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CERTIFICATE OF INSURANCE CERTIFICATE OF INSURANCE Name of Insured Clearwa DESCRIPTIVE SCHEDULE _ Hi School Band Boosters Asso~. Inc. Address of Insured c/o Don Hacker, 540 So. Hercules Ave. Clearwater, Florida 33516 Location Covered r Mailing Address (Slreet And Number, City, Slate, Zip Cade) City of Clearwater RFCfJr~D Phii~~ 'i Phillip~ MAR 9 1978 Hpring 'I'r::lining Operations Covered Use of parking fad 1 i tip!,! fnr Games THIS IS TO CERTIFY TO CERTIFICATE HOLDER: "I P. O. Box 4748 C~T':.t~proVided in Company initialed below: rn A=AETNA INSURANCE COMPANY o U=AETNA FIRE UNDERWRITERS INSURANCE CO. D C=CENTURY INDEMNITY COMPANY Clearwater, Florida 33518 Attn: R. G. Whitehead City Clerk Effective 3/3/76 that on the above date the following described insurance policies, issued subject to all the terms, conditions, limitatioIlS- and exclusions, thereoL \.. ~ Co Nome of Coveroge Policy Effective Expiration Limits of Number Dote Date Liability Workmen's Compensation Statutory 1:- .Public Liability-Bodily Injury (Not Auto) $ 300 ,000 each occurrence .. Comprehensive CG 60 21 12 10/31/75 10/31/78 .Public Liability-Property Damage (Not Auto) $ 25 ,ODD each occurrence t. " " " A Comprehensive $ ,000 aggregate (Explosion, Collapse, Underground Hazards S ,000 each occurrence Not Covered Unless Otherwise Stated Herein) $ ,000 aggregate Products-Completed Operations- $ ,000 each occurrence Bodily Injury $ ,000 aggregate Products-Completed Operation.. $ ,000 each occurrence Property Domoge $ ,000 aggregate Specific Contractual-Bodily Injury $ ,000 each occurrence (Other Than Incidental Contracts As DefIned In The Policy) Specific Contractual-Property Damage $ ,000 each occurrence (Other Than Incidental Contracts As Defined In The Policy) $ ,000 aggregate Automobile-Bodily Injury $ ,000 each person $ .000 each occurrence Automobile-Property Damage $ ,000 each occurrence Burglary . Plate Glass by this Company, are in full force and effect, ~ IilIncludes coverage for the following incidental written agreements: (1) lease of premises, (2) easement agreement, except · in connection with construction or demolition operations on or adjacent to a railroad, (3) undertaking to indemnify a municipality required by municipal ordinance, except in connection with work for the municipality, (4) sidetrack agree- ment, or (5) elevator maintenance agreement. Should any of the above described policies be cancelled before the normal expiration date thereof, the Company will endeavor to give written notice to the above Named Certificate-holder, but failure to give such notice shall im- pose no obligation or liability of any kind upon the Company. THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE AFFORDED BY THE POLICIES INDICATED ON THIS CERTIFICATE UNDER POLICY NUMBER. By (Include One Duplicate INSURORS, INC. J L L Authorized py fO~POlicy listed hereon) Agent Form 600.840 3/73 fI2Il:- In consideration of the premium for which this policy is written, it is agreed that the CI1Y OF Clearwater FLORIDA is included as an additional insured under the coverage provided by this policy for the liability imposed upon it by law and aris ing out of the operations of Clearwater High School Band Boosters Assoc., Inc. . . . . II . . . . . . . . II /10 . Of COli . . . . . . . . . . . . . .. . II . '. . II . . . . . . . . . . . . . . . . . . . . (name of licensee) of ., . . . . . II II . II . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. c/o Don Hacker, 540 So. Hercules Ave., Clearwater, Fla. 33516 (address of licensee) The inclusion herein of the CITY OF CLEARWATER, _; FLORIDA as an additional ins ured shall not operate to increase the limits of the com- pany's liability. All other conditions of this policy and its endorse- ments remain unchanged. f The CITY OF ST. PETERSBURG, FLORIDA shall be afforded the same notice as the named insured in the event of the cancellation of this policy by the company. It is further agreed that this endorsement applies only with respect to Division One (Premises - Operations) Coverages A and B FOR USE OF PARKING FAC ILITIES FOR PHILADEPHIA PHILLIES SPINNG TRA NING GAMES.