CERTIFICATE OF LIABILITY INSURANCE (929)OP ID: P
ACOR& CERTIFICATE OF LIABILITY INSURANCE
4.....----10/31
DATE(MM/DD/YYYY)
/2018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
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).
PRODUCER 239-649-1444
Insurance and Risk Management
Services, Inc. g
8950 Fontana Del Sol Way #200
NapWilliam
H. 34109-4374hlman,C
William H. Kuhlman, CPCU, ARM
CONTACT William H. Kuhlman, CPCU, ARM
PHONE FAX
(A/C, No, Ext): 239-649-1444 (A/C, Ne):239-649-7933
ADDRESS:
INSURERS) AFFORDING COVERAGE
NAIC #
INSURER A : Hartford Insurance Company
09263
INSURED AboveWater Public Relations
and Marketing, LLC
543 Sandy Hook Rd
St. Petersburg, FL 33706
INSURER B :
%
•
21SBMBK483t'.
qt ,
INSURER C :
11/01/2019
INSURER D :
$ 2,000,000
INSURER E :
INSURER F :
X
RA
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
, sn
SUBR
WVf)
POLICY NUMBER
POLICY EFF
IMMIDD/YYYYI
POUCY EXP
IMM/DD/YYYYI
OMITS
A
X
COMMERCIAL GENERAL LIABILITY
%
•
21SBMBK483t'.
qt ,
11/01/2018
,_ _.
11/01/2019
EACH OCCURRENCE
$ 2,000,000
CLAIMS -MADE
X
OCCUR
DAMAGE TO RENTED
PREMISES (Ea occurrencel
$ 300,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 2,000,000
GE
'L AGGREGATE
POLICY
OTHER:
LIMIT APPLIES
Taf
PER:
LOC
GENERAL AGGREGATE
$ 4,000,000
PRODUCTS -COMP/0P AGG
$ 4,000,000
$
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
AUTOS ONLY
SCHEDULED
AUTOS
AUTO ONLv
, -� , ?. - • /
`-
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY (Per person)
$
BODILYBODILY INJURY (Per accident)
$
(Perra�dentDAMAGE
$
$
UMBRELLA UAB
EXCESS UAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED
RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' UABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFEICER/M in BR NH) EXCLUDED?
(Mandatory
If Yes, describe under
DESCRIPTION OF OPERATIONS below
Y / N
N / A
PER OTH-
STATUTE ER
E.L EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Office - Consultant
IF
CITYCL2
City of Clearwater
City Clerk
P.O. Box 4748
Clearwater, FL 33758-4748
i
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION ATE THEREOF,
ACCORDANCE WITH THE POLICY PROVISIONS.E WILL BE DELIVERED IN
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
@ 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD