CERTIFICATE OF LIABILITY INSURANCE (46)
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDNYVY)
09/26/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Wachovia Insurance Serv-A T, GA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4401 Northside Pkwy, Suite 400 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Atlanta, GA30327 -3078
770 850-0050 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Hartford Fire Insurance Company 19682
SP Newsprint Company INSURER B American Guarantee & liability Ins C 26247
SP Recycling Corporation INSURER C Hartford Insurance Company ofthe Mi 37478
709 Paper Mill Road INSURER D:
Dublin, GA 31027 INSURER E:
Client#. 12970
SPNEWCO
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.
INSR l'Wu' P~"I,}w,~~~,;:,R,vr Pg~fl,~~t~N .
LTR NSRI TYPE OF INSURANCE POLICY NUMBER LIMITS
A ~NERAL LIABILITY 20UENMS8781 10/01/07 10/01/08 EACH OCCURRENCE $1 000.000
COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $1 000.000
I CLAIMS MADE [Xl OCCUR MED EXP (Anyone person) $10.000
I-- PERSONAL & ADV INJURY $1 000 000
I-- GENERAL AGGREGATE $3 000 000
n'L AGGREAE ~~~ APPlS PER: PRODUCTS - COMP/OP AGG $3 000 000
POLICY JECT LOC
A ~TOMOBILE LIABILITY 20UENMS8782 10/01107 10/01/08 COMBINED SINGLE LIMIT
r!- ANY AUTO l'ECE'VE (Ea accident) $2,000,000
I-- ALL OWNED AUTOS [) BODILY INJURY
$
SCHEDULED AUTOS (Per person)
-
..!.- HIRED AUTOS .\~. T n.' r!~ "j
) ..! i v 1-.:.: 1.\.,;,) BODILY INJURY $
..!.- NON-OWNED AUTOS (Per accident)
..!.- Drive Other Car OfFlC. ,\1 l<t 'r\P.' .~ PROPERTY DAMAGE
.\ \Jf) $
1'7""'-' ......, (Per accident)
.., . .
.~ l:Jl -,. , I't. .>1'; i ,.~,) t:PI
~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
B :iJESS/UMBRELLA LIABILITY AUC591619102 10/01/07 10/01/08 EACH OCCURRENCE $30 000 000
X OCCUR D CLAIMS MADE AGGREGATE $30 000 000
$
~ DEDUCTIBLE $
RETENTION $ $
C WORKERS COMPENSATION AND -- -- '- tzoWNMS8780- - ---- ---- 10/01107 10/01/08 .... .. -X-LlllICSTATU- tOJ~-
EMPLOYERS' LIABILITY $1.000.000
ANY PROPRIETORlPARTNERlEXECUTlVE E.L. EACH ACCIDENT
OFACERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000
It yes, describe under E.L. DISEASE- POLICY LIMIT $1,000,000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Clearwater DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -3.0.... DAYS WRITTEN
1701 N. Hercules Ave. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Clearwater, FL 34625 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ForWISby: g~ . ~ ~ 'd -
- ,-
ACORD 25 (2001/08) 1 of 2
#M1261621
MGC01
@ ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
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ACORD 25-5 (2001/08) 2 of 2
#M1261621