CERTIFICATE OF LIABILITY INSURANCE (3)
Date: 9/17/2002 10:53 AM
Sender's Fax 10: McLaughlin Insurance
Page 2 of 2
ACORD.
CERTIFICATE OF LIABILITY INSURANCE
CSR EK
BCGINCl OS/17/02
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO~
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
DATE jlllM/DO/YYI
PRODUCER
McLaughlin Insurance Agency
828 Lynn Fells Parkway
Melrose MA 02176
Phone: 781-665-2775
Fax: 781-665-0295
INSURERS AFFORDING COVERAGE
INSURED
INSIJPEP A
St. Paul Fire & Marine Ins.
OneBeacon Insurance Grou
INSURER 0
Boston Concessions Group, Inc.
Attn: Michael J. DeMarco
111 Sixth Street
Cambridge MA 02141
It'S.lJF'~~~~ Gen..E:ra.!-. Star Indemnit:Y_~"--II1p~l1Xn
'''SURERD Associated Industries Ins. Co.
INSUPERE Trwnbull Insurance Co an
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 POUCY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POUCY NUMBER DATE IMMIODIYY DATE MMIOO/YY) LIMITS
C;ENERAL LIABILITY EACH OCCURRENCE 1 500,000
--'---
A ...!. COMMERCIAl (3ENERAL LIABILITY CK06901568 08/01/02 08/01/03 FIRE DAMAGE (Any onl;' r:i'I:') 1 50,000
~ CLAIMS MltDE [!] OCCUR MED EXP (Anyone person) 1 5,000
-
PERSmJAL e. AOV l~lJUR'Y 'I .'5 QQJ.()()()_
-. -------- -------- ------ ____n___ "------ -.--
-----
GENERAL AGGREG.A, TE 11,000,000
-
GEN'L AGGREGATE liMIT APPLIES PER PRODUCTS - COMP/OP AGG 1 1,000,000
I n PRO- nLOC
POLICY JEer
AUTOMOBILE L1ABIUTY COMBINED SINGLE LIMIT
~, 11,000,000
B ANY AUTO (Ea aCci{lent)
-
ALL OWNED AUTOS BODll Y INJURY
- 1
X SCHEDULED AUTOS QBAN13037 10/10/01 10/10/02 (Per person)
-
~ HIRED AUTOS BOalL Y INJURY
1
e-!- NQI\J-QWNED AUTOS (PiO'r accident)
f-- PROPER ry DAMAGE "l
(Per acciclent)
GARAGE LIABILITY AUTO ONLY - EA ACCIDEm "l
R A"Y AUTO OTHER THAN EAACC 1
AUTO QNL Y AGG I
EXCESS LIABIUTY EACH OCCURRENCE ~2.LO QQJ.Q()()__
t!J OCCUR D ClAIMS MADE ---~----_.- - - ----.-
C NUG-054277P 08/01/02 08/01/03 AGGREGATE '12,000,000
I
R DEDUCTIBLE 1
RETENTION 1- 1
WORKERS COMPENSATION AND X I ~gR~(T 6~~TS I jont.
EP
D EMPLOYERS' LIABILITY 2001318520 12/29/01 12/29/02 I 500,000
E LEACH ACCIDEI>.JT
E L. DISEASE - EA EMPLOYEE 'I 500,000
E L DISEASE - POLICY LIMIT I 500,000
OTHER
E Liquor Liability VQOOO1684 08/01/02 08/01/03 EA oce 500,000
AGG 500,000
DESCRIPTION OF OPERATlONSlLOCATtONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
The following are included as Additional Insured under Liquor Liability
and General Liability Policies: Globe Facilities,LP 300 Cleveland
St_,Clearwater, FL 34615 and City of Clearwater, 10 South Missouri Ave_ ,
Clearwater, FL 34616.
CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER lETTER: CANCELLATION
HARBOOl SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _~ )AYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO ~,HALL
The Harborview Center
300 Cleveland Street IMPOSE NO OBLIGATION OR UABILlTV OF ANY KINO UPON THE INSURER, ITS AGENTS OR
Clearwater, FL 34615 REPRESENTATIVES.
AUTHORIZEO 1JESHJJ'VE m, _ ~. / ~~
I , X"Tr7U1.4. r.~'~ I' -- ~
ACORD 25-S 7/97 V ..... V@ACORD CORPORATION 1988