CERTIFICATE OF INSURANCE (0)
11/02/98 09:48 To:Earl Barrett
From:Cynthla RankIn Jean
Connelly Insurance
Page 2/2
CERTIFICATgOFLIABILITY INSURAN ~p to C.:r DATE ! M~e1i[oDi n i
ARNOL-1 11/02/98
PPOC'XE~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
The connelly Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
630 Chestnut street HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
P.O. Box 2456 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Clearwater !'L 33757-2456 COMPANIES AFFORDING COVERAGE
Maureen Connelly, CIC <=':Mr,~nt
A Hartford Insurance Group
ptl(-r~ No 727-461-6044 Fa~ No 727-442-7695
INSURED COt.iPAN'T
B Great American Insurance Co.
Lee Arnold, Jr & Herbert Brown CI)MP_AN'l
DBA: Arnold Brown Properties C
121 North Osceola Avenue ':'CIf>.-tPLV-J',
Clea:r:water I'L 33755 0
COVERAGES ..< ...... < . ..
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 REOUIREMENT. 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICy NUMBEP I PC'lICi EFFEOIVE P')L1'CY EicPIRATIOfJ LIMITS
LTR I D~TE ".tNDr.,y; DpTE iM~VCo(;'in i
GEI'JERA! LIABILITy G.Et';E~:';;'.L _L.,GGREG/.,TE ! 1,000,000
r-- 11/01/98 11/01/99
A ~ O:+.lMERCIAL '~ENERAL LIABILITy 21UUCLE7585 PR':'C'JCTS - COMP/.:lP A(3(2 $1,000,000
f----- tJ CL."JMS MA[E ~ C,CCUR I PERSCoN"L &"D'c Jt.JJURY $ 1 f 000 ,000
Oi/'.NEP'S & Cor.JTR~CTOR'S PROT E"':H C-:CURRENCE $ 1,000,000
- !
'--- FIRE OAMAGE (,An~'1 one tlre) , 300,0.00
Iv1EC. E ::p ,; '::>.I1:i one ~&r50n ,i $ 10,000
~UTC4,1':.5iLE L1fBILlT', ! l:i:~,ir'JE[1 SIr-.i,~'LE LIMIT 1$ 1,000,000
f-- 11/01/98 11/01/99
A AJ.J'r' ,.:;.,UTO 21UUCLE7585
f-- f----------
.Alt ..j~..'NED ,A.lJT03 80Qii". [' I r-UUR";
f-- $
S':HEDULEC< AUK.S (Fer r:'~S0n)
f-- 1---.
I-~ HIRED f.LITOS BODIL INJUR',
$
~ NOt :-O...~.'f\JED AUTOS :F~r a,:,::,~nti
r- I PRI:,?EPT"( uf~J,l-.:;.GE $
~:"'~E U"BILlT', A.UT\~I I)UL 1 - Eu ,AI:I: 1[IEt-IT $
q"J""'"1C' ~HU TH-'N"~'1':' '~'r~L'd___--------,-____
i i C~'~II ~.'_'.IC'Lin i $
I ! I _i:J.I~.C.pE '.>"'.TE ,!
,
f E"':ESS lI'"'BiL!:i' ; E~':" ,:..::URRE"CF ! $ 5,000,000
B r-;-I UMB867662304 I 11/01/98 11/01/99 i---------r---..----.---.---'~
I X J '_"-IBPiOLLA FeWI.' ~::c"~AT[____l.!_~L OOOLOOO __
r- II:iTHER Tl-I~t,! UL1E'.~:EU_"', FCJPM i I $
lI\it~:'~+Et::'_S ,=-,.:,\t~1~"Elj.;.:,.Til:.'f.J .AI.JC' , l'x::T-'TI-" ! Inn'-
i,:",\:,'\ 1II.lIT-::: , -[" i
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EL E"'_CH ...,1':I:I[~.JEU1
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TI-iE. F~__,~'iF'~'i[TI)~' EL r\i~E .::.:;E . P':\L1'.~', ~ 1t.,1iT i$
F.AFTIl::~ :;,;"'C:L':VTi .:s:: --------~-,_._~.' ,-,.. -.-....- --_._.~-
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:k:'.:PIFTI0t...::rF ":1::E~,;.,TIOtJ3,'L,j(':'TI(':'J:;.-'-/EH'CLE~l';PECI.AllTEf..'1~
Certificate Holder i. named Additional Insured
CERTIFICATE HOLDER CANCELLATION
CITY074 SH:'.J..C foIl- ':>F THE .c\8':'VE DE5CRIBEC< P,XICIES BE U\NCELLED BEfORE TJ-E
CITY OF CLEARWATER E'>-,R"TiOtJ (.~TF THEREOF. THE ISSUING COI.f'AN't Will. ENDEAVOR TO MAIL
AT'1'N: EARL BARUT ~ !)"" ,\iRITTFIJ NOTICE TO THE CFRTIFICATF HOLDER l-lAAlfD TO THE LFF1
PUBLIC WORKS ADMINISTRATION BUT FAIL'..f'E TO fl<WL SI)(;H I.JOTICE SHALL IIoPOSE NO OBLIGATION OR LIABILITY
PO BOX 4748
CLEARWATER I'L 33758 CoF .AN'i ~1I,c.lJPOIJ THE CCMPAN',. ITS AGE,m ':OR REPRES8J1fTIVES
"lffi+:,pIZEC'REPPESErJ1AJIVE
Maureen Connelly, CIC
ACORD 25-5 (1195) .- ACORD CORPORATION 1988
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