CERTIFICATE OF INSURANCE (2)
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TO:
FROM:
COPIES:
SUBJECT:
DATE:
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CITY OF CLEARWATER
Interdepartment Correspondence Sheet
Sue Lamkin, City Clerk's Office
Elizabeth S. Haeseker~ Assistant City Manager
Carlouel Garden & Xmproyement Association
October 27, 1982
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I finally got around to your request regardipg the
above-referenced group's insurance requirement.
The Certificate that I have (copy attached) states
that the expiration date is April, 1983.
attachment
_ElVEO'
oct 28 1932
crr"Y cLfJUQ
Condon -Meek, Inc.
P. O. Drawer K
Clearwater, FL 33518
COMPANIES AFFORDING COVERAGES
i;rT~';~NY A St. Paul Fire & Mar ine
CUMPANY B
Lf IIlll
NAMI AND AD[)Il[SS OF INSUflEf)
Carlouel Garden & Improvement Assoc., Inc.
P. O. Box 3442
Clearwater, FL 33515
C:OMPANY C
L[TTffl
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LIHEII
COMPANY E
L[ IT [II
--Thi;T5-;;;-~~rti tYihatp~iiciesofi~-5~'~ance iiSlE;dbei~-h;W;-been-is;;~ed-to'ti;ei;,s~;;d "i,a~l)ed'a t,Q~e'a;,d a~eiri'iOr~eatlh;;;-iin:;e~-N;:;iwiihstJ-"dj;lg-a;i-y-;equr,-einen i-;terri,or-conditIO"
of any contract or other document with respect to which this certificate may be issued or may perta,n, Ih" Insurance afforded by the policies descllbed herein is subject 10 alllhe
te!..~$, exclusions and conditions of such policies. .
IYPE OF INSURANCE
POLICY NlIMHUI
~'\JlICy
f .XPlh'A11()N DA Tf
Limits of lfibiiTty-in ThousandS(OlfOr---
----.--- n__'" --.--. - - ----I:ACi.,u---- --.. ........---
OCCUfiRENCf
GENERAL LIABILITY
[J()UIL Y INJlIl1Y
A
[] COMI'f{[IIl:NSIV[ FOIlM
I~'-] PI1EMISES..OPfHAIIONS
[EXPLOSION AND COt LAPSE
:=: IH\lAfiD
[_.1 UNDU<GHOUNil HAZAfiD
r-] PfWDUCTS/COMPLfIID
::.:.... OPUIAr IONS IIAlAfiD
LJ CONII<ACIIJAI iN',UI<ANCf
["] BHOAll IOFIM PIlOPLln Y
'n~'] DAMMiE
C_ IN[)F.PENDLNI CON 11<1\I~1 OH',
[J PlHSONAL IN.JUI((
50931-16263
4/10/83
l-fK;PfI<1 Y DAMAGE $
llUI)ll Y INJlJHY ANll
"HOf'll<i Y IIAM/\Lt
UJMIlINIl.l
~ 500
500
I'i I<SUNAE INJIJI((
AUTOMOBilE LIABILITY
Iitj[JII '( IN,JLJi{Y
if,J\CH f'LtbUNj
['___..1 I,"~()MPHI. fit. N~:;I\!l
[] OWNfll
[] HIHED
[] NnN,owr~r D
I U1IM
HOUrLY INJIJIIY
rlACH AUID[N II
f!H(JfJt' PI Y lJl\MMjl
EXCESS LIABILITY
llUI HI Y INJUHy /'.NU
i '~(()llt-l< I Y UI\MI\I,;l
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[] UMElI1F.lU\ lOHM
o 01 HEI< THAN lIMBllELLA
[,OHM
Il()llll '!' IN,JI.IIIY /\,NP
f;H< IflU<fY ()/\M/,i.;(
C:(iMIiINUJ
WORKERS' COMPENSATION
and
EMPlOVERS' LIABILITY
---".-.. --,.-.-.. -- ~ .---..._----
OTHER
OPF.I<A fIONS/LOC AII()NSiVI.HICI[~;
City of Clearwater is named as additional insured as respects the Decorative Columns,
and gates.
Cancellation: Should dlly of the above desullJed policies tie l.dncellecl befole the expiration UdW Ihereot, the Issuing COil'
pany will efllJeaVlJr to rnJ11 -leG-- days written notice to tilt' IJtdow n;Hfwc:i c(,rtlficdtl' Ilulder, hut tailule tu
nldll such notice SLid II impose no obligation or liability 01 dllY KilllJ upon tile I.OnlpdllY.
NAME ANti AOUht s~) Of Cf Hllf-ICA1T HOI.DLH
(JAIl. ISSUfD
uu..':!1151 82
City of Clearwater
P.O. Box 4. 7 48
Clearwater, FL 33517
Att: Elizabeth S. Haeseker
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