CERTIFICATE OF LIABILITY INSURANCE (44)
~,
ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP 10 T~ DATE (MMlDDNYVY)
COXEL-1 09/04/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Jennings & Associates Ins Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 2810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Brandon FL 33509-2810
Phone:813-689-0021 Fax:813-654-7656 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER k. The Trave1ers Indemn Co 25658
, INSURER B: Auto-Owners Insurance Company 18988
Lawrence T. Cox INSURER c: AIG
dba Cox E1eotric
11611 E 01d3Hi11sborough INSURER 0:
Seffner FL i 3584
INSURER E:
COVERAGES
THE POLICIES OF INSURANCit'L1STED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
ANY REQUIREMENT, TE~R CONDITION OF ANY CONTRACT OR OTJ-lER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSU CE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATI<L1MITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR[ .:tYPE OF INSURANCE POLICY NUMBER ~~,;!~1JMlDDIY'iI- DATE"MMIDDrN1" LIMITS
GEN~L LIABILITY EACH OCCURRENCE $ 1,000,000
-
A Xv- 'COMMERCIAL GENERAL LIABILITY I6809107H202IND 01/01/07 01/01/08 PREMISES lEa occurencel $ 300,000
/' I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 5,000
/ PERSONAL & ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000
Jt\-h PRO- n I
X POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500,000
B ~ ANY AUTO 95-419-217-01 09/14/07 09/14/08 (Ea accident)
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS RECE IVED (Per person)
-
~ HIRED AUTOS
BODILY INJURY $
~ NON-OWNED AUTOS (Par accident)
SEP 0 5 2001
PROPERTY DAMAGE
(Per accident) , $
GARAGE LIABILITY pFFICIAL REC< RDS AND AUTOONL Y - EA ACCIDENT $
R ANY AUTO EGISLATIVE S~ VCS DEPT OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
=:J OCCUR D CLAIMS MADE AGGREGATE $
$
=i DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X ITORYLIMmi I IU~~-
C EMPLOYERS' LIABILITY WC1762067 01/01/07 01/01/08 $100,000
ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT
-.. OFF1CERlMEMBER.EXCWDE07.. ---~ _.~.~- -- -- ~---".--~--- - - ::- --- .. ~,. _"___ -__~c..._~ ;:;I:;'1)fSEASE 'EA EMPLOYEE rlOO,OOO-
g~~M.tS~~v~sr~~s below E.L. DISEASE - POLICY LIMIT $500,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
City Of C1earwater
P. O. Box 4748
C1earwater FL 33758-4748
CANCELLATION
CLEAROl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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,
AUTHO 0 REPRE ENTATIVE
@A
,
ORPORATlON 1n8
CERTIFICATE HOLDER
ACORD 25 (2001/08)