CERTIFICATE OF INSURANCE (8)
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;Oakes & Associates Insura ce
'Agency, Inc_
~111 Land O'Lakes Blvd. #108
iLand 0 'Lakes FL 34639
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IE - Palomino Dairy, Inc.
Patsy Smith
:12220 Garden Lake Circle
10dessa FL 33556
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CSR LO 07/07/98
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COMPANIES AFFORDING COVERAGE
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: lWiPMf! LETTER A Auto Owners Insurance Co.
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fiLS IS CE.RTlFY HI~T POLICIES Of: INSlIRMiCE LlS(EG 8ELOW H,4VE 8EEI'1 r~;SI.lED TO THE H!SUi~ED !,!.C11.jED P:J-JI!E f-'Oi';~ TI-Il: ~)OLICY
~'ERIOD INDiCATED. NOn~lTH5TANDING ANY REQUIREMENTj TERM OR CONDITIDN Ol~ i':NY COIHRi\CT nr~ OTHf.F DOCly,j:]\T WIn: f~r:~)P(CT TO
!~HICH TJH:3 CERTIFiCATE MflY BE I%l!ED OR ~IAY PE~~TAHjJ THE INSURMKE (:r~'~I?DED 8'1' nl~ POL:C1E:> DESCRE:[[l HEREIN IS :3U3J(CT TO
ALL TER~1Sj EXCLUSIONS, AND CONDITIONS OF SUCH P:)LIC~ES. LIlH1S :3HOkH i),( n:WE BEEi~ ?EDUC[D BY P(iID CIJiniS.
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co; TYPE OF INSllRi~;i...!CE POUi,;Y j'-,llj113ER PDL.:~C:' EFF l POLlC'! r::Xi) !
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i GENERAL LIABILITY I
A: [X! CO,WRClt,L GEl! LIAOlLlTY 20363781-861912: 07/21/98
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PROTECTIVE
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GENERi~l. !;(;U-:~(JhTE :300,000
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07/21/99 PR0HO,,:iOP '\GO. :300,000
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T""W"i300 000
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150 ,000
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ow:: !)ERsor>!) is ,,000
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EXCESS LIABILITY
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WORKERS' COMP
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} CERTIFIC~TE HOLDER
CAWElLiHION
-. SHOULD ANY OF n-:= I-,:::-:','.....E ~I::SCF:=G=O !'Ol.IC C::; 8E CMi(:[I_~.tD L\::~FC E THE
:; EXPIRJ~TION D.~TE -H~,~ Ji: T:'.E ~::'.SUnil~ ;~O :J1'\I'lY (HLI_ c}WErWOR T :,U1IL
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City of Clearwater
P_O. Box 4748
Clearwater FL 33518-4748
_ACORD 25<; (7/9G;,
Donald E_
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CITY OF CLEARWATER
POST OFFICE Box 4748, CLE<RWATER, FLOroDA 33758-4748
TELEPHONE (813) 562.4750 FAX (813) 562-4755
PUBLIC WORKS
AoMl::'\ISTRATIO:\"
July 9, 1998
Mr. Robert E. Smith
E. Palomino Dairy, Inc.
12220 Garden Lake Circle
Odessa, Florida 33556
RE: Insurance Renewal - Auto Owners Insurance Policy # 20363871-861912
Dear Mr. Smith:
Our records indicate the above referenced General Liability policy, under which
the City of Clearwater is additionally insured along with E. Palomino Dairy, is
scheduled to expire on July 21, 1998.
Please advise your agent to provide me with a timely renewal certificate verifying
the City will continue to be covered by this policy, or its successor, for the
succeeding twelve months.
Thank you for your attention to this matter.
Sincerely,
~
Earl Barrett
Real Estate Services Manager
cc: Susan Stephenson, Documents & Records Supervisor
ONE CiTY, ONE FUTURE.
*
"EQUAL EMPIDYMENT AND MFiR'lATIVE ACTION EMPIDYER"