EVIDENCE OF PROPERTY INSURANCE
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C[e:J~Wa.tE'< dfou1.ing o1Uthl~ity
P,O, BOX 960
210 EWING AVENUE
CLEARWATER. FLORIDA 34617
PH: (813) 461-5777 - FAX 446-3462
RECEIVED
SEP 11 1996
CITY CLERK DEPT.
September 10, 1996
To:
From:
Copy:
Subject:
Sue Stephenson, City Clerk's OfficeQ"
Deborah Vincent, Executive Directo ,.t
File
Fulton Apartments
Denise Wilson of the City Manager's office requested that I send you evidence of
insurance for Fulton Apartments. If you have any questions or require further
information, please do not hesitate to contact my office.
DV:jj
enc
Serving many of Clearwater's finest families
BARBEE TOWERS - 1100 Druid Road East - Tel. 446-1045 · RICHARDS TOWER - 211 South Prospect Ave, - Tel. 461-5777
CONDON GARDENS APARTMENTS - 2990 Tanglewood Dr.. So, - Tel. 797-7700 · CHESAPEAKE VILLAS - 3001 Chesapeake St. - Tel. 797-7700
HOMER VILLAS - 1884 N, Betty Lane - Tel. 461-9434 · FULTON APARTMENTS -1610 Fulton Avenue - Tel. 461-9434
THE HAMPTON - 1099 McMullen Booth Rood - Tel. 726-8861/9_0 ~~ '?' (') (2)
/ ,.
" ~ E ENCE OF PROPERTY INS NCE
THIS IS EVIDENCE THAT INS~~ AS IDENTIFIED HAS BEEN ISSUE~ IN FORCE, Al.'ID CONVEYS All THE
/ ::liGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY.
. 527 Policy Number: 527/KTJ660251T5194-96
;ue Date: 3/14/96 Effective Date: 04/01/96 Expiration Date: 04/01/99
Company: The Travelers Indemnity Company of Illinois
Insured: Clearwater Housing Authority
Address: P.O. Box 960
Clearwater FL
34617
PROPERTY INFORMATION
Location Description: See Attached Schedule of Locations
COVERAGE INFORMATION
Coverage/Perils/Forms: All Risk Excluding Flood, Earthquake and Boiler and
Machinery
Amount of Insurance:
$26029000.00
Deductible:
$2500.00
CA.J.'lCELLATION
THE POLICY IS SUBJECT TO THE PREMIUMS, FOR.'J:S, AJ.'ID RULES IN EFFECT FOR EACH POLICY PERIOD.
SHOULD THE POLICY BE TER..'fiNATED, THE COMPAL'lY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED
~.~ -v 30 DAYS WRITT&~ NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT
~;\ J AFFECT THAT INTEREST, IN ACCORDAL'iCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW.
AUTHORIZED REPRESENTATIVE
C/f)~ ~~
ADDITIONAL INTEREST:
Department of Housing and Urban Development
[ l'::Mortgagee
[ ] Loss Payee
[ ] Additional Insured
PRODUCER:
Housing Insurance Services, Inc.
P.O. Box 189
C'e, CT 06410
(203) 272-8220
(203) 271-2265 - FAX
Codlmercial Liability Declarations
Policy No,
10-0249-96-00-000-0
Name of Insured:
Clearwater Housing Authority
P.O. Box 960
Clearwater, FL 34617
General Aggregate:
Policy Effective:
Policy Expiration:
$2,000,000 each Policy Year
6/01/96
4/01/97
ALL COVERAGES
General Liabilitv
Coverage A: Bodily Injury Coverage and Property Damage Liability
Coverage B: Personal Injury and Advertising Liability
Limits of Coverage
Per Occurrence:
Aggregate:
$1,000,000
$2,000,000
Sub limits
Fire Damage Liability:
Athletic Sports Liability:
$50,000
$250,000 per occurrence
$250,000 annual aggregate
Deductible:
$0
Coverage C: Law Enforcement Liability (Claims-Made)
Limits of Coverage
Per Wrongful Act:
Aggregate:
$nla
$nla
Retroactive Date:
Deductible:
$nla
Coverage D: Public Official's Errors and Omissions (Claims-Made)
Limits of Coverage
Per Wrongful Act:
Aggregate:
$1,000,000
$1,000,000
Effective Date:
Limited Retro Date:
6/01/96
10/15/90
Deductible:
$1,000
(portions Copyright Insurance Services Office, Inc,)
527 Clearwater Housing Authority FL
~===----==============--=-Jl--
Coverage E: Excess Automobile Liability
.-------------------
-----------------
Limits of Coverage
Per Occurrence:
Aggregate:
$nla
$nla
Self-Insured RetentionlMinimum Underlying Limit:
$nla
Coverage F: Non-Qwned & Hired Automobile Liability
Limits of Coverage
Per Occurrence:
Aggregate:
$nla
$nla
Deductible:
$nla
Coverage G: Employee Benefit Liability (Claims-Made)
Limits of Coverage
Per Claim:
Aggregate:
$nla
$nla
Retroactive Date:
Deductible:
$nla
Coverage H: Lead Based Paint Liability (Claims-Made)
Limits of Coverage
Per Occurrence:
Aggregate:
$nla
$nla
Retroactive Date:
Deductible:
$
The premium shown in the Declarations was computed based on rates in effect at the time the policy was
issued. On each renewal, continuation, or anniversary of the effective date of the policy, we will compute
the premium in accordance with our rates and rules then in effect.
a ';j /~(' .fL~
~~/-~'~I
Housing Authority Risk Retention Group, Inc.
Mav 1. 1996
Date
527 Clearwater Housing Authority FL
Project
Loc.No. NUItler
I
,
SCHEDULE OF LOCATIONS
FOR
Clearwater Housing Authority
This schedule is for premium computation purposes only
and does not limit the Blanket coverage
-------------- ------------------------- -------------- ------------- --------------
Name of Property
Building
Values
Rental
Income
Contents
Value
2151 FL 75-01A Barbee Towers 3,668,000 90,000 165,000.00
2152 FL 75-018 Condon Gardens 8,483,000 209 ,000 225,000.00
2153 FL 75-01 Fulton Apartments 516,000 30,000
2154 FL 75-02 Homer Vi llas 2,127,000 40,000 110,000.00
2155 FL 75-03 Ralph Richards 1,815,000 81,000 60,000.00
2156 FL 75-04 Chesapeake Villas 1,296,000 40,000 50,000.00
2157 Levison Comm. Center 1,707,000 50,000
2158 Sabal Walk 4,800,000
3455 Kings Highway Condominium 1,077,000
-------------- ------------- --------------
25,489,000 540,000 610,000.00
I Af~ftlllt.~E)ENce, .1~EIjniNi, INSli.l~~;;;;-~."~
~.'t r :1 t m.__fi~'&...'t.t.1.fi>>. ~(:t1dt'~~~ H~W$~~~;,;;;~t.."J'JIl.\i~Mi:~i~~~~~~af>>:~~:"'"",; .,,~~.-IolJi,~~x..~~~~~ .",:;xt ~~~."*-~--"""""~-~'"-.-'".*~---
. THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL
THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY.
PRODUCER'-------------------------------......-..--'--'--'---:-COMPANy--'-------------'---'--------'----'---'------
lousing Insurance Services
P.o. Box 189
Cheshire. CT 06410
The Travelers Indemnity Company of Dll1nois
CODE SU~DE
INSUREO------------ -T'LOANN'UMBER------..---ypOLIC"y"NUMBER
Clearwater HOusing Authority
210 1Iw1ng Street
P.O. Box 960
~JND218T529-3-92
. EFFECTIVE -OA TE (MM/DDIYY) --'-expiRATioN'OATE(Mwo6iYvj---"--."-,'coJlil',"OiiiTiC---
05/91/92 3/3U95 ~E~~~~~1i9---
fHiSREPLACESPRioR.E\iioENCliDATEo:
tOCA TIONJDESCRIPTlON
Fulton Street Apartments
1620 Fulton Street
Clearwater, Florida
COVERAGE/PERILS/FORMS
516.000
2.500
COVERAGEINFORMAnON
All risk replacement cost alreed amount excluding flood.
earthquake, and bAiler and 1IUlchinery
!1-!~!M.l~~~~~n:U;tL:1~~;Zt~~.:i:;:ft~:;?;,..i't:2:~~~f'<jfA~~i::2i~;{~ii,::.;::':;,~,,-,".."~;t4jl;j'~!i:i:k&;i}jfii~li;\~I;;1:,.
City of Clearirater i8 tUmed a.'-~,aclditioanl 1nsUTed as re,pects Fulton Street
Apart1ieDts only
~~~~TIQ~~&;ili;J-':;IL' ., (";J~.n'-:";&:J.~2t:j.C::::;''''''~~...;..c.,;;..,....i.i~;..
THE POLICY IS SUBJECT TO THE RFtEMIUMS"FO,RMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD
THE POLICY BE TERMINATED, THE:COMPAN'Y WILL-GIVE,THEADDITIONAL INTEREST IDENTIFIED BELOW_
WRITTEN NOTICE, AND WILL SEND NQTIFICA TION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT
INTEREST, IN ACCORDANCE WITH THE PQUCY:PROVISIONS OR AS REQUIRED BYLAW,
ADDITIONAL.INTEREST.
NAME AND ADDRESS
NATURE OF INTEREST
MORTGAGEE
x · ADDITIONAL INSURED
City of Clearwater
P.o. Box 4748
Clearwater. Slorida 34618
'.~ ~llio ~~
.lo ~ ~~ ~~~.
...-..
,i- "J
LOSS PAYEE
(OTHER)
SIGNATURI70F AUTHORIZED AGENT OF COMPANY
.
, ,
.----'
ACORD 27 (2188)
<Cl ACORDCORP()RA"I"I()N1988