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CERTIFICATE OF INSURANCE (3) ACORD.. j"'\.C:mri+I\EI.....~A."tt.."'E..I.......I\^DI 1\1<"">1 klOiilSA. rirr:ib 'SD' ....... .... DATE (MM/DDNY) ~~~lq~1ft\.~~g.....~gg.'\J'''Q'''''I''\M>",~~i~i> 11/20/97 '" THIS CERTIFICATE IS ISS~D 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 ~:~:J.b.~R~. The Connelly Insurance Group 630 Chestnut street P.O. Box 2456 Clearwater FL 33757-2456 Maureen Connelly Phone No. 813-461-6044 Fax No. 813-442-7695 INSURED COMPANY A Hartford Insurance Group COMPANY B Great American Insurance Co. Lee Arnold, Jr & Herbert Brown DBA Arnold-Brown Properties 121 North Osceola Avenue Clearwater FL 34615 COMPANY C THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NA Q}4.B VE FOR THE POLICY PERIO INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCU' f\!~:. S CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREI , IS":s.CJB EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DDNY) DATE (MMIDDNY) LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY 21UUCLE7585 CLAIMS MADE ~ OCCUR OWNER'S & CONTRACTOR'S PROT 11/01/97 GENERAL AGGREGATE $1,000,000 11/01/98 PRODUCTS - COMP/OP AGG $1,000,000 PERSONAL & ADV INJURY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Anyone fire) $ 300,000 MED EXP (Anyone person) $ 10,000 11/01/98 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY $ (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY. EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ 5,000,000 11/01/98 AGGREGATE $ 5,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS ------ ~- CO -X WNED mros..___ __.___-._ A 21UUCLE7585 11/01/97 GARAGE LIABILITY ANY AUTO EXCESS LIABILITY B X UMBRELLA FORM UMB867662302 OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETORI -INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL OTHER A Property Section 21UUCLE7585 11/01/97 - - -EL DISEl'iSE -o-POLlCYLlMIT EL DISEASE - EA EMPLOYEE 11/01/97 11/01/98 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED. CITY074 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 THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRES JIV CITY OF CLEARWATER ATTN: EARL BARRET PUBLIC WORKS ADMINISTRATION PO BOX 4748 CLEARWATER FL 55/~a-~'~~ .....qBAt!Q~.'~~il..........