CERTIFICATE OF LIABILITY INSURANCE (9)
ACORD..
CERTIFICATE OF LIABILITY INSURANCE
OPIO
SAI~H-1 07 03
THIS CERTIFICATE IS ISSUED AS A MAnER 01= INPORMATION
ONLY AND CONFERS NO RIGH'l'$ UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. exiEf\JO OR
ALTER THE COVERAGE AFFORDED SV THE POLICIES BELOW.
07
PRODUCER
Raal Inaurors. Ino.
500S W. Laurel Street, ste 209
Tampa FL 33G07-383G
Phone:813-288-~OOO Fax:813-281-24~~
Bait Rouse L:J;.C
p a Box 3025
clearwater Beach FL 33767-9025
INSURERS AFFORDING COVERAGE
IIlSURERA: We.a1;$rn World Ins
INSURER B: Sur li.n t:.on Ins Co
IllSURER c:
NAtC'1/.
IN::URED
Co
INSURER D:
INSUReR C:
COVERAGES
TI-IE POLICIES OF 'NSURANCG LISTGO O[;lOW HAVC DCCN ISSUeD TO THe INSURED NAMED ABOVE FOR THE POLICy P~AIOtlINDICATI:D, 1II0TW'THS'fANQING
ANY R~UIRCMCNT, TeRM OR CONDITION OF ANY CONTRACT OR OTliEk DOCUMEN'r WIT~ RESPECT TO wHICH THIS CERTIFICATE MAY ElE lSSUJ;:D QIR
MAY PGRTAIN, TNE INSURANCJ: AFFCRDeD DYTHt: POUCIES DESCRIBED HEREIN IS SUBJECT TO All lHt: Ti:RMS,I:XC:WSIOrlS ANO CONOITIONS 01'" $UCI~
POLICIES. AOOH~OATe LIMITS SHOWN MAY HAVE BeF.N RF.OUCED BY PAID CLAIMS.
INS~~ ~~gTJ~~S l'OiJc'rEitpiAA'l'fO
LTRINS TYPE OF INSURANCE POUQY NUM8..~ DATliIM~~N UMllll
GGN6RAL LIABILITY EACI~ OCCURAl:NCC $500000
A X X I COMMERCIAL GENERAL lIABiliTY NPP~OS5434-RENEWAL 07/0~/O7 07/01/08 DAMAOE'TO Mt:tITI:O $ 50000
PREIII!S,t::;>Jj:. ....":ur.n~DI
=-i~ CLAIMS MADE ~ OCCUR MCD ~P 1~.~~.?..ef80n) $ 5000
~- ,'~' PERSONAL & A.\[lV INJURY .,$.,500000
,--.
GENERAL AGGRCGATC $ 500000
.....-.
GEN'l AGGRJ:GATJ: lIMIT APPLICS PC:R: PRODUCTS. COMP/OP AGG $ 500000
Xl .n,PRO- n -.-.,.......---
X POLICY JeCT' LOC
AUTOllllOlllLE l../ASIl,JTY COMBINED SINlOL~ LIMll
- $
ANY AUTO RECEIVE D (t:a accldenl)
-
ALL OWN CD AUTOS BODILY INJURY'
- (P.... pIIrsin) S
SCHEDULED AUTOS
'-- JUL 06 2007 .~.... . ...-.-
'-- HIHt:D AutOS BOOIL Y INJURy
Iper lICdIlqn!) $
NON-DWNED AUTOS
- --....-.. .,---.--
- ,-. OFFI :IAL RECORD~ AND PROPERTY OAMlAOl: $
.,..,..., .........n_ (P1Ir accldoMlll
GARAGE LIABILITY - . AUTO Olll Y - l:A ACCIDENT $
==1 ANY AUTO OTHCR THAN EA ACC S
AUTO ONLY: ACO S
EXCESSlUMIIRI!LlA WADILITY CACH OCCURRB-!CE S
=:=J OCCUI'I o CLAIMS MADE AGGRcGATG $
-..-.... '.
..........- ;
==J DCDUCTIDLE $
RCTrNTION S $
WORKERS COMPl!NSATlON ANti hiiR'VLIMms I lum-
I!MPLOYliRS' LIABiliTY E.L EACH ACCIIl\II:::NT $
ANY PROPRIETORJPARTNERIEXt:CU1WE .___n...
QFFICGRIMCMDCR exCLUDED? C.L. DISEASE -IS'. EMPlOyt:!:: $
II ~Eoa, d88Mbq undlor ~'.
SPECIAll'ROVISIDNS blllQ\ll J;:,L. DISJ:ASl: -PoOlICY LIMIT S
CTHIlR
B Liqucr Liability 503BOO7456-RENEWAL 07/01./07 07/01/08 Limi t: $500.000
Acrcrrega ta $500.000
DESl:RIPllDN OF OPIiRATIONlJ I LOCAnONS I IIEHICLE$ I EXCLUSION:: ADDED BY EHDORSElftIiNT I SPECIAL. PROV",O"'$
'Cit:.y of Clearwater is Midi e:i.onal :tnsurea., General L1ability pOlicy.
:J;.ocat::ion: 46 Causeway Bl"cl, Slip 156, Clea:r:wa~e:r: Beach Fl 33767.
F727-462-6957.ATTN CATBERrNlll
Cicy of Clearwater
Risk Management Dept
Marine & Aviation Dept
25 causeway
Clearwater FL 33767
CANCELLA TIOIII
CCLEAR. - 'HOUltJ AIII'I 01' THI; A!lDVE DI;SCRIOI!O POUCI6S BE lICANCI5LLI5D ~EI'O~.. THe ~XJ>IRA'fION
CATE THI5RI50l'. nlE ISSUING INSURER WILL IENDIlAVOtI( TO MAil ~ DAY81N~I'tiEN
NOTICIl TO TIUI CIiR11FICA T6 HOLDER NAMEtI TO rHE 8.EI'T, gUT 'AllURI! TO DO SO lI,"ALL.
IMI'O!:!! NO OIlUCATlON OR UASILITY OF ANY KIND UPC)III THE INSURER-ITS AG!!N'r.; OR
REPRESI!NTATIVI!S.
AUTHORIZED ~PRESENrAT1V5
Marcia M Lewis 7)1./77. ~~
CD ACORO CORPORATION 1988
CERTIFICATE HOLDER
ACORD 25 (2001/08)
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