CERTIFICATE OF INSURANCE (155)
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Huckleberry, Sibley & Harvey In-
surance & Bonds, Inc.
1901 Lee Road
Winter Park, Fl. 32789
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
COMPANY A
LETTER
Travelers Insurance
INSURED
COMPANY B
LETTER
Hartford Insurance
C & L Waterproofing, Inc.
P.O. Box 756
Orange City, Fl. 32763-0756
COMPANY C
LETTER
South Carolina
COMPANY D
LETTER
THIS IS TO CERTIFY THAT 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 DESCRI8ED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI.
TIONS OF SUCH POLICIES,
TYPE OF INSURANCE POLICY NUMBER POLICY EffECTIVE POLICY EXPIAA TlON
OATE (MMlOOIYY) OA TE (MMIDDIYY)
GENERAL. LIABILITY GENERAL AGGREGATE
COMMERCIAL GENERAL LIABILITY PRODUCTS,COMP/OPS AGGREGATE
CiI OCCURRENCE PERSONAL & ADVERTISING INJURY
OWNER'S & CONTRACTORS PROTECTIVE 660 996G213-1 COF 4/15/88 4/15/89 EACH OCCURRENCE
,
fiRE DAMAGE (ANY ONE fiRE)
MEDICAL EXPENSE (ANY ONE PERSON)
AUTOMOBILE LIABILITY
IV ANY AUTO CSL $ 500
". X
" ALL OWNED A~TOS
.~,l X BOOIL Y
!~II INJURY
\j X SCHEDULED AUTOS (PER PERSON) $
~~' X HIRED AUTOS BOOIL Y
~fj : INJURY
~~ti X NON-OWNED AUTOS 660 996G213-1 COF 4/15/88 4/15/89 rJc~OENTI $
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GARAGE LIABILITY PROPERTY
OAMAGE
EXCESS LIABILITY EACH
OCCURRENCE
$
~it OTHER THAN UMBRELLA FORM
m, WORKERS' COMPENSATION
il4' B AND 21 WZ VV8294 4/22/88 4/22/89
:j
'iH (DISEASE.POllCY LIMIT)
J" EMPLOYERS' LIABILITY
IDISEASHACH EMPLOYEE)
~' OTHER
.~ Equipment Coverage CPp 745 60 05 3/2/88 3/2/89 All
Risk
C t
,
DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES I RESTRICTIONS I SPECIAL ITEMS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX.
PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOL.DER NAMED TO THE
L.EFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OSLIGATION OR
J LIABILITY OF ANY KIND UPON THE COMPANY, S AGENTS OR REPRESENTATIVES,
.~ Ag;"EDAE::=;E /' ~ '
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i:'~t'~'~l~~ "lil!~nhi ul"I"'r~':tJi},~~~.jJ_h uaJNiuLi.,.w"'~i ...~~,... - IIi:I "ll!1"r f1i"...~'1 I rUirj'lr~ ,',
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City of Clearwater
P.O. Box 4748
Clearwater, Fl. 34618