CERTIFICATE OF INSURANCE (167)
PRODUCER
Harris & Harris, Inc.
115 Perimeter Center Place
Suite 380
Atlanta, GA 30346
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
Insurance Company of North America
INSURED
Clark Boiler & Engineering Co.
and A1tane Corporation
P. O. Box 3356
Lake1and, FL 33802
COMPANY B
LETTER
COMPANY C
LETTER
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 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI-
TIONS OF SUCH POLICIES,
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS
LTR DATE (MM/OOYY DATE (MM/OOIYY)
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
[iJ OCCURRENCE OGLG0991559A 8/12/88 8/12/89
OWNER'S & CONTRACTORS PROTECTIVE EACH OC:CURRf',CE
FIRE OAr.1At;E :~NY ONE FIRE)
MEDICAL C):OE\SE (ANY ONE PERSON)
AUTOMOBILE LIABILITY
ANY AUTO CALH0149322A 8/12/88 8/12/89 CSL $ 1,000
ALL OWNED AUTOS BOOIL Y
INJURY
SCHEDULED AUTOS (PER PERSO\I $
HIRED AUTOS BODILY
INJURY
NON-OWNEO AUTOS flc~DENTI $
GARAGE LIABILITY
XOOG09917822 8/12/88 8/12/89
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION
AND NWCC19337546 8/12/88 8/12/89
---- ~ -"- - ~ ------- -iiJtSfitSf-WtieY~"(jMlT) _
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I RESTRICTIONS I SPECIAL ITEMS
City of Clearwater
Occupational Licensing
Post Office Box 4748
Clearwater, florida 33518
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX,
PI RATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 10 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,
AUTHORIZED REPRESENTATI E '7./
/<.