CERTIFICATE OF INSURANCE (004)
Suncoast insurance Associates, Inc.
1408 N. Westshore Blvd., Suite 1008
Tampa, Florida 33607
COMPANIES AFFORDING COVERAGES
INSURANCE COMPANY OF NORTH AMERICA
A
B
C
o
E
COMMERCE & INDUSTRY INS. CO.
COMPANY
LETTER
COMPANY
LETTER
NAME AND ADDRESS OF INSURED
CONSTRUCTION EQUIPMENT, INC.
P.O. Box J170
Clearwater, Florida 33517
COMPANY
LETTER
MISSION NATIONAL INS. COMPANY
COMPANY
LETTER
FCCI
COMPANY
LETTER
This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. Notwithstanding any requirement, term or conditi n
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 t e
terms, exclusions and conditions of such policies.
TYPE OF INSURANCE
PO L1CY Limits of Liability in Thousan 5
POLICY NUMBER EXPIRATION DATE EACH AGGREGA E
OCCURRENCE
GPP DO 68 95 70 0 BODIL Y INJURY $ $
10-01-84 500 500
PROPERTY DAMAGE $ 100 $ 100
A
GENERAL LIABILITY
f1 COMPREHENSIVE FORM
tJ PREMISES-OPERATIONS
o EXPLOSION AND COLLAPSE
HAZARD
B UNDERGROUND HAZARD
PRODUCTS/COMPLETED
OPERATIONS HAZARD
~ CONTRACTUAL INSURANCE
BROAD FORM PROPERTY
DAMAGE
INDEPENDENT CONTRACTORS
PERSONAL INJURY
BODIL Y INJURY AND
PROPERTY DAMAGE $
COMBINED
$
PERSONAL INJURY
$ 500
BA 974 05 41
10-01-84
BODIL Y INJURY ~50
(EAC H PERSON)
BODILY INJURY ~OO
(EACH ACCIDENT)
PROPERTY DAMAGE HOO
BODIL Y INJURY AND
PROPERTY DAMAGE $
COMBINED
BODILY INJURY AND
PROPERTY DAMAGE $ 5,000
COMBINED
COMPREHENSIVE FORM
EXCESS LIABILITY
MN019726
10-01-84
o UMBRELLA FORM
o OTHER THAN UMBRELLA
FORM
WORKERS' COMPENSATION
and
EMPLOYERS' LIABILITY
OTttER---
23040l
01-01-84
(EACH-ACel t::N'1 r
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES
Cancellation: Should any of the above described 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
DATE ISSUED:
11/11/R'~
CITY OF CLEARWATER
P.O. Box 4748
Clearwater, Florida 33518
~d
AUTHO
DANIEL L. TITUS