , .... - .. , "D~~~~i~~I; - 'pOi:ic:iy'~icplliA-"ION .. -..
I.TR IIl:UI.I:I TYPI! CP INSURANCIi pOLIO.,. r4UlVla~R CA TI;'I MM/PCrri'i" LIMITS
~1'II;RAI. \.IABIL1'N EACH OCCURRt:NCE ,$5..00000
~~'::.'U_"'-" ;u
A X X COMMt:~CIAI. GF.NF.RAL LIABILITY 20550972 08/11/07 o8/~J./08 PFlFr.1ISF.S (10" accun"llltI) $ 50000
I CI.AIMS MADE o OCCUR ....."--
MEO EXr> (Any /;lna poroonl $ 5000
___..1"-
PERSONAL $ ADV IfIlJUFlY $
..- . .. . .-
Gt:NERALACCREOATt: $ 500000
'- . ~ ..'.
GCN'L AGG~19 LIMIT A?lS Pt:R: PRODUCTS - COMP/OP ACO $ 500000
xl POLICY ~~ . LOC ..-
~TOM0911.1! LIABILITY ~ ~ ~ [g 0111 ~ ~ COMBINt;D SINGl.E LIMIT $
ANY AUra (Ell sccldenl)
I-- ,...."....--
ALL OWNI:D AulOS DODILY INJURY
.-.. lll! (par ptotaanl $
- SCI'IGDULICD AUTOS JUN 21 2001 P,/i
HIHt:C AUTOS lU BODILY INJURY
- $
NON-OWNED AUTOS J (PDt' :oCCidanl)
. .-."
- OFFICU\L PEe OHDS i\i'lD ~ . PROPi::RTY DAMACE $
LEGISU\TIVE' RVCS D:=:~)T (per sccldGnt)
~ARA~I;LI~BILITY AUTO ONLY ,EA ACOI0lON1' $
1 ANY AUTO OTHCR THAN EAACC $
AUTO ONLY: -
AGG $
EXCESB/UMBREI.~ LlMIILlTY ~CH OCCURRENCE $
-jOCCUR o CLAIMS MACt: AGGRt:GATE $
$
R DCDUCTIBLE _.~. . .. -~
_.~." :>
RF.TIONTION $ ~
WORKER$ C(lMI>EIIISATlON AND ITORYl.IMlT$ I lOJ~. -,,~,"'-
~MPLOYnrw' ~IAIIII.ITY E,I.. F.ACH ACCIDeNT ~
ANY PROPRIETCR/PAHTNI:R/EXECUTIVF.
OFFICICRIMEMBER EXCLUDED? e.I,. DISEA~ . CA EMPLDYEE ~
II ~e8. descr1be under -~.' --
S ECIAI. PROVISIONS calOW E.L. DISEASt: -1>OllCY LIMIT $
OTHI;R
DI;BCRIPTIl;lfol OF (lpERATIONS I LOCATIONS I VEHIC~I;91 I;XCI.USIONS ADPJ;D eY~NI)ClRSEMI!NT I SPIiCIAI. PROVISIONS
Certificate Holder is Ad.ditional tnsured.
F.7'27-4G2-G9S7
COVERAGES
CANCELLATION
SHDUI.D AWf Qf THIO AElOVE PESCRIBEO POLICI~S BE CANCELLED BEFORe. THIi exPIAA11(
DATE TJolEI'll!O'. THIl155UIH~ IHBURI;R WILL E....OEAVOR TO MAIL !.2....... CAYS WRITTEN
tJOTICE TO THI! CI!RTIl'ICATI! HOLDI:R HAMI;C TO THE L.EFT, sUT I'All..I.1RE TO DO SO SIoIAL
110111'0$" NO OBLIGATION OR LIABIUTY 01' ANY KIND UPON THE II'ISURER. 1T$ MlENT5 OR
RI;PREBI;NTAl1VE3.
AUTHORIZEr> REI>flESI!NTATIVI'!
CERTIFICATE HOLDER
CL~-l
Clearw~ter MUnicipal Marina
25 Causeway Blvd.
C~aarwater FL 33767
Marcia M Lewi.s
ACORD ZS (2001/08)
2~1()/ lO[l . d
ll172l82Sl8(X17.:J)
s.JO.JnSIJ I 1 ealj
09:9 l (3n1)2..002-6l-I\Jr'U"
IMPORTANT
If the CDrtlflcato holdor Is an ADDITIONAL INSURED, the pollcy{les) must be endorsed. A slntement
on Ihls carl/ficate does not GOn(er rights to the certificate hold or In lIou of such ondorsomont(s).
If SUBROGATION IS WAIVeD. subject to the tei'ms and conditions of the polley. 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).
DISCLAIMER
The CertifiClJte of Insurnnce on the reverse side of this form does not constltule a contract between
tho Issuing Insuror(s), authOl1zcd rcpresen13t1ve or producer, and the certifiClJte hQfder, nor does it
afflrmatlvely or negatively :;Imond, oxtond or alter the covernge afforded by the policies liste<l thereon.
\.
ACORD 25-5 (7/97)
200/())O "d
llV2l82Sl8(XTJ.::l)
SJO~jnSUI lEld(j
19:9l (3nl)L002-Gl-Nnr