CERTIFICATE OF LIABILITY INSURANCE
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pFi"DUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Long & Company Ine HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
29190 U S Hwy 19 N ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
POBox 14958 COMPANIES AFFORDING COVERAGE
Clearwater FL 33766-4958 roMPMN
(727) 789-1488 () A ESSEX INSURANCE COMPANY
INSURED
Clearwater Neighborhood Housing Ser
roMPMN
B
608 No Garden Ave
Clearwater
(727) 42-4155
roMPMN
C
FL 33755-
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.
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TYPE OF INSURANCE
POUCY NUMBER
POUCY EFFECTIVE POUCY EXPlRAnON
DATE CMMJDDIYV) DATE CMMJDDIYV)
UMITS
A GENERAL UABIUTY
Y roMMERCIAL GENERAL LIABIUTY 3 AP 3 0 9 8
CLAIMS MADE rn OCCUR
OWNER'S & roNTRACTOR'S PROT
I AUTOMOBILE UABIUTY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON.QWNED AUTOS
105/01/00 GENERAL AGGREGATE 51,000,000
05/01/01 PRODUCTS. roMP/OP AGG 51,000,000
I PERSONAL & ADV INJURY 51,000,000
EACH OCCURRENCE 51,000,000
I FIRE DAMAGE (Anyone fire) 5 50,000
MED EXP (Anyone person) 5 EXCLUDE
/ / / / roMBINED SINGLE UMIT 5
BODILY INJURY 5
(per pet$On)
BODILY INJURY 5
(per accident)
PROPERTY DAMAGE 5
GARAGE UABIUTY
ANY AUTO
~~rW /
EXCESS UABIUTY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
/ /
/ /
AUTO ONLY - EA ACCIDENT 5
OTHER THAN AUTO ONLY:
EACH ACCIDENT 5
AGGREGATE $
EACH OCCURRENCE 5
AGGREGATE $
$
WORKERS COMPENSAnON AND
EMPLOYERS' UABIUTY
I
I
INCL I
EXCL
/
/
/
/
$
EL DISEASE - POUCY UMIT $
EL DISEASE - EA EMPLOYEE $
THE PROPRIETOR!
PARTNE~ECUTIVE
OFFICERS ARE:
OTHER
DESCRIPnON OF OPERAnONSILOCAnONSNEHICLES/SPECIAL ITEMS
CITY OF CLEARWATER INCLUDED AS ADDITIONAL INSURED
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CITY OF CLEARWATER
100 SOUTH MYRTLE AVE.
Clearwater FL 33756
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SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCElleD BEFORE THE
EXPIRAnON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
.3JL... DAYS WRITTEN NonCE TO THE CERnFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NonCE SHALL IMPOSE NO OBUGAnON OR UABIUTY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTAnVES.
AUTHORIZED REPRESENTATIVE
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