CERTIFICATE OF INSURANCE (12)
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CERTIFICATE OF INSORANCE
Company Name II
NATIONAL INDEMz~rY COMPANY OF FLORIDA
3024 Harney Street. Omaha, Nebraska 68131.3580
This certificate of insurance is NO! an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein
Notwithstanding any requirement. term or condition of any contract or other dowment 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 which may
substantially limit coverage Where reference is made to an Aggregate limit, those limits are Company's maximum liability under the Policy for the
enttle policy perIOd regardless of the number of Insureds, claimants or occurrences.
NAME OF INSURED
P.O. ADDRESS
Date
Classic Limos of Tampa Bay, Inc.
700 Spottis Woode Lane - Clearwater, FL
September 8, 1988
34615
POLICY NUMBER KINDS Of INSURANCE LIMITS EFFECTIVE EXPIRES
COMMERCIAL GENERAL LIABILITY
0 Occurrence form 0 Claims. Made form
Coverages
[J Pr em ises .Oper a tlons
0 Products/Completed OperatIOns
U Other (Specify) --.~-----_. {MIL RECEiV~D
General Aggregate limit S S P 1 2 1988
Products-Completed Operations Aggregate limit $
Personal & Advertlsinglnlury limIt $
Each Occurrence limit S HOME S WPPING INSURANCE
fire Damage limit (Any One fife) $
Medical Expense limIt (Any One Person) S
Aggregate limit on Claims Expenses S
7AP 114147 AUTOMOBilE LIABILITY 7-26-88 7-26-89
Bodily Injury Each Person S
Each Occurrence $
Property Damage Each Occurrence $
Bodily Injury and Property Damage Combined Single lImit S 500,000 CSL
EXCESS LIABILITY
[J Automobile 0 General liability
Name of Primary Insurer:
I'lImary limits $
E XCt'SS lImits S
General Aggregate limit $
U Aggregate limit inclUSive of Claims Expenses
Wor k ers Compensation S Statutory lim~ts (' ">
Employer's liability $ v.
Other
DESCRIPTION OF OPERA T10NS/lOCA TlONSNHIICLES
1985 Cadillac Limo #1G6CH3388F4322933
1971 Roll Royce Sedan #LRH12358
In the event of any matellal change In or cancellation of said polICies. the COMPANY Intends to, but is not obligated to, notify the party to whom
this Certificate IS addressed 01 such change or cancellation, and COMPANY undertakes no responsibility by reason of any failure to do so.
This Certificate issued to:
BY~td G ,Q((}1.{flLLf
Title DANA ROEHRIG & ASSOCIATES, INC.
City of Clearwater
PO Box 471iB
Clearwater, FL 34618-4748
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M-100h (8/87)
NOTE TO AGENT - Mail Copy 10 Home Office Immediately