BUSINESSOWNER POLICY
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;,;' fX]JijSINeSSOWNERS STANDARO.~tICY' COUNTERSIGNATURE OATE RENEWAL ClR'REPLACEMENTNq:j
.[IiJ.;sINEssOWNERS SPECIAL '10" LICYi\ T,R/rgl_ 7/9/82 BO 770 92 61 .
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-.' -<~-.-- this' 'Decl:aratfons Page with "Policy Provisions" comp'letes the below numbered policy
Item
1.
DECLARATIONS
J\lamed 'Jnsured
POLICY NUMBER 80 ? .? 1
i '
REPRESENTATIVE:
Allen R. Beach d/b/a Harbor View Barber.Styles
Room #6, Clearwater Marina ,
71-75 Causeway Blvd., Cle,arwater, Fl. ~35l5
8 2 2 To:
Jack Ransom Agency ~IECEIVED
09-168
Mailing Address
(Number, Street, City or Town, County, State & Zip No.!
2. Policy' Period: ~'~~I~~~~~~ :~;: il~~~~J~' ~\ !ih2/:aod~;eJ!~~dt.~~ 1~~:~e~I~I~11et~():~ From:
1
~ISiOr
JUL 23 ISa2
INSURANCE COMPANY
SYRACUSE N-EW YORK 13201
CITY cLEB
3.
The Named Insured is: KJ Individual
o Qther (Spe~ify)
Mortgagee's Name and Address None
Location of premises: Same
5. Business of the Named Insured Barber & Beauty Shop
6. In Consideration of the premium Insurance is provided the named insured with respect to those premises described in the Schedule bel~wand with
respect to those coverages and kinds of property for which a specific l.imit of liability is, shown, subject to all of the terms of this policy including
forms and endorsements made a part hereof:
SCHEDULE~SECTlON I~BUILDING, BUSINESS PERSONAL PROPERTY,LOSS OF INCOME, tt MONEY & SECURITIES
DesCribed Premises
Cov, A-Building(s) Replacement Cost 0 ACU 0
Fire ~~$istive including reinfo+ced concrete structural frame
with 1Tlasonr floors and roof slEibs.'
COy. B~Business
Personal Property
Persol]al Property
Automatic Increase in Insurance. Coverage A-Building(s) shall be automatically increased by 2% or %,
whiche~er is greater at the end of each period of three months after the inception date of the policy.
Cov; C-Lossof Income Actual Loss Sustained, Not exceeding 12 Consecutive Months.
Cov, D-Money and' Securities "NOT APPUCABLE FOR
ST A~pARDPOLl~Y"
SCHEDULE-SECTION II COMPREHENSIVE BUSINESS . liABILITY COVERAGE
o Partnership
o Corporation
Limits i)f Liability
'f-
$
$
$
$
$ 7,000.00
$
On Premises~ $10,000
Off Premises'- $ 2.000
Cov, E~Business Liabilit~
The limit of liability with respect to the completed operations
gate limit for all occurrences during the policy period.
fire Ugai Llabilit~
Cov. F-Medical Payments
and products hazards combined is an aggre-
Limits of Liability
$ 1,000,000.00
occurrence
$50,000 each occurrence
$1,000 each person
$10,000 each accident
7. Optional Coverages: The following optional coverages are afforded under this policy only when llesignatedbyan "X" in the box(es) shown below.
Limits' of Liability
$5,000 each occurrence
$
8. Policy forms and endorsements
attached at inception, if any:
x
Included under Coverage A or Coverage B
Beauticians and Barbers
$ 100/300/250.
.-...
, Authorized Agent
9.
tt NOT APPLICABLE FQR STANDARD POLICY.
Form No, B0700-1D Rev, 1/82
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,4." ,",,-:
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1 ..JACK RANSOM AGE::NCY
CLEARWATER MARINA
71-75 CAUSEWAY BOULEVARD
CLEARWATER, FLORIDA 33515
UH~:) 446-1365
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..,1111' Y 21 1 9::::~~'
ANNCILINC:EME=--NT
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FFFECTTVE AUGUST 1, 1982, OUR AGENCY IS MERGING WITH BURKF-LE.IMAN
INSURANCE. INC., THEIR LOCATION BEING 2348-8 SUNSET POINT ROAD,
CLEARWATER. FLORIDA 33515.
THE PRESIDENT, RANDY BURKE, HAS BEEN A GOOD FRIEND FOR MANY YEARS,
A MAN OF INTEGRITY WITH ENTHUSIASM AND KNOWLEDGE OF THE INSURANCE
BUSINESS. HE OFFERS EXPERIENCE, EFFICIENCY AND PERSONAL SERVICE
AS WELL AS A COMPETENT STAFF.
J AM EXTREMELY PLEASED TO ADD THAT ESTHER WOODARD, MY LONG TIME
~::ECr\(Tt~RY. WILL BECCrME AN EMPLOYEE OF THE I R AGENCY AND WILL
CONTINIJE TO HANDLE YOUR ACCOUNT, THU:3 ASSISTING IN A SMOOTH
TRANSITIONAL PERIOD. PLEASE ASK FOR HER WHEN YOU CALL BURKE ,LEHMAN
(~T 7'~'9 19/~.:~:. OF COURSE, I WILL BE AVAIl.ABLE IF THE NEED ARI:::;ES.
WITH A VeRY FEW EXCEPTIONS, YOUR POLICIES WILL REMAIN IN THE SAME
COMPANY AS CURRENTLY WRITTEN.
IT IS MY ~INCFRE ~~OPF THIS MERGER WILL PROVIDE A FURTHFR FXTFNSTON
OF THE HAPPY RELATION~a..tIP WITH OUR CL.IENT::;:; WE HAVE :30 MUC:H EN.II,),(f7D.
L.ETMF TAKE THIS OPPORTUNITY TO THANK FACHANn EVERYONE FOR YOtJR
BUStNESS, YOUR REFERENCES AND THE OPPORTUNITY TO BE OF SERVICE IN
THE PA::;:T.