CERTIFICATE OF INSURANCE FOR POLICE SUBSTATION SOUTH GREENWOOD
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PRODUCER
MARSH USA INC,
1225 17TH STREET, SUITE 2100
DENVER, CO 80202-5534
CERTIFICATE NUMBER
SEA-000637121-08
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,
COMPANIES AFFORDING COVERAGE
33320 -00005-1 OM-00-01 ARC
INSURED
ARC AD IS
ATTN: CHANDRA DOWNEY
630 PLAZA DRIVE, SUITE 200
HIGHLANDS RANCH, CO 80129-2377
COMPANY I
A LEXINGTON INSURANCE COMPANY
COMPANY
B
COMPANY
C
COMPANY
D
THE PROPRIETORl
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER CLAIMS,MADE
PROFESSIONAL LIABILITY
AND CONTRACTORS
POLLUTION LIABILITY
DESCRIPTION OF OPERATIONSlLOCATIONSIVEHICLESlSPECIAL ITEMS
RE: PHASE 1,1498 S. GREENWOOD AVE. FOR PROFESSIONAL LIABILITY COVERAGE, THE AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS
PRESENTED WITHIN THE POLICY PERIOD FOR ALL OPERATIONS OF THE INSURED. THE LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE,
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
LTR
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIVY) DATE (MM/DDIVY)
TYPE OF INSURANCE
POLICY NUMBER
GENERAL L1ABI L1TY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 0 OCCUR
OWNER'S & CONTRACTOR'S PROT
GENERAL AGGREGRATE
PRODUCTS-COMP/OP AGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone person)
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HI RED AUTOS
NON,OWNED AUTOS
COMBINED SINGLE LIMIT
BODIL Y INJURY
(Per person)
BODIL Y INJURY
(per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY
ANY AUTO
AUTO ONLY, EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
INCL
EXCL
EL DISEASE,POLlCY LIMIT
EL DISEASE,EACH EMPLOYEE
A
8782650
03/16104
03/16/05
EACH CLAIM AND IN THE
AGGREGATE
LIMITS
$
$
$
$
$
$
$
$
$
$
10,000,000
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 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.
CITY OF CLEARWATER
ATTN: CITY CLERK
P.O. BOX 4748
CLEARWATER, FL 33758-4748
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Q. ISI<.