CERTIFICATE OF INSURANCE (5)
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: Oakes and Associates, :"I~c. : CONFERS NO RIGHTS UPON THE CERr'T, ATE HOLDER. THIS CERTIFICRTE
: ,.: DOES NOT AlIENO, EXTEND OR ALTER, COVERilGE AFFOdDED BY THE
; 4111 Land O'Lakes Blvd. #108 : POLICIES BELOW: _.'
i Land 0' La kes, FL ______________________ __._____________ ______________. __________ .______ _____
: 34639 COMPANIES AFFORDING COVERAGE
: PHONE 813-996-7988 ,
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INSURED : COMPilNY LETTER A Aut 0 Owners I nsurance Co.
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~g~~~a FL i COMPAN;;-LETTER-O-----------------------1Ult-ttr-199\-------------.__
, '- - , i-cOMP~Ny-LETTER-e:------------------------i:JL~'t--c:\:lll1(---------------
;1 COVeRAGeS (=========================================--=========================================____=============================
THIS IS TO CERTIFY THAT POLICIES OF INSURilNCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ilBDVE FwR THE POLICY
PERIOD INDICATED. NDTWITHSTilNDING ANY REQUIRE~ENT, TERM DR CONDITION wF ilNY CONTRilCT DR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS CERTIFICATE MAY BE ISSUED OR MilY PERTAIN\ THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO
' ALL TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLIC ES. lI~ITS SHOhN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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: CD: TYPE OF I,~URANCE POLICY NU~BER POLICY EFF : POLICY EXP : LIMITS
UR: DATE DilTE;
; ---: --.-----------------------------: ---------------------------: ---------------: -------------- i ------------------------_______~.__.
: : GENERAL LIABILITY: ':GENERilLAGGREGATE,,3000QO
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Ai,)O COMMERCIAL GEN LIABILITY
: ] CLA;NS MADE IX} oeC.
861912
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20363781: 07/21/91 : 07/21/92; PRoD-COMP/oP AGG.
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j[ OWNERS'S & CONTRRCTOR'S
i PROTECTI VE
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lEACH OCCURRENCE :
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: Fl RE DAMAGE
i (ANY OI~E FIRE)
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' I AUTOMOBILE LIAB : COMB. SINGLE LIilIT :
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jMED. EXPENSE :
: (ANY ONE PERSON) '500
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: EXCESS LIABILITY : :: :EACH OCCURRENCE
[r ] UMBRELLA FORM J :] 1___________________;______________
, : [ } OTHER THAN UMBRELLA FORM : ::; ASGREGHTE :
i --- i -------------------------------: ---------------------------1--------------- [ -----------___; ________________.__ J _________._____
] : : J STRTUTGHY LIMITS i
: . WORKERS' COMP : : : EACH ACCIDENT :
AND WISEilSE-POL. L1Mt' :
: , EMPLOYERS' LI AB : ': iDISEAGE-EACH EMP. :
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; ; OTHER J i i J
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:[ I ANY AUTO
1[ ] AlL OWNED AUTOS
I[ } SCHEDULED ilUTOS
:[ ] HIRED AUTOS
:1 ] NON-O.~ED AUTOS
: [ J GARAGE LlABILlTY
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JBODILY INJURY
j (PER PC:RSON.}
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:SODILY INJURY
: \ PER ACe WENT) l
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:PROPERTY DAMAGE :
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DESCRIPTION OF OPERATIONS/LOCATIoNS/VEHICLES/SPECIAL ITEMS
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:i CERTIFICATE HOLDER i===============================) CANCELLATION (============================================================
= SHOULD ANY OF THE ABOVE DESCRIBED PDLICIES BE CANCELLED BEFORE THE EX-
= PI RATION DATE THEREOF, THE ISSUING COMP>w~Y WILL ENDEilVOR TO MAIL
= DAYS WRITTEN NOTICE TO TnE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT
= FAILURE TO NAIL SUCH NOTICE SHAlL IMPOSE NO OBLIGATION OR LIABleITY OF
City of Clearwater = ANY KIND DPDN THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
P. O. Bo)( 4 748 =__________________________________________________________________________
: g~!~~~~:~ FL ~ AiJfHORIZED R~PREsENTmVEO ' _
: _ACORD 25-S ': 7/3(;) -----------..---------------------------~~"___________c---~d::::J.______...____.__________
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