CERTIFICATE OF INSURANCE
..._....._,...,...__......-.........-.....-.... '. ...... -.... ....~.... .. ..... ...... .......... . '.' ......... .........-.....-.... ._........_.._._~. . ,r .............- -_.,.._._,_.,.,......... '.'. ....... ..__....._. ._;
~D.tlll..._lICm'lEOF"INSURANCE.-r/ ISSUE DATE (MM/DD/YY)
, P~O~UCER ......! THIS CERTIFICATE' is' ISSUED AS' A MAtTER 'OF iNFOFfMAtIVN76.~ry AND
. I CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
i DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
~~~ICIE,~~~~.Q~.~.._._,..._
COMPANIES AFFORDING COVERAGE
· Rankin & Rankin
405 S Duncan Avenue
Clearwater, Fl 34615
COMPANY A
LETTER
Cigna Insurance Company
INSURED
f~~~~NY B
Guaranty National Ins Co
Head Start Child Development &
Family Services, Inc
12351 134th Street North
largo, Fl 34640
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
COYERAGES'~'-"-'.__." '..." '-" .._..,,_.__.~:.~~~~::=--:..--:":_._..m .., ...-.,-. _, ..~ . ....'..-_.__.~... .-
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 RESPECT TO WHICH THIS
CERTIFICATE MAY 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MM/DD/YY)
LIMITS
GENERAL LIABILITY
"' ..' "O-.......""~~..."'-.~,-"..~.."'~_-"',...'u_,.'_." ..'"...,__-.."........"...__~____"..__~_,._~~_"'___..._,-....._....,~,'" ,-,,~.~...~u. __"
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR. INPD23653564
OWNER'S & CONTRACTOR'S PROTo
1/1/93
1/1/94
GENERAL AGGREGATE $ 2 ,000,000
PRODUCTS.COMP/OP AGG. $ 2 ,000 ,000
PERSONAL & ADV. INJURY $ 1 ,000,000
EACH OCCURRENCE $ 1 ,000 , 000
FIRE DAMAGE (Anyone tire) $ 50 , 000
MED. EXPENSE (Anyone person) $ 5. 000 _
fl~~:INED SINGLE $ 300,000
B
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
X SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
GARAGE LIABILITY
BA 1776969
7/27/92
7/27/93
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE $
EXCESS LIABILITY
UMBBELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE $
--AGGREGATE--' - - -' - --'-$ - -
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
,
I
"','--'-' ",-_ 'c' ~~,__.._.~ ,.
STATUTORY LIMITS
EACH ACCIDENT $
DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
~
City of Clearwater Additional Insured for:
701 North Missouri, Clearwater
.,
. CERfiFICA"Ti-HOLDEir--'-.'"'-'-.--'-'---'---"-'- -.'.CANC"ELLATION
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 SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
City of Clearwater
P.O. Box 4748
Clearwater, Fl 34618
Attn: Risk Manager
RECEIVED
MAR 3 1 1993
!
I ACQflo.a..S (7/80)
CITY CLE~.I)E".
AUTHORIZED REPRESENTATIVE
30 0 o~ €" ~._..~~~~~.~o..~P.Q~~:r.~~_~_189~