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CERTIFICATE OF LIABILITY INSURANCE (12) ACORD;; CERTIFICATE OF LIABILITY INSURANCE OPID ~ DATE (MMIDD/YVVY) YOUNG-S 09/2S/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATe Carlisle Fields & Company, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 7910 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clearwater FL 33758-7910 Phone: 727-797-0441 Fax:727-725-3663 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A progressive commercial 10193 INSURER B Markel Insurance Company Young Women's Christian Assn INSURER C Zenith Insurance Company Of TampaBaK 655 Second venue South INSURER D st. Petersburg FL 33701 INSURER E' COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TI-E 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 TI-E TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I'"'''' 'N"sRC POLICY NUMBER ~OA';!~ (MMlDDNY) DATE (MMlDDNY) LIMITS LTR TYPE OF INSURANCE GENERAL LIABILITY EACH OCCURRENCE $ 1000000 I-- 10/01/06 01/01/0S 'UAMAljt B X COMMERCIAL GENERAL LIABILITY 3602SS25S3993 PREMISES (Ea occurence) $ 100000 I-- tJ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5000 I-- PERSONAL & ADV INJURY $ 1000000 I-- GENERAL AGGREGATE $ 3000000 I-- GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 1000000 n n PRO- nLOC Emp Ben. 1000000/3 POLICY JECT AUTOMOBILE LIABILITY ~ -'-,- --._- ------~ --' ~ --,"" -- -- ---- ,- ------- ~-_._-- - -- - COMBINED SINGLE LIMIT $1,000,000 A ANY AUTO 047436125 11/0S/07 11/08/0S (Ea accident) I-- ALL OWNED AUTOS RECEIV ~D BODIL Y INJURY I-- $ X SCHEDULED AUTOS (Per person) I-- HIRED AUTOS BODIL Y INJURY I-- $ NON-OWNED AUTOS OCT O~; 20 7 (Per accidenl) I-- PROPERTY DAMAGE $ ,~- '.- ~,. (Per accidenl) GARAGE LIABILITY n. ............,','1,. ," !'V;,,> AUTO ONL Y - EA ACCIDENT $ R ANY AUTO LEGf:: LPJrVE ii?'V,.::: ," OTHER THAN EAACC $ AUTO ONL Y AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $1,000,000 B tJ OCCUR D CLAIMS MADE 4602SS25S1613 10/01/06 01/01/0S AGGREGATE $1,000,000 $ Fx1 DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATlON AND ~T lQ~- ER C EMPLOYERS' LIABILITY Z049904505 06/24/07 06/24/0S $ 500000 ANY PROPRIETORIPARTNERlEXECUTIVE EL EACH ACCIDENT OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 500000 If yes, describe under $ 500000 SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT OTHER -- - --_.-- ____'"C - - - I_...._c.~.__=c___, I -- O'- - -""-, -- -- -- -- - -----,-- --.- -_.- 1- DESCRlPTlON OF OPERATlONS I LOCATlONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is listed as additional insured. CERTIFICATE HOLDER CANCELLATION CLEARW6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Clearwater Police Department Chief Of Police Sid Klien 645 pierce Street Clearwater FL NOTlCE TO THE CERTlFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLlGATlON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATlVES, AUTHORIZED REP PORATION 1988 ACORD 25 (2001/08) ACORDm CERTIFICA TE OF LIABILITY INSURANCE OP 10 8~ DATE (MMlDDIYYYY] YOUNG-8 09/28/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Carlisle Fields & Company, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 7910 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clea:t:Water I'L 33758-7910 Phone: 727-797-0441 Fax:727-725~3663 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A progressive Commercial 10193 INSURER B Markel Insurance Company Young Women's Christian Assn INSURER c' Zenith Insurance Company Of Tampa BaI 655 Second venue South INSURER D st. Petersburg I'L 33701 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 TH: TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR[ TYpe OF INSURANCE POliCY NUMBeR D'1I~(MMlDDIYY) DATe (MMlDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 - U"'VI""C B X COMMERCiAl GENERAl LIABILITY 3602SS2583993 10/01/06 01/01/08 PREMISES (Ea occurence) $ 100000 - ::=J CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5000 - PERSONAl & PDV INJURY $ 1000000 GENERAl AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS. COMPIOP AGG $ 1000000 I n PRO- nLOC Emp Ben. 1000000/3 POLICY JECT AUTOMOBILE LIABILITY --\~OMBINED SINGLE LIMIT A == ANY AUTO---- '--.-.-".-' ,- 047436IZS--- ,-"--" --n/1JSm -cu/~ Ea accirleclL _ . n., $1,000,000 - PECEIVE AlL OWNED AUTOS D BODIL Y INJURY - $ X SCHEDULED AUTOS (Per person) - HIRED AUTOS 2~n~ BODIL Y INJURY - ,rT o 'j $ NON-OWNED AUTOS " r: :.IU (Per accident) - 'oJ''''' PROPERTY DAMAGE $ (".~,.., .. .~\ I '.:c'" '-'I}:."\<.: c....; r") (Per accident) GARAGE LIABILITY ..J~~: ;:::;:.;'/~.::-:~ L~:: ;)1 AUTO ONL Y - EA ACCIDENT $ ~ ANY AUTO I. J J ,~, OTHER THAN EAACC $ AUTO ONL Y: AGG $ eXCESSlUMBRELLA LIABILITY EACH OCCURRENCE $1,000,000 B ::=J OCCUR D CLAIMS MADE 4602SS2581613 10/01/06 01/01/08 AGGREGATE $1,000,000 $ ~ DEDUCTIBLE $ X RETENTION $10,000 $ WORKeRS COMPeNSATION AND IT6~\t:~if's I IUER' C EMPLOYERS' LIABILITY Z049904505 06/24/07 06/24/08 ANY PROPRIETORIPARTNERlEXECUTIVE E.L EACH ACCIDENT $ 500000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $ 500000 If yes, describe under $ 500000 SPECiAl PROVISIONS below E.L. DISEASE - POLICY LIMIT OTHER .. -- - -- -- . ---- - - ". _.n._" . - - - , DeSCRIPTION OF OpeRATIONS J LOCATIONS J veHICLES J EXCLUSIONS ADDeD BY ENDORSEMENT J SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CITYO 0 5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THe ISSUING INSURER WILL eNDEAVOR TO MAIL 30 DAYS WRITTeN City of Clearwater - Pat Fernandez PO BOX 4748 Clearwater FL 33758 -"'(~L 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. AUTHORIZED REP PORATION 1988 ACORD 25 (2001/08) ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP 10 L~ DATE (MM/DDIYYYY) YOUNG-8 11/30/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Carlisle Fields & Company, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O.. Box 7910 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ClearwaterFL 33758-7910 Phone:727~797-0441 Fax:727-725-3663 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Progressive Commercial 10193 INSURER B: Markel Insurance. Company Young Women's Christian Assn INSURER C: Zenith Insurance Company Of Tampa BaX 655 Second venue South INSURER D: st. Petersburg FL 33701 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. L TR INSR[ POLICY NUMBER ~OLI~iIEI'F_E~T!XE P!:.l!"~](~'RfIRA ~~N LIMITS TYPE OF INSURANCE DATE MM/DDIYY DATE MM/DDIYY GENERAL LIABILITY EACH OCCURRENCE $ 1000000 - UAMAl;t: I U Kt:N I cu B ~ COMMERCIAL GENERAL LIABILITY 3602SS2583993 10/01/06 01/01/08 PREMISES (Ea occurence) $100000 =:J CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5000 f-- PERSONAL & ADV INJURY $ 1000000 - GENERAL AGGREGATE $ 3000000 - GEN'L AGGREnE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 1000000 I PRO- n Emp Ben. 1000000/3 POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 - -A- i- .'. ANY~UTO - -04'1436125_ . _l:1,IQ~IO"J_ 1 1.lQ8IO.8 (Ea accident) -.' ---- ------ - --- -.-.---.-.-.. - _____~==~=""...,.,,=o__:_- .-- -- ALL OWNED AUTOS BODILY INJURY - .--- ,....'....'r- (Per person) $ ~ SCHEDULED AUTOS ... .-, I", V~ HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS DEe ( 7 2007 (Per accident) - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ....,;.. ~! " AUTO ONLY" EA ACCIDENT $ ......,.,.,. . R ANY AUTO ,. .. <..It( 'i '-'...., ... EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $1,000,000 B o OCCUR D CLAIMS MADE 4602SS2581613 10/01/06 01/01/08 AGGREGATE $ 1,000,000 $ 8 DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND I WC--sTATlJ-1 IU~~- TORY LIMITS C EMPLOYERS' LIABILITY Z049904505 06/24/07 06/24/08 $ 500000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 500000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 500000 SPECIAL PROVISIONS below OTHER ~----- -..-,-' -. - - ----_.__...-~---_.--'--'-- ~--- .--~" - ----...- .- ~---- -. -.--.,- ~~'----- _.------ ------- --.-------- ..--_. - ------.------ ~--_._-~..- i---.-.-. -' ..-..-----. --'- DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CITYO-4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ 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 City of Clearwater Official Records and Legislative SVCS Cyndie Goudeau City Clerk P.O. Box 4748 Clearwater FL 34618 PORATION 1988 ACORD 25 (2001/08)