CERTIFICATE OF LIABILITY INSURANCE (6)
05/13/2007 09:51
8138644429
PAGE 02/03
~CORD". CERTIFICATE OF LIABILITY INSURANCE I IMi..(UMIDON'I'Y'/l
i 06113/2007
F'R/;l~U~ 1 THIS C:ERTlPICATE IS ISSUED AS A MATTEFt OF INFORMATION
Gulf Coest Underwrit.rs otILY "Ne CONFERS NQ RIGHTS UPON THE Ce~TIFICATIii
I HOLDER. THIS CER1IFICAT! coes NOT AMENO, EX1SND OR
11 ai3 COLlntryway BlVd. AL ~R THE COVl!:RAG! AFf'ORDEO BY THE POl.IC1ES BELOW.
Tampa, FL 33626 r-
10'0..11I0. (813) S64-.d428 ~l"N.. 1813\ 8544429 INSURERS AFFORDING COVERAGE NAIC#
ltI;URliD IIIS1Jll1OA^, ST? St.-P8ul Fire and Marine Ins. Co.
City Players Ino. 1'l8lRR!l:
2406 Summerlin Dr. HSlHAC'
Clearw~ter, FL 33764
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Pt>01\~'lo. 1(727) B9~16 <1'(1010. 1N!l~R e:
coveRA I!S
THE POLICIe.s: OF INSURANCE LISTED !lII.OWHAVi aeEN 196\)1;;0 T011-lE INSURED NAMEDABOV~ FOR TH!;; POLICY i>ERIOO INDICATED. NOTWITHSTio.NDING
ANY REOUIREMEl'lT. Tl!RM OR CONOITION OF ANY CONTRACT OR OTHER OOCV~ENT WITH RESI'ECT TO VIIHlCH THIS GI!FHIFICAT~ MAY !;Ie. issuao OR
MAY F'\;RT .AJN. T1-II; INSURANCE AFFORDED BY THE FOWCIES OESCFUBED HEREIN IS SUa,JEcr TO ALl. Tt-IE TERMS. EXCl.US10MS AND CONomol'lS OF suer'
!'Ol.ICIES. AOGREC:.Ar,~ LIMITS sHOWN MAY HAVE Ji:~N REOUCED BY pAlO CLAIMS.
INBA PClL~ ~R II" t:l' .
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llAIlAGE UAI3\l.I1V
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BOOII. "f I NJUR"!
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I BODILY INJUR"I
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"Split Oates applY to en CO/8I'oges in 1he Gpscl1led GtCtIon.
TIle Cl!!rtificllt8 helder Is Included as Adcl1ion811nsured. but ~I,/ as respads 10 claims ..risIng rot .,f'ih8
negligence of 1he Nemec! Insured.
$
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United Sta1es & CenOOlI
HeUo DoUy
All eoverage~ expire at
12:01 a.m. S1andlfd Time.
PACT,lnc
ATTN: Ruth l:eKerd Hall
1111 McMullen Booth Road
Clearwater, FI. 33759
CANCELI.ATJON
UlOULIl ANVOII 'TIle ABDW MSCRIB&D POUCIEI Bfj t;:;.NCEllEtll!Ef'Ol'll! 'T1l! !)lI'lRAl1g!o/
DATE 'TIlERIilIf, TIlE ISSUIIW rlSllRM WILL ~VOR TO MAl. .....l- DIIY'3 WftITml
NCTICE W T.- CSR'TlACl\lIl1OlllER NIIMED TO TMi LIiI'T. RUT FIILURI! 'rQ DO 1I0 IHALL
_Olll: 110 OBUGAllOlt at LNLITY Of' ".V 11M! UPON 'l'IlIINSUREIl. m; ACI!NTS OI!
Rl!l'R&IIitIT''''l'lVIS.
,-um0l8lliD lleFf(ECEHTA1lVE
CERTIFICATE HOLDE;R
PhaMON.. 1 ~"" Iolo.
ACORD 25 (20011081
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~~~~-
QACOFlD CORPORATION 1988
115970-195314-144095
06/13/2007 09:51
8138544429
PAGE e3/ld3
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P.CORJ)r~ CERTIFICATE OF LIABILiTY INSURANCE ~~~~;~~;YY'I\ I
l>itCCUC&fl THIS CERTIFICAfE IS ISSUED A$ A MATil!R OF INFORMATION
.... If C U-'" ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
\.:iU, Oe$t ll'.lerwritert ' HOLDER. TI-IIS CERTIFIC^Te DOES ItOT "MEND, EXTEND OR
110i3 Countryway Blvd. I M. TER THE COVERA.GE ~FFORDI!D BY TI1F. POLlCI5S BELOW.
Tampa, FL 33626 : i
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PII(lll~N^ (81~ 864.4428 F.,.No 813 864-4429 INSURERS AFFORDING CO\lEftAG~ NAIC #
INSUReI;' IWSUFSlA: Sri=' - St. ~ul Fire and Marine Ins. Co,
City Players Inc. '
2406 Summerlin Dr. i. tlSIJFeRB:
Cle~l1water, FL '33764 I tllll.ll"E1'lC;
Ii tlsuAiR c:
OheM~", . 1(727) 8944516 FI!I(r.<l. I NSVIlERe, - -
cove s -
TI-lE POLICIES OF INSI)~I\NCE LISTeO "!;LOWH.we BEEN ISSVe.O TO THlillll$URED Nlo.MED ABova FOR Ti'lE POLICY F'e;1(IOO INDICI',TED. NOfWITf.(STANOING
ANY REOUII'\I!MENT, TERM OR CONOITION OF MY CONTRACT 01'\ OTHER oooUM!:;NT WITH R5Sf"r..CT TO. WHICH THIS CERTIFICATE M,l.V Be ISSUED 01\
ViAY ~ERTAIN. THIi INSURANCE Ai-FORDED BY THE F'OLlGlilS D!;SCRlaeo HEREIN IS SVBJECT TO AI-L THIl!. TERMS, ;;XCLUSIONS AND CONCI'TIO~ OF SVCH
POLICIES. AOG~E(]ATE "'MITS SHOWN MAY "lAVE BE!N REDUOSO IlV FAIO CI.AlMS.
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e.... O\ll~ . I>CUCV LIMIT I $
CC\IenIOp
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30tl~ClJ',F,O AUTOS
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WORKER! COMPEN9^TlOII.4ND
EMPLO'I'ER" LlA81.1tY
ANV IIMl'IIlliTORIPAJrnlleRlDECUTlVl
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DElSCRIFT1ClN DF gpliMOONS Il,OCA TICKS I VIMICL!S IlIlCCWllOrtll AODED BV F.NDOIIIEIEfT" J llPICW. PIlovmtlNS
Split OIlles apply to ell O:OV$l1lges In lhe s;w;dfie<f section. .
rh~ .CP.rtlflC2te holder i~ Ineluded as AckiUonlllll'1$Ured, but onlY as r$$fl!!lc1s 10 c1e1imt e"!lnn 01.11 (jf ihe
I"leghgence of1he Named !J1QJred. . ....
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An coverlllg~.s explreet
12:01 a.m. Stllndard TlI"re.
CERTIFI :r HOl.DER
City of ClearwatQr
ATTN: C/O P41rl<$ and Recreation Director
100 S Myrtle AvenUe
Clearwater, Fl.. 3~759
CANCELLATION
lItIOUUI 1\11'1 DF TIfE..DOVt .,!~_a PCLles= DQ eM'CF,LLI\t) o;FOR!'I'MI1 I;XP1IlAnoN-l
DA1Ii 'lMIRI!!l', ~ I!lSU1NO INSURIOR WIll. I!M\ll:AVOR TO Mo\lt. -.!.... llAYS V'I1U1TEN
r<<mcI! '1'0 11lE C&lI'l'lFlCJ'~ HllLDER ~ 'l'C M U;~, BUT FAA,UIU:....O DO SO SHALl.
II\lIlOSI! 110 OllUClATlON OR UA8IJ1T Of ~"Y Mltl UPIl!'C -Il1llIN&U1tER, ITS ^"~ Olt
ItIPMBITII'I1IIIiB. I
,t,UTl/CIllZIIIlml'RE8EN'1''''~
i'l'Im"No,
ACORD 25 (2001/08)
FMtlo.
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~~~
~ACORP CORPORA.TION 1988
11 &J7D- 196314-144094