CERTIFICATE OF INSURANCE
PRODUCER
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
q ACORD..
Greg Roe Insurance, Inc.
9851 state Road 54
New Port Richey FL 34655
Alvina Davis A062355
Phone No. 727-376-0030 Fax No. 727-376-2262
INSURED
COMPANY
A Continental Casualty Co. (CNA)
COMPANY
B
Family Resources, Inc.
Jane Hcu:per, ED
5959 Central Ave.
st. Petersburg FL 33701
COMPANY
C
'i''i'') S~
I!JL, t.P?7 1=-;..;0''"''2
~Il, i'jL;]::L
COMPANY
o
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. LII.4ITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POlJCY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MMIDOIYY) DATE (MMIOOIYV)
GENERAL LIABILITY GENERAL AGGREGATE $ 3,000,000
A COMMERCIAL GENERAL LIABILITY 1095911626 09/21/02 09/21/03 PRODUCTS. COMPIOP AGG $ 3,000,000
CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 200,000
MED EXP (Anyone person) $ 15,000
AUTOMOBILE LIABILITY $1,000,000
1095911626 09/21/02 09/21/03 COMBINED SINGLE LIMIT
A X ANY AUTO
ALL OWNED AUTOS BODILY INJURY
(Per person) $
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
(Per accident) $
NON-OWNED AUTOS
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY. EA ACODENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $ 2,000,000
A X UMBRELLA FORM 1095911626 09/21/02 09/21/03 AGGREGATE $ 2,000,000
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
$
THE PROPRIETOR! INCL EL DISEASE - POLICY LIMIT $
PARTNERSJEXECUTlVE
OFFICERS ARE: EXCL ELD~EASE.EAEMPLOYEE $
OTHER
DESCRIPTION OF OPERATlONSlLOCATlONSNEHICLESlSPEClAL ITEMS
EVIDENCE OF COVERAGE DURING POLICY TEm4
CITY OF CLEARWATER
NINA BANDONI
P.O.BOX 4748
CLEARWATER FL 33758-4748
CITYCLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO lliE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KINO UPON THE COMPANY, ns AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~
Alvina Dav.s A 6 355 '
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