CERTIFICATE OF LIABILITY INSURANCE (8)
ACORQM
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDNYVY)
06/27/2007
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER (727)797-5193 FAX (727)797-8605
Alley, Rehbaum & Capes Assurance, Inc.
2433 Gulf to Bay Blvd.
P.O. Box 4620
Clearwater, Fl 33758
INSURED Carpenter Enterpri ses Inc.
DBA: DBA/Marina Gifts
25 Causeway Blvd.
Clearwater Beach, Fl 33767-2064
INSURERS AFFORDING COVERAGE
INSURER A: Maryl and Casualty Company
INSURER B:
INSURER C:
INSURER D:
INSURER E:
NAIC#
19356
COVERAGES
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 CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~: ..~?;~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY PAS031650139 07/25/2007 07/25/2008 EACH OCCURRENCE $ 1,000,001
-
X COMMERCIAL GENERAL LIABILITY DAMAGE ~?,,~ENTED $ 1,000,001
I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 10,001
A X PERSONAL & ADV INJURY $ 1,000,001
GENERAL AGGREGATE $ 2 ,000, 00(
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,OOO,OO(
I .nPRO- nLOC I
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
~ $
ANY AUTO RE (Ea accident)
- CEIVED
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
- JU^ 292007
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS (Per accident)
- OFFICIAL ~
f-- E~_ORDS ANn PROPERTY DAMAGE $
LEGISLA Tit (Per accident)
GARAGE LIABILITY YI"{ v'-~ DEPT AUTO ONLY - EA ACCIDENT $
q ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
=:J OCCUR o CLAIMS MADE AGGREGATE $
$
==1 DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I WC STATU- I IOJbl-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
ertifcate Holder is Additional Insured for General liability
~roperty coverage includes glass breakage with no deductible
CERTIFICATE HOLDER
Harbormaster
City of Clearwater
Attn: Catherine
25 Causeway Blvd.
Clearwater, Fl 33767
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
--1L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Si nature on file w/com an
ACORD 25 (2001/08) FAX: 462-6957
@ACORD CORPORATION 1988