CERITFICATE OF LIABILITY INSURANCE
A CORD~':I:iili:I~IIII' il:I:::::IIII'i'IIII':::'j:I:I:I:II"" ~'......:.:.:.'.::.:.'..I.:..'..':.:.::.':.':.:.:.:.:.':.:.':.:.:.i.:.':.::.::.::.':.:,.:i.:.':.:.':.':.':.';.:.:,.i,.:,.:,.:..:.'..::.':.'....:.::.':.:,.':.::.':.::.:.':.:.:.::.::.::.':.:.':.::.:i.:.::.:;.::.::.':.::.::.::.::.':.:,.':.':.':.i:.,.::.:.::.:.::.:.::.::.::.::.'.':.':,:.:.:.:.0.......2;;~Eo.i7;i;;Do..D/YV)1 :.
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THIS CERTIFICATE IS ISSUED 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
PRODUCER
Long & Company Inc
29190 U S Hwy 19 N
POBox 14958
Clearwater
(727) 789-1488
INSURED
FL 33766-4958
( )
COMPANY
A ESSEX INSURANCE COMPANY
Clearwater Neighborhood Housing Ser
COMPANY
B
608 No Garden Ave
Clearwater
(727) 42-4155
COMPANY
C
FL 33755-
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 REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTOWHICH THIS
CERTIFICATE MAY BE ISSUED OR MAVPEilTAIN;'fHeINSURANC1:At=FOADED BYTHEPOUCIES DESCRIBED HEREIN ISSUBJ!:CT 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
POUCY EFFECTIVE POUCY EXPIRATION
DATE (MMIDD/YV) DATE (MM/DD/YV)
LIMITS
A GENERAL LIABILITY
Y COMMERCIAL GENERAL LIABILITY 3 AP 3 0 9 8
CLAIMS MADE [Y] OCCUR
OWNER'S & CONTRACTOR'S PROT
05/01/00 05/01/01
GENERAL AGGREGATE
PRODUCTS. COMP/OP AGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone person)
$1,000,000
$1,000,000
$1,000,000
$1,000,000
$ 50,000
$ EXCLUDE
AUTOMOBILE LIABILITY
ANY AUTO
All OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-DWNED AUTOS
/ /
/
/
COMBINED SINGLE LIMIT
$
BODilY INJURY
(Per person)
$
BODilY INJURY
(Per accident)
$
PROPERTY DAMAGE $
GARAGE LIABILITY
ANY AUTO
/
/
/
/
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE
EACH OCCURRENCE
AGGREGATE
/ /
/ /
EXCESS LIABILITY
UMBRELLA f"ORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
f--j
j_u_/
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
$
$
$
FiECE1VED
DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLES/sPECIAL ITEMS
CITY OF CLEARWATER INCLUDED AS ADDITIONAL INSURED
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RISI( hnf-\:hAGEMENT
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CITY OF CLEARWATER
100 SOUTH MYRTLE AVE.
Clearwater FL 33756
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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 POSE NO OBLIGATION OR LIABILITY
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