CERTIFICATE OF LIABILITY INSURANCE (7) Mi ar, 6. 2018 9.28AM No. 0148 P. 212
CERTIFICATE OF LIABILITY INSURANCE
THIS CWnFl"'M IS ISWED AS A MATER,OF INFORMATION ONLY ANu COWERS No RIGHTS UPON THE CERTIFICATE HOILDFR THIS
CE T1F1CA7M OM NOT AFFIRMATt MY OR NEGAMEI Y AMEND. EXTEND OR ALTER THE COVERAGE AFFOPMED BY THE pOUCIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE 1$,SI,ANG INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMP❑RTANT,,Ir the corfihcate hoidar Is an AI DITIORAL 1 i!RED,the Wicy(ies)must have ADDITIONAL INAllRED provganE or be endorood,It
SUBROGATION IS WAIVEt7,sublaci to The terms and candWor:s ofthe policy,certaln polleJes may roqulre an imdOesftftonf.A+statement on this
eest irate dopa not confer righffi to the cerrifidata holder in hero of such endorsamrnt(s).
AVXU M COWACT
Aon Risk Serv-ires south, Inc- C86G] 2$3-7721 F^x (9m),363-01U5 `
Atlanta GA Office mm'o .Fb.
3565 Piedmont Rd NE,8793„*700 E40AaL
Atlanta GA 30305 USA ADDRESS,
INSURER(3)AFFORDING COVERAGE I7AIC#
{ HSu"Ilk 11L Specialty Insurance Co 37885
Coca-Cola Beverages rl or-i da. LLC avaveMR Eb )CL Insurance America the 24554
7. Princess Palm Avenue
Suiteuite 400 MURERo Greernrich Tnsuranee Company 22322
Tampa FL 3361,0 USA VAUMD.
INRLIREft�:
COVERAGES CERTIFICATE HUb1SE ;5700 00 7487 REVISION NUMBER:
THIS 15 TO CERTIFY THAT THE POUMES OF iNStIRAIacE u sTELI BELOW HAVE BEEN ISSUER TO THI IMSURED NAMED ABOVE FOR THE PC OCY PERIOD
INDICATED.NOTYYITHSTANDING ANY REQUIREMENT TERM OR CONDMON OF ANY CONTRACT OR OTHER DOCUMENT wan RESPECT TO WHICH THIS
CERTIFICATE MAY 13E ISSUED OR MAY PERTAIN,THE 14SURARGE AFFORDED BY THE POUCIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OP SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, Lknfls shown am as f*"*stod
LTRrrr DF� y�D POCKY NUM'k"R UK"
X M IALGENEPA LUheeJYY EACHDCCVRRFHGE $750,000
MAWWM r—I OCCUR s'R applies per policy ter $c condi ions SMIZETORENstu3100,400
s oeaurarno
WD E"M nrd pe*4 55,Q00
_ PT(7NALaAVV1luLW-tY 31,000,000
gafLA ,ATO ursi�j- PM GENM k+e EQATE $1.750,000
% r'uw F-1I__k toc �ouers-COWPPA�* $1.750,t300
�} $
c AutaMaelLsuA£rlm RAD943781701 10ja9 2017 108912018 QWDVEDNQULwr i2,004,0Qa
X ASYAUM 0Ot511_Y N�uRr{Ftierpcmr�
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AUTO$OM-Y AM& - Y�
014LY AVRX ONLY
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A X UIR.LA LLW X OCCUR 45p0p71 W34.I1 A 17 IO-jd i oCC nRRWjre S5, R 004 0
r
@x=rsLM AgORE3ATE sS,000,000
x 1wonm$10.0m
a a e;�TM AND RW0300Q x PER
ar wyEkw LIAs n'Y
YINANr6ROPMUMIPAR'n4 IDIC1mvE F-L.IFACHACCC0ef 5110001000
OFRCGRfNKMeeI VMVJ= H NIA
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inF-L D -EA EEPLDYEE %1,0W,000
D@BCRIPnON OF OPERATION„•'Getow ML 0dR%a&P0(U&f IDAT 11,QdQ,SiOD—
o I1ON OF 9 WTICKS I LOQMONS I VMCU!S PZM 101.Mfitiwml r4tm a Sdmduk,w"ba a14c1raa Ir=m sMw m FRq%*VA) AM-
city ai' Clearwater is included as Additional Insured in accordance with the policy provisions of the General Lidbility,
ArrpmpH-ile Liability and umbrella Liability polities. 7=
C1=fMRCATE HOLDER: CANCELLATION
SHOULD AFM DE T1! AVOIR DeWROM POLM'A:s 8E cA1rraT WoE Tri
E>MIRATION bAS! 7II ,ndYrtit vjLL aE O IFr AnaDWag;ipe VM TIS
PaLICY PFM M.WNi
City of Clearwater AUn+orJ=REMSlIrbl M
I00 South Wrrle Avenue
Clearwater FL 33756-55xV USA
and I
AC4R0 25(8015109) The ACORD Hama (MM 2015 ACOM CORPORATION.Ali rights resarvgd.
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