CERTIFICATE OF INSURANCE (073)
SCAFFOLD INSURANCE PROGRAM
c/o Emett & Chandler
1800 Avenue of the Stars, Suite 610
Los Angeles, California 90067
Tel: (213) 556-3103
INSURED
CONSTRUcrION EQUIPMENT, INC.
P.O. fux 1170
Clearwater, FL 33517
TYPE OF INSURANCE
POLICY NUMBER
GENERAL LIABILITY
COMPREHENSIVE FORM
PREMISEs/OPERATIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTs/COMPLETED OPERATIONS GL 850070
CONTRACTUAL
INOEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (PRIV. PASS.)
ALL OWNED AUTOS .(OTHER THAN)
PRIV. PASS.
HIRED AUTOS
NON-OWNEO AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERA T10NSlLOCA TIONSNEHICLESlSPECIAL ITEMS
THIS CERTIFICATE IS ISSUED AS KlIATTER 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 BEl-OW.
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER
COMPANY 8
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
E
SCAFFOLD EQUIPMENT, RENTAL, EREcrION AND/OR
City of Clearwater
P. O. Box 4748
Clearwater, FL 33518
POLICY EFFECTIVE
DATE (MMIDDIYY)
11/15/85
DISTRIBUTION
JAN 7 1986
ED
b~~~~~TY $ $
11/15/86 BI & PD
COMBINED $ 1 ,000
PERSONAL INJURY $
BOOIL Y
INJURY $
(PER PERSON)
mLY
INJURY $
(PER ACCIDENT)
b~~~cteTY $
~:~ED $
~~ED $
STATUTORY
(EACH ACCIDENT)
(DISEASE-POLICY LIMIT)
(DISEASE-EACH EMPLOYEE)
E ISSUING COMPANY WILL ENDEAVOR TO
ICE TO THE CERTIFICATE HOLDER NAMED TO THE
SHAll IMPOSE NO OBLIGATION OR UABIUTY
AGENTS OR REPRESENTATIVES.