The URL can be used to link to this page

CERTIFICATE OF LIABILITY INSURANCE (53) DATE (MM/DD/YVYY) 12/31/2007 PRODUCER Aon Risk Services, Inc of Florida 7650 courtney campbell causeway suite 800 Tampa FL 33607 USA TIllS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PHONE. 866 283-7122 FAX- 847 953-5390 INSURERS AFFORDING COVERAGE NAlC # 23841 23809 .. CIl !5 .... .: CIl "Cl .... .. CIl "Cl C == INSURED viasys Services, Inc., & Gerry Hall 2944 Drane Field Rd. Lakeland FL 33811-1329 USA mS~A New Hampshire Ins Co mSURERB Granite State Insurance Company mSURER c: mSURER D' mSURERE TIIE POLICIES OF INSURANCE LISlED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TIIE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTIIER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TIIE INSURANCE AFFORDED BY TIIE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TIIE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' LTR INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFEcnVE POLICY EXPIRATION DATE(MMlDDlYY) DATE(MMlDDlYY) 10/03/07 10/03/08 LIMITS GENERAL AGGREGATE $1,000,000 $250,000 5, $1,000,000 $2,000,000 $2,000,000 LI'l ~ 0'1 00 ..-I LI'l ~ N o o ...... LI'l A ~ERAL LIABILITY X. . COMMERCIAL GENERAL LIABn.ITY CLAIMS MADE ~ OCCUR D GL7594612 EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurence) MED E (Anv one person 1 PERSONAL & ADV mJURY GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG ~ POLICY D PRO- D LOC JECT AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS CA9729095 01/01/08 10/03/08 r.o " . ..'~. ..... . ~ l~ ',,", . ! \.... ~ ~ ~...,,) COMBmED SmGLE LIMIT (Ea accident) $1,000,000 = Z CIl .... <ll .. 5: .... .. CIl U B JAN 0 8 2008 BODn.y mJURY (Per person) BODn. Y mJURY (Per accident) $5,000 comp/coll/Hired oed $50.000 Hi red po Max . '\I~EC RDc' -:,_LATlVf':~ ,-'S Db I PROPERTY DAMAGE (per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENI B ANY AUTO OTHER THAN AUTO ONLY EA ACC AGG EXCESS /UMBRELLA LIABILITY D OCCUR D CLAIMS MADE EACH OCCURRENCE AGGREGATE B=E'-- B wc 7 X $1,000,000 - $1,000,000 == $1,000,000 iii'ii ~ ~ ~ ...... ~ .-, - ~ ~ i.::; ~ -=- ~ ~ ~ - WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR I PARTNER I EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below EL. EACH ACCIDENI E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT ornER DESCRIPTION OF OPERATIONS/LOCATIONSIVEIDCLES/EXCLUSIONS ADDED BY ENDORSEMENI/SPECIAL PROVISIONS City of clearwater is named as an Additional Insured excluding workers' compensation and Employers' Liability as required by written contract but limited to the operations of the Insured under said contract, and always subject to the policy terms, conditions and exclusions. cancellation provision shown herein is subject to shorter or City of clearwater 100 south Myrtle Avenue Clearwater, FL 33756 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSDmG mSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAll.URE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENIS OR REPRESENIATIVES. AUTHORIZED REPRESENI ATIVE ~ ~ Se1Ul&u6. 1~. 6/" '9'~ .. .. Attachment to ACORD Certificate for viasys Services, Inc., & Gerry Hall The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the. coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. INSURER INSURED viasys services, Inc., & Gerry Hall 2944 Drane Field Rd. lakeland Fl 33811-1329 USA INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. ADD'L POllCY NUMBER POllCY POllCY INSR INSRD TYPE OF INSURANCE POllCY DESCRIPTION EFFECTIVE EXPIRATION llMITS LTR DATE DATE - DESCRIPTION OF OPERATIONS/LOCA TIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS longer time periods depending on the jurisdiction of, and reason for, the cancellation. _____~~____ ____________________._n___.._ _______ Certificate No : 570026518965