CERTIFICATE OF INSURANCE (188)
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A.~.tlllt...:"CERTIFICA T! OF INSURANCE
ISSUE DATE (MMIDDIYY)
4/14/89
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PRODUCER
HUCKLEBERRY, SIBLEY & HARVEY
INSURANCE & BONDS, INC.
1901 Lee Road
Winter Park, FL 32789
PH: 407/647-1616
CODEFAX: 407 /628-163~uB-CODE
THIS CERTIFICATE IS ISSUED AS A MATTER 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 BELOW
COMPANIES AFFORDING COVERAGE
f~~~NY A Travelers Insurance Company
I
i
I
INSURED
f~~NY B Hartford Insurance Company
f~~~NY C
South Carolina Insurance Company
C & L Waterproofing, Inc.
PO Box 756
Orange City, FL 32763-0756
f~~Y D
f~~NY E
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM 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 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS
LTR DATE (MM/DDIYY) DATE (MMIDDIYY)
GENERAL AGGREGATE $ 1,000,
660 996G2131-COF 4/15/89 4/15/90 PRODUCTS-COM PlOPS AGGREGATE $ 1,000,
CLAIMS MADE; X OCCUR, PERSONAL & ADVERTISING INJURY $ 500,
OWNER'S & CONTRACTOR'S PROT, EACH OCCURRENCE $ 500,
FIRE DAMAGE (Anyone fire) $ 50,
MEDICAL EXPENSE (Anyone person) $ 5,
COMBINED
660 996G2131-COF 4/15/89 4/15/90 SINGLE $ 500,
A LIMIT
ALL OWNED AUTOS BODILY
INJURY $
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY
INJURY $
X NON-OWNED AUTOS (Per accidenl)
GARAGE LIABILITY PROPERTY
DAMAGE $
EXCESS LIABILITY EACH AGGREGATE
OCCURRENCE
$ $
OTHER THAN UMBRELLA FOFIM
WORKER'S COMPENSATION STATUTORY
21 WZ VV8294 4/22/88 4/22/89 $ 100, (EACH ACCIDENT)
B AND
$ 500, (DISEASE-POLICY LIMIT)
EMPLOYERS' LIABILITY
$ 100, (DISEASE-EACH EMPLOYE
OTHER
C Equipment Coverage CPP 745 60 05 3/2/89 3/2/90
DESCRIPTION OF OPERA TIONSILOCA TIONSNEHICLESIRESTRICTIONS/SPECIAL ITEMS
CERTIFICATE HOLDER
CANCELLATION
City of Clearwater
PO Box 4748
Clearwater, FL 34618
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO '
MAIL~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES,
~~~S;;:~._,...,~_.~"_.._....~~.-~.... .... Harold M. Harvey,
C/ cf' / V".. .'. @ACORO CORPORATION 198
ACORD 25"S(3/88)