CERTIFICATE OF INSURANCE (5)
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~RTIFICAT~ OF ~ANCE OBJ1^~QD
r PRDDDCER------- -------- a .--------------------r--TRIS.C[RTrFie~TE-!9.!IIOen_~S-A~ATTE._nF-I~FDRRATID.-nRrv_ARU.~---r
: Real Insurors, 1m:. ; COllFERS NO 116HTS UPOII THE CERllFlCATE HOlIlEa. THIS CERTIFICATE :
: : DOES NOT ~"ElD. ElTIftD DR ALIE~ THE C~~ERABE AFFORDfD BY THE :
: 5005 W. Laurel Street, SW 214l POlitiES BELOI!: :
; ~~ -~36 1-..........cQi.tPAN"iES--AFFoRii-i;e..COVERABE--------u....--1
~ PHOlIlB13-2BS-1000 I I
;..........------------------...........-ft.-----------l---...........-..-..--------------------...........P--------------~..-.._--:
i INSURED I COI'IPANY LETTER A South&rn-owners 1 n5. Co. I
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: CleArwater Gaotette It Beach I COI\PANY LETTER B I
\ V ievs In c 1---------............. ........-------------....... ....-.------------.-.....1
25 Causeway Blvd 1 CDIIPAMY LETtER C :
Cl earwateY', FL : .........------------ __u....... ........- ----------..... ....... ------------1
33767 -2064 I ~nI'lP~MY LETTER D I
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l COI\PANY LETTn E I
} CDVI~~&ES <......,......,,------.....................-------..1.1'........-------------...........-----------.-...........,----.
THiS IS TO C,R11F~ 1HAT pOliciES OF l~, LISTED-8ElD~-~~VE BEiN.i5suED-To-iHE.iNiuRiD."AftID-iBOVI-FOR.iHE.p~LiCy--------i
PERlDD INDICATED. N01WI1~Sl~NDINS ANY REQUIREMENT TER" OR ~GNDITION Qf ~NY CONTRACT OR DTKER DOCU"ERT WITH RESPECT TO, :
WHICH THiS CERTIFICATE MA~ BE 15S~ED OR ftAV PERT~IMi THE INBUR'N~E AFFDRnED BY THE POLICIES DESCRIBED MIKEll IS SU2;ECT TO I
: ALL TEaRS! EIClU5IO"S, AND CO~DITIONS OF SUCH PDlle ES. llKITB ~N KAY HAVE BEEN IEDUCEI BY PAID Cl~IftS. :
I.....~..--~-------------_............P-_._--------_.-.-------------.--.-...-.-..........~----------..........----------..........:
: co: TYPE OF INSURANCE POLICY NUftBER POlICY EFF : POLICY EXP l llftITS I
:LTR: I I D~T~ : DATE : :
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I GENERAL LIABILITY 1 :GEIlERAL AG6RE6AU : 300000 I
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A:t)Q CDIIKERC!Al bEl laBIlITY 20~972 '974612: 08/11/98 1 OB/ll/'9'9:PRDD.COftP/OP ~GS. : 300000:
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It) CLI\IllS mE IX) Dec. I: Ims. ~ m. HUURY; :
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:c ] OllNERS'S II CONTRACTOR'S : I :E~CH llct\lRRENCE : 300000 ~
; PR~TECTlvE ; I 1-..----------......:-....------...:
1 ; t ;FIRE DA"~6E: 1
a 1 : : mM~ ONE FIRE) I 5()OOO I
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It 1 : l I!lED. HPENSE I :
I ~ ; 1 : (~NY ONE PERSON) I 5000 ~
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I AUTOMOBILE LIAS :~IIB. SINGLE mn I :
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It 1 ~NY AUTO :MDIl Y IMJURV I 1
It ] ^LL DlINED ~UTQS mER PERSON): i
: [ ] SCHEDULED Auns : ..__________.......1______________:
It ) HIRED AllTDS lBODIL V INJURY: :
It 1 MIlII-QlIRED ttUTOS : <PER ACCIDEKTl: :
It 18AR~6E liABIliTY ;..m_____---------:----m-------I
: [ ] I : PROPERTY DAIlA6E: :
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: EXCESS LIABILITY : :: :tACH 0CClJRR9ICE 1 :
Ie 1 U~IRELlA FD~ I :: :.....--------......:.--.-------...:
. a 1 OTHER THAN U"BREUA FDRIl : :: : ASGRE6Alt :
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; : : : : :SmUTORV LIl'IlTSI
I ; WORKERS. COMP : lEACH ACCIDENT \
I : AND; I :UISIASE-PDl. mn I
I : EMPLOYERS' LIAB I I \ :nlSE.ASE-EACI\ EIIP. : :
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: : OTHER : :: : :
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: D~SCRlPllD" DF OPERAlIONS/LCCATIONSJVEHIClESJSPECIAL ITE~S I
Ce~t1f1cat8 Holder i~ Additional Insured. :
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> CERTIFICttTE HOLDER (:::::::::::::;;=:::::.:::::...:) CANCELLATION <========.......1....<====........========.:::::::::.;:=:1::=:
: SHOULD AMY OF THE ft!OYE DESCRrBED POLICIES DE CAICEllED BEFORE lHI E'. I
Cl earwt1ater Huni l:: i~l ....T i na : PIRATlllN DATE THEREOF. T~E ISSUING C1IIIPAMY II1ll EJlDrAVOR TD IIAll 10 I
Catherine, F. 462-6957 : DAYS IIRIlTEM IIITlCE TD THE CUTmcATt HDlbER MAllO io THE LEnI BUT :
25 CaU!!Il!way Blvd : ~AIlURE 10 "All SUCH NDTICE SKAlL I"~aSE MD D1lLlSAT!OM DR LiAtlLIlY OF :
l Clearwatl!r, FL : ANY 1:1181 UPON 1M! COI'IPANY, ITS ttBEMTS QR mmmmYES. :
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i_'CORD "~oS (7f9"___________________--____________--:.:~~~~-------------------------_________1
lOO'd [lHlSHl8:131 SHO~nS\: lV3~ a:Ol (NOWI86 .01- 'n~v