HomeMy WebLinkAboutCertificate of Liability Ins. 3AI ORD_ CERTIFICATE OF LIABILITY INSURANCE OPID M
MmAMIAI
I 07/ZS/07
PRODU:t
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bouchard -Clearwater
ONLY AND CONFERS NO RIGHTS UPON THE CERT[Fr-ATE
101 Starerest Drive
HOLDER. THIS CERTIFICATE DOES NOT ANIEND, EXTEND OR
P 0 Box 6090
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
'learwater FI, 33758-6090
Phone: 727-447-6481 Fax:727-449-1267
INSURERS AFFORDING COVERAGE NAICmvdx)a"
A .".
A cu.r.t xm.., Ln cerany 37362
F=�S >„tsa.y ianiusy c ri:. uu 20052
Miami's River of Life, Inc.��
Attu George Ellis
230 NE 82nd Street
Miami FL 33138
06/09/08
INSIRER0
C6VERAGE3
THE POE )CES OF WSLF044C' LI.S: B. --Ow W.VE BEEN SSLE-1 TC THE 1n� K"ED A30%rE EO". l£ PO_ CY P^3- 0 INDICAT--, W `Ami5-" �IwG
ANt R`OW E14DC, TERM OR C0NOTRON OF AW CONTRACT OR OTr-- sDOCLF.EPi, WITH RISS-CT TO W -%Ch Til S k,k i I, KATE MAY BE ISSU D OR
Mr,Y PERTAIN. THE MGLARAhr-- AFFOROED BY THE POL ICES DESCnr ED FEIN 15 &8Z TO AL TIE 75RM5. EXC-;JSIOIE AIC CONDTFOti OF S,PZH I
POLCIE5 ACGI--GATE LUrTS S+CVW hw.Y HAVE BEEN ;EDU ---D EY PAC) C: W-'
LTR M79fat1
TYPE OF N$URAIlCE
POLICY N92
1A8
DATE (MIIDQ!YI'I
I DA7E IMMIDDTI'Y)
LIff'S
cos:µ Lustra
EACH CCCJF6ZENM $1,000,000
A .".
'X COMMERCIAL CENERALLIASCTTY
IJA964125A
06/09/07
06/09/08
PRE-M.$StEnocmre ) $50,000
CAIN C NODE r;71 OCOA
MED EXP (A+9 om Pw�) $1,000
PERSONIALaADV u.my $1,000,000
X Incl Prof Liabili
�ALAL{> crrc $1,000,000
C,ENL AGGREc cr UMTT APKP-S PER
-Oar-TS - COWIOP ACG S 1 , 0 0 0 , 0 D 0
X POLICY n �o L0.
jEmp Ben. Excluded
B
ALrromoBLE
LtABCICY
ANY AUTO
73FPR209408
06/28/07
06/28/08
COMRV+ SINGLE LIN:
r°B'0wt) $500,000
BODLY IN.i.RY
(� arson) $
X
Al OvAim AUTOS
MiE LM ALTOS
BODILY 94LkZY
IPx a=f%-t) S
X
X
H F19-0 AIMS
NION-OED SOS
M
-
PROPERTY DAMAGE ;
(Pm 6=a t)
GARAGE Lga tr,Y
ALTO ONL Y - EA AC". -'IST S
ACC $
ALrO DPLY A&G $
1
ANY ALITOEA
FXCESSRAWMa-LA Lwm-rrY
I
H ct$
I FA:x%���
O`ctR L._-.' ^ AR.Ls WOE
I AGGREGATE $
s
S
CEO..I::TIBLE
S
PE-7ENTION S
waWmxs COMPENSATION AND
w
TORY LIMITS ER
BAPLOVERS'LABUTY
E"L. EACri ACC1D'cNT S
4N1' pROPRETORIPARTNERtJL.Ct1TIVE
El. DISFAS_.-EAE APLOYEE $
OFFI—MRAAE)ASER EXCLIJOED4
If yes
PIROesOe unoe�
5'rcLTAi.PRDVISIOtwSlimon
I
E.L DISEASE-PO_ICYLtMR $
OTHER
DESCRIPTION OF OPERATIONS I L=11ONS I VEHICLES J EXCLUSIONS ADDS] BY ENDORSEMENT I SPECLAL PROVISIONS
CERTITICkTE HOLDER IS LISTED AS =ITIONAL INSURED AS RESPECTS TO GENERAL
LIBBZLITY SUBJECT TO THE TERMS, CONDITIONS MM EXCLUSIONS OF THE POLICY.
CERTIFICATE HOLDER CANCELLATION
FLDEPTJ SAio D ANY OF THE ABOVE DESCR6ED POLICES BE CAr/CELLFL BEFORE THE EXPIRATION
DATE TFomor.7HE msLom rauU E:3R NTL ecEAYORTO t4AIL 30 DAYS WWiMEN
FL DEPT OF JUVENILE JUSTICE NOTICE TO THE CERTFICATE HOLDER NAMED TO THE LEFT, BUT FALURE TO DO SO SHILL
DEPT MIAMI DADE COUNTY LOSE No OBLIGATION OR L IABLITY OF ANY KPD UPON THE WSS1ftER, rrs AGENTS OR
230 HE 82M STREET
MIAMI FL 33138 R9'RESENTATTVEs.
ACORD 25 (2001108)
1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the pclicy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED. subject to the terms and conditions of the policy, certain policies may
rEauire an endorsement- A statement on this certificate does not confer rights to the certificate
hoiden in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insuiance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certifrate holder, nor does it
affirmatively or n4egativety amend, extend or atter the coverage afforded by the policies listed thereon.