CERTIFICATE OF LIABILITY INSURANCE (10)
Client#: 31238
SAILAGRE
ACORDTM
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDNYYY)
06/26/07
THIS CERTIFICATE 15 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
Starkweather & Shepley
Insurance, Inc.
PO Box 294
Westerly, RI 02891
INSURERS AFFORDING COVERAGE
INSURER A: St. Paul Fire & Marine
NAIC#
INSURED
Sailability Greater Tampa Bay, Inc
1001 Gulf Blvd
Clearwater, FL 33767
INSURER B:
INSURER C:
INSURER D:
INSURER E:
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.
INSR ~~~: TYPE OF INSURANCE POLICY NUMBER p~~~~J~f68,wIE P~~'f.r/~:'~~N LIMITS
LTR
A GENERAL LIABILITY OH06900275 05/30/07 05/30/08 EACH OCCURRENCE $1 000 000
'--- g~~b~sI9_RENTED
X COMMERCIAL GENERAL LIABILITY $50 000
I CLAIMS MADE [Xl OCCUR MED EXP (Anyone person) $5.000
PERSONAL & ADV INJURY $1 000 000
GENERAL AGGREGATE $
-
~'L AGGREnE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $1.000,000
POLICY j~8T LOC
~TOMOBILE LIABILITY Rl .CE\\]EO COMBINED SINGLE LIMiT $
ANY AUTO (Ea accident)
l-
I--- ALL OWNED AUTOS .1\ N 2. Cd 1001 BODILY INJURY
$
SCHEDULED AUTOS (Per person)
I---
HIRED AUTOS BODILY INJURY
I--- lAL RECORDS ,.. ND ( $
NON-OWNED AUTOS (Per accident)
'-- Off\C
lA1Nt SRVCS r: ~PT
- LEG\S PROPERTY DAMAGE $
(Per accident)
~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
~ OCCUR D CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I WC STATU-, I IOJ~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
A OTHER P & I OH06900275 05/30/07 05/30/08 $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Certificate Holder is included as Additional Insured ATIMA.
CERTIFICATE HOLDER
CANCELLATION
City of Clearwater
Clearwater Municipal Marina 25
Causeway Blvd
Clearwater, FL 33767
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ---1.0.- DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
-----;J
ACORD 25 (2001/08) 1 of 2
#S167165/M167164
LJW
@ ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-5 (2001/08) 2 of 2
#S167165/M167164