CERTIFICATE OF INSURANCE (4)
At~ttlll.8 CERTIFICA 11 IOf= ilNSURANCE
1-
ISSUE DATE (MM/DD/YY)
4/12/90
PRODUCER
RODGERS & CUMMINGS INSURANCE, INC.
POst Office Box 10000
Clearwater, FL 34617-8000
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
SUB-CODE
COMPANIES AFFORDING COVERAGE
CODE
South Ca ro 1 i nE. t.rts{ir~D6e -,tomp'iil,y
INSURED
Carlouel Homeonwers Association, Inc.
Post Office Box 3442
Clearwater, FL 34615
f~T~~NY C
APR
'''......
l'
.... ,
f~:~~NY D
f~T~~NY E
COVERAGES
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE' POLICY EXPIRATION
DATE (MMIDDIYY) DATE (MMIDD/'I'Y)
ALL LIMITS IN THOUSANDS
A
CPP7474982
5/9/90
5/9/91
GENERAL AGGREGATE$J,QOO,
PRODUCTS.COMP/OPS AGGREGATE $J,OOO,
PERSONAL & ADVERTISING INJURY $ 1 ,000,
EACH OCCURRENCE $ 1 ,000,
$ 50,
$ 5,
CLAIMS MADE X OCCUR.
OWNER'S & CONTRACTOR'S PROTi
WORKER'S COMPENSATION
PROPEATY
DAMA3E
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
GARAGE LIABILITY
BODILY
INJURY $
(Per accident)
EXCESS LIABILITY
EACH
OCCURRENCE
$ $
OTHER THAN UMBRELLA FORM
$
(EACH ACCIDENT)
(DiSEASE-POLICY LIMIT)
;DISE.~SE._.EACH EMPLOYEE
AND
EMPLOYERS' LIABILITY
DESCRIPTION OF OPERA TlONS/LOCA T10NS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
CERTIFICATE HOLDEtll
CANCEL LA TION
City of Clearwater
Post Office Box 4748
Clearwater, FL 34617
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL l!L.. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
IA L1TY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
R. HARPER