CERTIFICATE OF INSURANCE (035)
COMPANIES AFFORDING COVERAGES
Peterson Brothers Insurance
29 North Wacker Drive
Chicago, Illinois 60606
NAME AND ADDRESS OF INSURED
C.R. Pierce Construction Company
6740 Park Boulevard
Pinellas Park, Florida 33565RE
eEl
COMPANY
LETTER
A Liberty Mutual Insurance
BAr onaut Insurance Com an
Co.
COMPANY
LETTER
COMPANY C
LETTER Fireman's
COMPANY 0
LETTER
~lElr E
This is to certify that policies of insurance listed below have been issued to the insured named above and are i~ force at this time. Notwithstanding any, require~er:t, ter":1 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 descnbed herein IS subject to all the
terms, exclusions and conditions of such policies.
COMPANY
LETTER
TYPE OF INSURANCE
POLICY NUMM 15 1985
POLICY
EXPIRATION DATE
limits of liability in Thousands (
OCC~~~~NCE AGGREGATE
GENERAL LIABILITY
BODILY INJURY
$
$
A
~ COMPREHENSIVE FORM
~ PREMISES-OPERATIONS
~ EXPLOSION AND COLLAPSE
H AZA RD
~UNDERGROUND HAZARD
~ PRODUCTS/COMPLETED
OPERATIONS HAZARD
~ CONTRACTUAL INSURANCE
~ BROAD FORM PROPERTY
DAMAGE
Ii] INDEPENDENT CONTRACTORS
Ii] PERSONAL INJURY
CITY CLERK
PROPERTY DAMAGE
$
LG1-741-001623-024
12/30/85 BODILY INJURY AND 500
PROPERTY DAMAGE
COMBINED
PERSONAL INJURY
BODILY INJURY $
(EAC H PERSON)
BODILY INJURY $
(EACH ACCIDENT)
PROPERTY DAMAGE $
12/30/85 BODIL Y INJURY AND 500
PROPERTY DAMAGE
COMBINED
BODILY INJURY AND
12/30/85 PROPERTY DAMAGE
COMBINED
AUTOMOBILE LIABILITY
IKJ COMPREHENSIVE FORM
IX] OWNED
IX] HIRED
IX] NON-OWNED
A
AT1-741-001623-014
EXCESS LIABILITY
A
IXJ UMBRELLA FORM
o OTHER THAN UMBRELLA
FORM
LE1-741-001623-044
WORKERS'COMPENSAIJON _
and
WC90-437-009148
12/30/85
MSF 47] 6] ]1
J2130/85
All Risk~$5,000 Deductible
*Includes rental units up to $400,000 per loss.
The Certificate Holder isa loss payee and an additi.onal insured under the
above policies, but only as their interests may appear.
Cancellation: Should any of the above descr.ihed policies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail ~ days written notice to the below named certificate holder, but failure to
mail such notice shall impose no obligation or liability of any kind upon the company.
NAME AND ADDRESS OF CERTIFICATE HOLDER:
City of Clearwater
P.O. BOX 4748
Clearwater, Florida
, 1984