CERTIFICATE OF LIABILITY INSURANCE (4)
Client#: 5243
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CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYY)
02/23/05
THIS CERTIFICATE IS ISSUED AS A MAnER 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.
PRODUCER
Suncoast Insurance Associates
P.O. Box 22668
Tampa, FL 33622.2668
813289.5200
INSURERS AFFORDING COVERAGE
INSURED
Advanced Engineering & Design, Inc.
6161 9th St. N.
Suite 101
St. Petersburg, FL 33703
INSURER A: United States Fidelity & Guaranty
INSURER B: St. Paul Fire & Marine
INSURER C: XL Specialty Insurance CO.
INSURER D:
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,
II~t: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE P~~CY EXPIRATION LIMITS
DA
A ~NERAL LIABILITY BK01313775 02115/05 02/15/06 EACH OCCURRENCE $1.000 000
lL~M ERCIAL GENERAL LIAS ILITY FIRE DAMAGE (Anyone fire) $1.000000
_ CLAIMS MADE W OCCUR MED EXP (Anyone person) $10.000
- PERSONAL & ADV INJURY $1.000 000
- GENERAL AGGREGATE $2 000 000
GEN'L AGGREGATE L1M IT APPLIES PER: PRODUCTS -COMP/OP AGG $2 000 000
~ POLICY n ~~R,: n LOC
A ~TOMOBILE LIABILITY BK01313775 02/15/05 02/15/06 COMBINED SINGLE LIMIT
ANY AUTO (Ea accident) $1,000,000
-
- ALL OWNED AUTOS RECE I'VED BODILY INJURY
(Per person) $
- SCHEDULED AUTOS
1L HIRED AUTOS BODILY INJURY
1L MAR C 1 2Q05 (Per accident) $
NON-OWNED AUTOS
- PROPERTY DAMAGE $
()J:r:rr"fl., ,..,.~ (Per eccident)
,,'-'-, ,.,...'" ,-,I\lU
RAGE LIABILITY LEGISLATiVE SR VCS DEPT AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
L~loCCUR D CLAIMS MADE AGGREGATE $
$
R. DEDUCTIBLE $
..' RHENTION . .$ ,.' , '.' '. I.
'"
B WORKERS COMPENSATION AND WVA7723707 09/01/04 09/01/05 X IT\X~~Tf:1~-~ I IOJ!;,-
EMPLOYERS' LIABILITY $100,000
E,L, EACH ACCIDENT
E.L. DISEASE - EA EMPL OYEE $100,000
EL DISEASE - POLICY LIMIT $500,000
C OTHER DPR9408744 02115/05 02/15/06 $1,000,000 Each Claim
Professional $1,000,000 Ann Aggr
L.iabilitv
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Professional Liability is written on a claims made and reported basis.
CERTIFICATE HOLDER I I ADDmONAL..SURED'INSURERLETTER: CANCELLATION
SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Clearwater DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30..--DAYSWRITTEN
Attn: Susan Stephenson NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHELEFT, BUT FAILURE TODOSOSHALL
P.O. Box 4748 IMPOSE NO OBLIGATION OR LIABILlTYOF ANY KIND UPON THE INSURER,ITSAGENTS OR
Clearwater, FL 33758-4748 REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE
I ~ ~ f'v.0-'. A:) ....
ACORD 25-5 (7/97)1 of 2
#M100261
KHK
@ ACORD CORPORATION 1988