CERTIFICATE OF INSURANCE (5)
MA.RSH
CERTIFICATE OF INSURANCE
CERTIFICATE NUMBER
NYC-002334777 -06
PRODUCER
Marsh USA, Inc.
1166 Avenue of the Americas
New York, NY 10036
Attn: NewYork.Certs@Marsh.Com
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Fax 212-948-0500
COMPANIES AFFORDING COVERAGE
09513-ALL-CAS-07 -08
COMPANY
A FEDERAL INSURANCE COMPANY
INSURED
PRICEWATERHOUSECOOPERS LLP
300 MADISON AVENUE
NEW YORK, NY 10017
COMPANY
B PACIFIC INDEMNITY COMPANY
COMPANY
C
COMPANY
D
COVERAGES........ This.certificate supersedes..a nd. replacc:s(lny..preViOusly issLJed.certificate.'for.the'.policy..period..notedbel()VI/.
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MMIDDIYY) DATE (MMIDDIYY)
A GENERAL LIABILITY 7350-83-15 09/30/07 09/30/08 GENERAL AGGREGATE $ 2,000,000
--~----
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 1,000,000
:'::'J CLAIMS MADE [K] OCCUR PERSONAL & ADV INJURY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 250,000
MED EXP (Anyone person $ 1,000
A AUTOMOBILE LIABILITY 7497-74-17 09/30/07 09/30/08 $ 1,000,000
COMBINED SINGLE LIMIT
ANY AUTO RECE'V n
ALL OWNED AUTOS BODILY INJURY $
'n~ ..' (Per person)
SCHEDULED AUTOS
X HIRED AUTOS n:; 1=f7 BODILY INJURY $
....!,.. i
X NON-OWNED AUTOS (Per accident)
CU\~. ~tCCi,:,~:1 "J PROPERTY DAMAGE $
, .
GARAGE LIABILITY .1..._ .....", ~,
AUTO ONLY - EA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
B WORKERS COMPENSATION AND 7170-68-12 09/30/07 09/30/08 X
EMPLOYERS' LIABILITY
THE PROPRIETOR! - INCL
PARTNERS/EXECUTIVE X
OFFICERS ARE: EXCL EL DISEASE-EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlSPECIAL ITEMS
CITY OF CLEARWATER
FINANCE DEPARTMENT
ATTN:CAROLBARDEN
100 S. MYRTLE AVE.
CLEARWATER, FL 33756
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE VlnLL ENDEAVOR TO MAIL --3Q DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: Jennifer Ellefsen
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