CERTIFICATE OF LIABILITY INSURANCE (6)
ACORDN CERTIFICATE OF LIABILITY INSURANCE OP 10 OIl DATE (MM/DDIYYYY)
CIVAI-l 09/2S/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Huntl.eigh McGehee HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
S235 Forsyth Boul.evard, #1200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Cl.ayton MO 63105
Phone: 314-746-4700 Fax:314-SS9-3700 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A Ol.d Republ.ic Insurance CO.
INSURER B: St. Paul. Travel.ers
Civil. Air Patrol. Inc. INSURER c:
Bl.d~714,Maxwel.l. Air Force Base INSURER 0:
Non gomery AL 36112-6332 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.
NSR[ POLICY NUMBER DATEiu E PI~'MN LIMITS
LTR TYPE OF INSURANCE DATE' /MM/DDIYY
GENERAL LIABILITY . EACH OCCURRENCE $ 1,000,000
- t::~I'URE'i eLJ
A X X COMMERCIAL GENERAL LIABILITY AP690410 03/01/07 10/01/0S' PREMISES (Ea occurence) $100,000
I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $25.000
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $2.000,000
Xl n PRO-
POLICY JECT LOC ..
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $1,000,000
B ~ ANY AUTO P810750K8747COF07 - ACS 10/01/07 10/01/0S (Ea accident)
ALL OWNED AUTOS BA750K8760CAG07 - TX , WA 10/01/07 10/01/0S BOOIL Y INJURY
- $
SCHEDULED AUTOS P810759J8759TIL07 - HI 10/0i/07 10/01/0S (Per person)
-
~ HIRED AUTOS RECE~\J ':0 BOOIL Y INJURY
$
X NONcOWNED AUTOS (Per accident)
-'-'--
. .... ~ . D1 PROPERTY DAMAGE
.~. (.) L, (Per accident) $
. .
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OF FI'~,~";.\ i ' :' "'~ ! -;'. '. , EA ACC $
. . 'r, OTHER THAN
I": ...i',,: '.,; ',';'.' ,.' ,,' , . : AUTO ONLY: AGG $
EXCESs/UMBRELLA LIABILITY EACH OCCURRENCE $
=:J OCCUR o CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X" TORY LIMITS I IU~~-
A EMPLOYERS' LIABILITY OCAWOl779707 10/01/07 10/01/0S $1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000.000
~~~(:I~tS~~~V~S~NS below E.L. DISEASE - POLICY LIMIT $1,000,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
City of Cl.earwater is incl.uded as an additional. insured in rel.ation to the
general. l.iabil.i ty regarding the trail.er at 1000 Hercul.es Ave.
CERTIFICATE HOLDER
CANCELLATION
CITOFCL
City of Cl.earwater
Cl.earwater Municipal. Marina
25 Causeway Bl.vd
Cl.earwater FL 33767
ACORD 25 (2001/08) @ACORD CORPORATION 198