CERTIFICATE OF LIABILITY INSURANCE (9)
From: Shirlev Anas1as At Mclaughlin In;curance FaxlD: McLaughlin Insurance To: Pamela Phelps
Date: 81312005 04:23 PM Page: 2 of 2
ACORD,.
CERTIFICATE Of LIABILITY INSURANCE
CSR WM
BCGINC1 08 03 05
THIS 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.
PROOUC6R
McLaug:ll1i.n Insuranoe Agency
828 ~n Fells Parkway
Me1rose MA 02176
Phone: 781-665-2775
Fax: 781-665-0295
INSURERS AFFORDING COVERAGE
NAlC#
INSURED
INSURER A
"'SURER B:
INSURER C:
St. Paul Fire & Marine In..
Lexington Insurance Co~aay
Boston Culinary Group, Inc.
AttD.: Michael OJ. DeMarco
55 Cambridge Parkway
Cambri.dqe HA 02141
COVERAGES
"'S'-'lERD:
A..~igan Internat'l Coapaa1es
P.ci~iQ ID.u~.nc. Co~.nYI LTD
INS'-'lER E:
THE POUCIES OF INSl.ftANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABO\IE FOR ll-lE POLICY PERIOD INDICATED, NOTWITHSTANDING
/IN( REOI.IREMENT. TERM OR CONDITION OF P<HY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE I'JSlJRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE UMlTS SHOWN MAY HAIlE BEEN REDUCED BY PAID CLAIMS.
INO,. I"'U'L =r..=~ P~~!:it,~~~~~ LIMITS
LTR NSRD TYPE QF INSURANCE POUCY NUMBER
GlENERALLWllutY T $ 1,000,000
f-- EACH OCCURRENCE
A ][ COMhERCW- GENERAL LL'.BILlTY R/O CK06901568 08/01/05 08/01/06 OAAlAGE TO ~tN I tU $ 50,000
PREMISES (Ea occurence)
I ClAJl\IS I\WlE [!] OCCUR MED EXP (Any one per!on) $ 5,000
r--- PERSONAL & IoDV I~URY $ 1,000,000
""- GENERAL AGGREGATE $ 5,000,000
GEN'L AGGREGATe LIMIT APPLIES PER PRODUCTS. CQMP,QP AGG $ 2,000,000
n nPRO- n
POLICY JEeT LOC
~MOBlLE UABtllTY COM~NED SINGLE LIMIT $ 1,000,000
A ANY AUTO (Ea accident)
-
-'-- ALL OWNED oWTOS BOOIl Y INJURY
$
..!... SCHEDULED AUTOS R/O CK06901568 08/01/05 08/01/06 (Per person)
~ HIRED AUTOS BODILY INJURY
$
~ NON-OWNED AUTOS (Per accident)
- PROPERTY DAM.4.GE $
(peraccfClent)
GARAGE UABIUTY AUTO ONLY - EA ACCIDENT $
~'ANYAUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EllCESSiUMallEL.lA UAIlIllTV EACH OCCURRENCE $ 5,000,000
B U OCCUR D ClAlMS MADE 2948809 08/01/05 08/01/06 AGGREGATE $ 5,000,000
$
==J ~EDUCTIBlE $
RETENTION $ $
WORKERS COMPENSAnDN AND X TT~gYS0~~ I 10TH-
ER
C EMPLOYERS' UABIllTY 12/29/04 12/29/05 $ 500,000
ANY PROPRtETORtPARTNERIEXECUT!VE 968-4158 EL EACH ACCIDENT
OFFICE_EMBER EXCLUDED? E L DISEASE - EA EMPLOYEE $ 500,000
If yes, desaibe under $ 500,000
SPECIAL ~0\l1SI0NS below EL DISEASE - POLICY LIMIT
DTIlER
D Liquor Liability P1
RIo ZQOO05879 08/01/05 08/01/06 EA OCC 1,000,000
AGG 1,000,000
DESCRIPTION OF OPERAnONB I LOCATIONS I veHICLES I EXCWSIONS ADDEO B~ ENDORSEMENT I SPECIAL PROYlBtGNS
Re: Harborview Convention Center/City of Clearwater, FL. Umbrella/Excess
coverage includes both Products Liability and Liquor Liability.
CERTIFICATE HOLDER
CANCELLATION
HARB001
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES aE CNlCELl.ED BEFORE THE EXPIRATION
DATE TIlEREOF, THE ISSU'NC INSURER WILL ENDEAVOR. TO MAIL
30
DAYS WRITTEN
The Harborview Center
Attn: Pam Phelps
300 Cleveland Street
Clearwater, FL 33755
NOTICE TO TIlE CERTIFICATE HOLDER NAMED TO TIlE LEn. BUT FAILURE TO DO so SHALL
_OSE NO QSUGAnDN OR UAIlIllTY OF ANY KINO UPON THE INSURER, ITS AGENTS OR
ACORD 25 (2001/08)
AUG-19-2005 03:46 AM HARBORYIEW CENTER
7274626798
P.02
AUG-18-2005 THU 12:05 PM BOSTON CONCESSIONS GROUP FAX NO, 81.76790800
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AUG-18-2005 iHU 12:05 PM BOSTON CONCESSIONS GROUP FAX NO. 8178790800
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