CERTIFICATE OF LIABILITY INSURANCE (11)
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
12/3/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Gowrie, Barden & Brett, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
70 Essex Road HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Westbrook, CT 06498
860 399.5945 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Federal Insurance Company 20281
Clearwater Community Sailing Assoc.,lnc INSURER B:
1001 Gulf Blvd. INSURER C:
Clearwater, FL 33767 INSURER D:
INSURER E:
Client#' 13438
CLEARCOMMU
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.
LTR NSR[ TYPE OF INSURANCE POLICY NUMBER PJ'.k~1~~~8,Wf Pg~fl t~J:~>>?N LIMITS
A ~NERAL LIABILITY 35823516 11/06/07 11/06/08 EACH OCCURRENCE $1 000000
lL ==rMERCIAL GENERAL LIABILITY ~~~b~~J9~~~~!~.?"nCA\ $1.000000
- CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $10 000
'-- PERSONAL & ADV INJURY $1.000000
- GENERAL AGGREGATE $2 000 000
~'L AGGREAE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $included
POLICY j~gT LOC
~OMOBILE LIABILITY .- ,- ,
COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
-
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
- SCHEDULED AUTOS
- HIRED AUTOS BODILY INJURY
(Per accident) $
- NON-OWNED AUTOS
PROPERTY DAMAGE $
(Per accident)
~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
:=JESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
==i DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I WCSTATU- IOJ~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
The City of Clearwater is named as Additional Insured on General
Liability Policy only.
CERTIFICATE HOLDER
CANCELLATION
City of Clearwater
25 Causeway Boulevard
Clearwater, FL 33767
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.
AUTHORIZED REPRESENTATIVE
"
ACORD 25 (2001/08) 1 of 2
#S20189/M20188
MED
@ ACORD CORPORATION 1988