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CERTIFICATE OF INSURANCE (3) . --,.-~:-"-.:"_-- ,,' 'r -~~: 'IF' -,' -~,. . rY"ord"i?;~;:'~"":?-"''";P '-,-'- -.- ~, ..,... Oakes & Associates Ins. Co. 2828 Land 0' Lakes Blvd. Land 0' Lakes, FL 34639 813/949-3229 i' It-., ~"r . :.f-> .0\.-. J. PR(;OV':'....:R ~:- , ~) .;;t.._ I '~, '. . ".':' .~ INSURED E. Palomino 366 Garden Odessa, FL Dairy, Inc. Lake Circle 33556 ~~ :t- ''':' '1.,'.\ {:~ '\" -~:,' ~:-:..: ":":":""':i..:..., , , ' ,...,__.....:-...c&... ;.;c-'-, ~ ,- . .a;,~-:,,"_ o~ . '. '" , 07/28/87 THIS CERTIFICATE IS ISSUED A'S A MATTER OF INFO:=lMATION ONLY AND CONFERS. NO RIGHTS UPON THE CE:ATiFICATE HOLDER. THIS CERTIFlCAiE DOES NOT ~....END,.. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.- COMPANIES AF;:ORDING COVERAGe COMPANY A LETTER Auto Owners 1[15. CO. COMP.<\NY :3 LETTER CCMPANY C LETTER COMP,A.NY D LETTER CCMPANY LE-:TE;::l. - ~ , ,~. ,"'-".',," - ',. ~"',:;:~~7'-. ---~' ''',. ".' .'~" '" - t> ~--............. ~, T~IS is 70 C::::?.T:F'( 7;;....7 ~'-::L;C;~S: :::=- '~lSt.:i=l.4;';C~ :":57'2:: GE!...QW HAVE 3;::=~J iSSl!i;D 70 T~E :~SURED S"\MED ,,l80VE :=CR -:-~E ?CLlCY ?!;~ICD lNDIC).T:;::>. ,\ICT"VrTHST,lNC:NG ,~~tY ::;:EC:"::;;:::'..;E:'iT, -:::?~A C~ '::CNCJTjCN CF ).NY :C,";i~AC7:~ 8T:~=:::J: CCC:':~ENT 'VIj"}-4 ,"::.ES?!:CT 70 '....HICH T~IS c:::;.rrlr-jC~T;2 :.u,,,y 3E ;S~U::::D CR :'.4...'( ')'=::1TJ.:;o.j. -:~:;: :;':Sl::~;','!C:;: .-l.F~C::;;CE::> 3Y 7HE ?OL:C:':=:S :ESC::W~E:: ~:;:~E!:-.IIS SU3JcC7 70 .:"LL 7HE T:::::,MS, ':::XC:"USJCNS. ,~ND ceNOI. T;ONS OF SliC:-i POL:C;:'::S. ., I OTHER S:=.SCRIPTION OF OPERATIONS/LCCATiONSNEHICLES/SPEC:AL ITEMS , COI L7?i TYPE OF lNSURANCE ~ENERAL L!ASILlTY A lxJ CCMPREHENSIVE POEM ~ PP,EMISESlOPERATIOiJS UNDEqG?;OU~JO EXPLOSION 3, CCllJ,PSE HAL;RO PRODUCTS/COMPLETED GPERAT:ONS ~ CONTRACTUAL iNDEPENDENT CONT?AC,TORS BROAD FORM PAOPERTY DA~"IAGE PERSONAL iNJURY RUTOMOBILE L1A.BILlTY ANY AUTO LJ ALL OWNED AUTOS {PRIV. FASS.} ~ ALL OWNED AUTOS (DT"R leA") PRIV. P,..ss. . HIRED AUTOS NQN.Q'NNED AUTOS GARAGE LIABILITY I :~l .REXC:::SS LIABILITY ,'-:' I UMBP.ELLA FORM ..:.~:.. ! OTHER THAN UMBRELLA FORM ~,.,',l:',',,' I ...' I .) 'I ,-', WORKERS' COMPENSATION ANO !;.:.1PLOY:::RS' UAE1UTY Sludge Farm '.::~; p =:,11;: >'~ l~ .~ ~:.p;-~".::i~;',J;;~.:-,:",::r,',;.,. -;;:)I.Hi_: POL!CY NU,'.1SE.9 I FOUCY ~~~EC'iWE .),;T, i~,~M"CD/YYI t- . If>OLlCYE:<PIi;:.Ti:JN DATE i~,IMIDDfYY1 1-" I 07/21/87 L:ABILiTY W..1ITS :N THOUSANDS AGGREGATE 861912 I BODILY I INJlJnY /-$ 07/21/8<l I ~~e~~~TY $ 20363781 1$ 1$ ~. t 61 & FO COMBINED -, ::'. :;S ~: ;r c.,....'_ ,...t ~ $ 300 S 300 PE::;SONAl INJURY $ WClLY WURY Ir:;r. ?:?,SJ~) 1$ 50DiLY '1 l~jJURY $ I?ER"CC:u:tm PRO?!:RTYI $ DAMAGE SI &?D I COMBINED $ 81 r. PO j CCMBINED I S 5T.:. TUTORY ;I;,.,.,',.,',c,.,...!,...,:~,'..,y,.".. ,":-':''''" ,J~ ;~. $ ~~2 ':!t ,~ :J. i:.".CH ;',CC:DErm _'f- ,.DISs:..,SE-?OUCY L~,\'.rn ~- IDISEASE-E;:'CH EMPLOYEE) :'~ ,~ "i I:.:'~ ;".; ~ '""'. 1: i',.f' S " ,8 - IS .-. 'I .~ t~ 1], ~: ::;:' '-..: ,~~ .~;:;~\?:.~,'~:.;,i~..';:.";t.~.~~~.:...;:~:{(... ."~ '. '""= J .:1. ~ '11 11,- ..:;; -~ 5> .,.-; ,~~:;- ~ ~ ".-" ~ _: :;.\".~~!~,-;-.~,~\~. 0:;'}~'(:::/1t~.;'c>2-:,~'r: ";.:~:'7~:';'<~: '-:?:t City of Clearwater Post Office Box 4748 Clearwater, FL 33518-4748 ATTN: Donald J. Petersen ;/. :{c" SHOULD ~NY OF i"HE ....SOVE DE:SC:::iIBEO PCLlC:ES =E C~NC:::LL:;:D EE~CRE T~E :::x- PIRA7l0N OAT;':: THEREOF, THE !SSUING COMPANY 'N1LL ~NDEAVOR TO ~.4A'L~!::AYS ~-'lRIT7=;N NOTiC:::: 70 TH::; C:;:RT,F!C~7E HOLCER NAMED 70 THE !...EFT. ::'UT ?AIUJF.E TO MAIL SUC:-l NOTiC:: SHALL ;MPCSE NO oaUGA TiON OR UASILITY CF ::"NY :'<IND UPCN 7H!: COMPANY, ITS ...l.GENTS CR RE?RESENTAT1VES. .",;. ~; ~, :;- it ~~~C~1~,(J/l);.u " ,,'~.-:,::,: . -.(,'r,',<,',',~4.;,.....~f,,(,~Z,'-,~,~"~r,:,~,..'_~,',',~,):~,:~,~~.,{:??~::~~.;;;t~ (~~-,'t:.>~~f~~~:.,~~:.t;.'~;.>_~~. ,::; i:~>~/:.fj <,..,-;~;~-i;~.:_ _ ~"_'-"~'~ tY0 ; < I_-~:~'~ ~ .~:~'=': ),~. ;..;.:.~~._'~I:;,'~-:.~~2: ~_::___~.(C: ~-~~"j ~:.;~:~. _ .. . -. _ _ ""J --. ",.., , '~" "'~ -'C' _. :>~'---'2:~::.:~.:':: "'~ ",', !?e~OIZJ?e;a.:t -' c' .^>