EVIDENCE OF PROPERTY INSURANCE (2)
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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.
727-796-6666
COMPANY
lODUCER
Acardia Southeast, Inc.
PO Box 31666
Tampa, FL 33631-3666
ZURICH AMERICAN
DOE: 09-103150
3~~g~ER 10 #: PER54440
lSUREO
SUB CODE:
THIS REPLACES PRIOR EVIDENCE DATED:
1 0103/03
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OCATION/OESCRIPTION . ,
1 111 MCMULLEN BOOTH RD (RUTH ECKERD HALL)
CLEARWATER FL 34619
PACT, IhC., Performing Arts
Center Foundation, Inc.
1111 McMullen Booth Road
Clearwater FL 33759-
EFFECTIVE DATE
10101/03
EXPIRATION DATE
10101/04
CONTINUED UNTIL
TERMINATED IF CHECKED
LOAN NUMBER
POLICY NUMBER
CP0278060500
.....
....
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COVERAGE/PERilS/FORMS
AMOUNT OF INSURANCE
DEDUCTIBLE
BUILDING - ALL STRUCTURES
BUILDING WIND & HAIL DEDUCTIBLE, MIN 25,000
CONTENTS - ALL STRUCTURES
CONTENTS WIND & HAIL DEDUCTIBLE, MIN 25,000
245l2S000
5000
2%
1226000
5000
2%
FLOOD
5000
5000000
50000
SPECIAL FORM
REPLACEMENT COST
AGREED AMOUNT
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CITY IS ADDITIONAL INSURED AS OWNER/LESSOR OF PREMISES
. 1 0 DAYS NOTICE OF CANCELLATION APPLIES FOR NON PAYMENT. .
CITY OF CLEARWATER
A TTN: LEO SCHRADER, RISK MGMT
POBOX 4748
CLEARWATER FL 33758-4748
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AUTHORIZED REPRESENTATIVE
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