The URL can be used to link to this page

CERTIFICATE OF LIABILITY INSURANCE (13) ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP ID L~ DATE (MMIDDIYYYY) YOUNG-8 01/11/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTEROF 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. ClearwateJ:' FL 3~75B-7910 .. Phone: 727-797-0441 Fax:727-725-3663 INSURERS AFFORDING COVERAGE NAIC# INSURED INSl)RER A: Progressive Commercial 10193 INSURER B: Markel Insurance Company Young Women's Christian Assn INSURER C: Zenith Insurance Company Of Tampa BaK 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 INsili TYPE OF INSURANCE POLICY NUMBER PD~,;!~lMM/DDIYVI P~k~CEY(~~b'1fJlr~N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 I- PREMISES (Ea occurence) B X COMMERCIAL GENERAL LIABILITY 3602SS2583993 01/01/08 01/01/09 $ 100000 I- o 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 !xl n PRO- n Emp Ben. 1000000/3 X POLICY JECT LOC AUTOMOBILE LIABILITY .. _.._~ -. ..-. COMBINED SINGLE LIMIT fc==....___.~__ .'...--"- .-".----. --- '-- _._._._c_____ - ~.. $1,000,000 -j.\- ANY AUTO 047436126 11/08/07 11/08/08 (Ea eccident) I- REC ALL OWNED AUTOS :JVED BODILY INJURY I- $ X SCHEDULED AUTOS (Per person) I- HIRED AUTOS JA.N BODILY INJURY '-- 1 2008 (Per accident) $ NON-OWNED AUTOS I- OF: '-'/AL RE( PROPERTY DAMAGE $ ORDS ;.\\{} (Per accident) GARAGE LIABILITY U:GISIATIVE ~ RVeS DEPl AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $1,000,000 B ~ OCCUR D CLAIMS MADE 4602SS2581613 01/01/08 01/01/09 AGGREGATE $1,000,000 $ ~ DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND I TORY LIMITS I IOJ~. C EMPLOYERS' LIABILITY Z049904505 06/24/07 06/24/08 E.L. EACH ACCIDENT $ 500000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500000 If yes, describe under E.L. DISEASE. POLICY LIMIT $ 500000 SPECIAL PROVISIONS below OTHER -------- ---- --=-- ----'--.- ------------ -- ---- --- ~'-------~,'-- - - -~--------<.-~------~ ---.-" ----'~-,--._-- -- 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) -' ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP ID L~ DATE (MMIDDIYYYY) YOUNG-8 01/11/08 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 Tampa BaA 655 Second venue South INSURER 0: 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. INSR[ POLICY NUMBER PD~~~1riM/DDNYI. POL~Y(~~b'1f~N LIMITS LTR TYPE OF INSURANCE DATE MM/DDNY GENERAL LIABILITY EACH OCCURRENCE $ 1000000 - p~~~:S~s (E~~~~~~nce) B X COMMERCIAL GENERAL LIABILITY 3602SS2583993 01/01/08 01/01/09 $ 100000 I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5000 PERSONAL & ADV INJURY $ 1000000 - GENERAL AGGREGATE $ 3000000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000000 Xl ,n PRO. nLOC Emp Ben. 1000000/3 X POLICY JECT AUTOMOBILE LIABILITY __.u - COMBINED-SINGI..E LIMIT ',- ._. -... ------ . .. ;==.- -. .. . --~-_._---.,-- $1,000,000 A ANY AUTO 047436126 11/08/07 11/08/08 (Ea accident) f---- ALL OWNED AUTOS RECEI\ BODILY INJURY f---- 'ED (Per person) $ ~ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY - (Per accident) $ NON-OWNED AUTOS JAN 182 DOB f---- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY VI T I~I/"\L ANU AUTO ONLY - EA ACCIDENT $ R ANY AUTO lE GISIATIVE SRV CS DEPT EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $1,000,000 B :!J OCCUR D CLAIMS MADE 4602SS2581613 01/01/08 01/01/09 AGGREGATE $1,000,000 $ ~ DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND I TORY LIMITS I IOJ~- C EMPLOYERS' LIABILITY Z049904505 06/24/07 06/24/08 E.L. EACH ACCIDENT $ 500000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EL. DISEASE. EA EMPLOYEE $ 500000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 500000 SPECIAL PROVISIONS below OTHER '---,-=~o____~,___ _.._. -- -.--- __~___e~_ --_---:.o.c____ --- .' -- .... .- .- ---- ____c----"--'"_:_.~ -."'-' _~___,__'___c .--- -----_.------- DESCRIPTIOFf tv C I V I::.l)EHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS JAN 1 7 2008 ~I-'y ATTORNEY CERTIFICATE HOLDER CANCELLATION CITYC-1 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 REPRESENTATIVES, AUTHORIZED REPR City of Clearwater City Attorneys Office P.O. Box 4738 Clearwater FL 33758-4738 PORATION 1988 ACORD 25 (2001/08) ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP 10 8~ DATE (MM/DDNYYY) YOUNG-8 01/11/08 PRODI,ICER 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, EXTENO 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: proqressive 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 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. "LTR WSRC TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY - X COMMERCIAL GENERAL LIABILITY 3602SS2583993 ==:J CLAIMS MADE [!] OCCUR PD~,;!~lri~rJ~~EDATE'IM~b~~~N B 01/01/08 01/01/09 EACH OCCURRENCE ~~~~:S~S (Ea occurence) MED EXP (Anyone person) f-- PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG Emp Ben. A _...m f-- GEN'L AGGREGATE LIMIT APPLIES PER: !Xl POLICY n ~~8i n LOC AUTOMOBILE LIABILITY - ANY AUTO .- .---.'<.. -. -- - - ALL OWNED AUTOS - ~ SCHEDULED AUTOS BODILY INJURY (Per person) COMBINED SINGLE LIMIT 1 000 000 1!!~ 8 lq7_ ___11 {f}~ lOll_ :=:~ccide~~_~=m . ~~_~~_.m__ __ ....... 04743_612~_ - HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) - - PROPERTY DAMAGE (Per accident) B GARAGE LIABILITY =1 ANY AUTO EXCESS/UMBRELLA LIABILITY ~ OCCUR D CLAIMS MADE I DEDUCTIBLE XI RETENTION $10 I 000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERlMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: 4602SS2581613 01/01/08 01/01/09 EACH OCCURRENCE AGGREGATE LIMITS $ 1000000 $ 100000 $ 5000 $ 1000000 $ 3000000 $ 1000000 1000000/3 $ $ EAACC AGG $ $ $ $1,000,000 $1,000,000 $ $ $ C Z049904505 06/24/07 IT~~YS~~WS I IUE~- 06/24/08 EL EACH ACCIDENT $ 500000 EL DISEASE - EA EMPLOYEE $ 500000 EL DISEASE - POLICY LIMIT $ 500000 REeEIVED.' JAN 1 8 2008 l- ~. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ---- --.-'- -'- OF....CIAL RECORDS.' .:) LEGISlATIVE SRVCS DEPl 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 ~ 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 Clearwater Police Department Chief Of Police Sid Klien 645 Pierce Street Clearwater FL ACORD 25 (2001/08) PORATION 1988 ACORD,. CERTIFICATE OF LIABILITY INSURANCE OP ID B~ DATE (MM/DDIYYYY) YOUNG-B 03/03/0B PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CarlisIe-. FieI-Bs & Company, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 7910 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clearwater FL 3375B-7910 Phone: 727-797-0441 Fax: 727-725-3663 INSURERS AFFORDING COVERAGE NAIC# .- INSURED Ho/SUl<ER A: Progressive Commercial 10193 INSURER B: Markel Insurance Company Young Women's Christian Assn INSURER C: Zenith Insurance Company Of Tampa BaK 655 Second venue South INSURER 0: 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 MAYBE .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. NSR[ ';,<}.~rl DATE'IM~b'1f~~N LIMITS LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDlY'ii GENERAL LIABILITY EACH OCCURRENCE $ 1000000 I-- p~m~~s (Ea occurence) B ~ 3MMERCIAL GENERAL LIABILITY 3602SS2583993 01/01/08 01/01/09 $ 100000 CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $5000 I-- PERSONAL & ADV INJURY $ 1000000 I--- GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $ 1000000 Xl n PRO- Emp Ben. 1000000/3 POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 - A ANY AUTO 047436126 11/08/07 11/08/08 (Ea accident) -- -- - n_ _..~ ~- , - Alk-OWNEDAtlTOS -c___...;_ .. - BODILY INJURY $ ~ SCHEDULED AUTOS . (Per person) , ;= HIRED AUTOS BODILY INJURY - (Per accident) $ NON-OWNED AUTOS I-- MAR 11 20 08 I--- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY , 'FCOR[ S /:~_, AUTO ONLY - EA ACCIDENT $ R ANY AUTO C'S mIl OTHER THAN EAACC $ , AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $1,000,000 B ~ OCCUR D CLAIMS MADE 4602SS2581613 01/01/08 01/01/09 AGGREGATE $1,000,000 $ ~ DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND IT~~Y::;~I~:f1s I IOlF ER C EMPLOYERS' LIABILITY Z049904505 06/24/07 06/24/08 $500000 ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 500000 If yes, describe under EL DISEASE - POLICY LIMIT $500000 SPECIAL PROVISIONS below OTHER -'-. --. - -. - - DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Clearwater is listed as additional insured with respects to the General Liability only. CERTIFICATE HOLDER CANCELLATION C ITYO 0 5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN City of Clearwater Risk Mgt Janet Skinner 645 Pierce Street Clearwater FL 33756 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 REPR PORATION 1988 ACORD 25 (2001/08) ,~ ... \" ~ " ..I _' ;' . r.