CERTIFICATE OF INSURANCE (4)
,.................................... .-....-.... ..... ... . . .
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> P.... ..~~'ll~~~~~{';~MI~fl1~'~~~y\;.~du8~> 01/30/95
PRODUCER . . ~ . ... THIS CERTIFICATE IS I....~ ",ED AS A IIIIATTER OF INFORMATION
The Connelly Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O. Box 2456 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
630 Chestnut Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Clearwater FL 34617 -2456 COMPANIES AFFORDING COVERAGE
Maureen Connelly
813-461-6044
INSURED
COMPANY
A
Fireman's Fund Insurance Co.
Lee E. Arnold, Jr and
Herbert G. Brown, Partners
dba Arnold-Brown Properties
121 N Osceola Avenue
Clearwater FL 34615
COMPANY
B
COMPANY
C
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 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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MMIDDIYY)
LIMITS
GENERAL LIABILITY
A COMMERCIAL GENERAL LIABILITY AA 7 AZC8 0 4 5 818 6
CLAIMS MADE [!] OCCUR
OWNER'S & CONTRACTOR'S PROT
A
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
AA7AZC80458186
GENERAL IIGGREGATE $2,000,000
11/01/94 11/01/95 PRODUCTS - COM PlOP AGG $2,000,000
PERSONAL & ADV INJURY $1,000,000
EACH OCCURRENCE $1,000,000
FIRE DAMAGE (Anyone fire) 50,000
MED EXP (Anyone person) 5,000
11/01/94 11/01/95 COMBINED SINGLE LIMIT $ 1,000,000
BODILY INJURY
(Per person)
BODilY INJURY
(Per accident)
PROPERTY DAMAGE
GARAGE LIABILITY
ANY AUTO
INCl
EXCl
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE
EACH OCCURRENCE
AGGREGATE
EXCESS LIABILITY
UMBRelLA FORM
OTHER THAN UMBRellA FORM
WORKERS COMPENSATION AND
_EMI'~()yER.!r UABJLI1:Y
THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
STATUTORY liMITS
EACH ACCIDENT
DISEASE. POLICY LIMIT
DISEASE - EACH EMPLOYEE
DESCRIPTION OF OPERATIONS/lOCATIONSNEHICLES/SPECIALITEMS
City of Clearwater, A Florida Municipality is included as additional insured
as respects to Arnold-Brown Properties, parking lot #7 lease (13 spaces)
_4<<~-d/L
tay (!fi~ ~ t~
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE BS'ORl!'l'tlIi(' ~ r' h
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAV~~ T('-MAi~' U ....J'T.
~ 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.
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City of Clearwater
City Manager
POBox 4748
Clearwater FL 34618-4748
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