CERTIFICATE OF LIABILITY INSURANCE (8)
ACORDTII CERTIFICA 1 ~ OF LIABILITY INSURA.~CE I DATE (MMJDDlYYYYI
6/25/07
PRODUCER Alll.ed Specl.alty Insurance, Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
10451 Gulf Blvd. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Treasure Island, FL 33706 ~P}g:~H~HIS CERTIFICATE DOES NOTT1.~~~'I~.~J:ND OR__
800/237-3355
INSURERS AFFORDING COVERAGE NAIC#
INSURED National watersports, Inc. INSURER A: T. H. E. Insurance Company
7 Cristie Lane INSURER B;
Lake George NY 12845 INSURER C;
INSURER D;
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW'lTHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IMTH 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
~~. ~D'L POLICY NUMBER POLICY EFFECllVE POLICY EXPIRA liON LIMITS
~NERAL UABIUTY EACH OCCURRENCE $ 1,000,000
A X COMMERCIAL GENERAL UABILITY M7LF5182 06/25/07 06/25/08 I ~~'i!O RENTED $ 50,000
\ CLAIMS MADE 00 OCCUR MED EXP IAnv one DellOnl $
- PERSONAL & A'CN INJURY $ 1,000,000
GENERAL AGGREGATE $ 1,000,000
n'LAGGREFl UMIT APnER; I.t'..r "LI\ II ~n PRODUCTS. COM PlOP AGG $
POLICY ~~,Q;: LOC
. . p-
~TOMOBILE UABIUTY COMBINED SINGLE LIMIT $
ANY AUTO JUN 28 2017 (Ea accldenl)
f-
I- ALL O\MIIED AUTOS BODILY INJURY
CIAL RECORD; (Per person) $
SCHEDULED AUTOS OFF'
I-- AND
I- HIRED AUTOS lEG' ~LATlVE SRVCS BODILY INJURY
DEPT (Per accident) $
~ NON-O\MIIED AUTOS
,- PROPERTY DAMAGE $
(Per accident)
lRAGE UABIUTY AUTO ONLY. EAACCIDENT $
ANY AUTO OTHER THAN EAACK; $
AUTO ONLY; AGG $
~ESSJUMBREUA UABIUTY EACH OCCURRENCE $
OCCUR 0 CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION . $
WORKERS COMPENSATION AND ~fltJ:fc: I I Doll:
EMPLOYERS' UASILlTY
ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $
I ~~~~,~~be under E.L. DISEASE. POLICY LIMIT $
OTHER
DESCRlPll0N OF OPERAll0NS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS I
OPERATES WAVERUNNERS AT: ROCKAWAY GRILL
7 ROCKAWAY ST.
CLEARWATER, FL 33767
CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED AS RESPECTS THE OPERATIONS
OF THE NAMED INSURED ONLY.
CITY OF CLEARWATER
25 CAUSEWAY BLVD.
CLEARWATER, FL 33767
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRA110N
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR 10 MAIL ~ DAYS WRlnEN
NOllCE TO THE CERTIACA TE HOLDER NAMED TO THE LEFT, BUT FAft.URE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER-ITS AGENTS OR
TlVio.
ACORD 25 (2001/08)