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CERTIFICATE OF INSURANCE (7) "'('~~\'.iiiiliii.:.~,'",,, -- ". .................. .... ......................... ...................... ................... ................. DATE (MMIDD/YY) PRODUCER Poe & Brown, Inc. P.O. Box 1229 Tampa, FL 33601-1229 226-1300 TfiS CERTIFlCA TE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCA TE HOLDER. TfiS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ::::::;::;:{{;~ 03/31/99 INSURED COMPANY A St. Paul Fire & Marine Ins Co COMPANY COMPANIES AFFORDING COVERAGE Clearwater Golf Park, Inc. 1875 Airport Drive Clearwater FL 33515 B COMPANY c COMPANY D TfiS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WfiCH TfiS CERTIFICATE MA Y 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 MA Y HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFF, POLICY EXP. LTR LIMITS DATE IMMIDDIYY) DATE IMMIDDIYY) GENERAL LIABILITY GENERAL AGGREGATE A COMM. GENERAL LIABILITY CK00903267 4/01/99 4/01/00 PROD-COMP/OP AGG. CLAIMS MADE flL]OCCUR PERS. & ADV. INJURY OWNER'S & CONTRACT'S PROT EACH OCCURRENCE o 000 FlRE DAMAGE(One Fire) MED EXP(Any one person) 5000 AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) fiRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS' LIABILITY ------~----_.-._-- -, '--- - E>teft AeeiDENT--- _____ THE PROPRIETORI INCL PARTNERSIEXECUTIVE DISEASE-POLICY LIMIT OFFICERS ARE: EXCL DISEASE-EACH EMPL. OTHER A CK00903267 4/01/99 4/01/00 BUILDING SPECIAL PERILS ACORO:tS;S/:'!.tl\ ............................... ................................ ............................... ............................... ............................... ................................ ............................................................... ................... .................... .................... .................... ..................... .................... ................... .................... .................. .................. C tv C~ DESCRIPTION OF OPERA TlONSILOCA TIONSIVEfiCLES/SPECIAL ITEMS Certificate Holder is Additional Interest (42105) as respects Lease Agreement for 1875 Airport Road, Clearwater, FL 34625 / >i' U 1 ' J,-.; -;. CITY OF CLEARWATER ATTN: LEO SCHRADER, RISK MGR. P. O. BOX 4748 CLEARWATER, FL 34618-4748 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFf, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE Cc - f~!