CERTIFICATE OF INSURANCE 010)
BRUCE .TAYLOR, INC.
P.O.DRAWER 119
CLEARWATER, FL.33517
COMPANIES AFFORDING COVERAGES
COMPANY A Aetna Casualty & Surety Company
LEITER
COMPANY B Continental Insurance Company
LETTER
COMPANY C "ltECEIV
LETTER
COMPANY 0 --
LEITER JAN 28 1981 -z--9f)~
COMPANY E
LETTER
NAME AND ADDRESS OF INSURED
Emil Marquardt, Jr., Trustee
P.O. Box 1669
Clearwater, Fl.33517
This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this ti 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,
COMPANY
LETTER
TYPE OF INSURANCE
POLICY NUMBER
POLICY
EXPIRATION DATE
limits of liability in Thousands ( 00)
EACH
OCCURRENCE
GENERAL LIABILITY
BODILY INJURY
A
IKJ COMPREHENSIVE FOflM
D PREMISES-OPERATIONS
D EXPLOSION AND COLLAPSE
HAZARD
D UNDERGROUND HAZARD
D PRODUCTS/COMPLETED
OPERATIONS HAZARD
D CONTRACTUAL INSURANCE
D BROAD FORM PROPERTY
DAMAGE
D INDEPENDENT CONTRACTORS
D PERSONAL INJURY
23GL 121176 CCA
8/13/81
PROPERTY DAMAGE
BODILY INJURY .AND
PROPERTY DAMAGE
COMBINED
PEFlSONAL INJUFlY
AUTOMOBILE LIABILITY
D COMPREHENSIVE FORM
DOWNED
D H I RED
D NON-OWNED
BODILY INJURY
(EACH PERSON)
BODILY INJURY
(EACH ACCIDENT)
PROPERTY DAMAGE
BODilY INJURY AND
PROPERTY DAMAGE
COMBINED
EXCESS LIABILITY
D UMRREI_lA FORM
D OTHEPTHAN UMEFfELLA
FORM
BODILY INJURY IIND
PROPERTY DAMAGE
COMBINED
WORKERS' COMPENSATION
and
A
B
EMPLOYERS' LIABILITY
OTHER
Fire, E. C. S V. &
Fire, E. C . & V. &
.M.
.M.
Aetna Policy' #23FP194 06
519 ClevelanaSt.Clea ater
Continental #FDP4 86 5429
8/13/8
8/1 3/8
$100,000
$100,000
DESCRIPTION OF OPERATIONS/lOCATIONSNEHIClES
Under Liability Portion, City of Clearwater as Additional Insured under Permits
issued to Owners and Lessees
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail ~ days written notice to the below named certificate holder, but failure to
mail such notice shall impose no obligation or liability of any kind upon the company.
NAME AND ADDRESS OF CERTIFICATE HOLDER:
City of Clearwater
P.O.Box 4748
Clearwater, Fl.33518
Att: Sue Lamkin