CERTIFICATE OF INSURANCE FOR 06-03-1998-06-03-1999
./
~ROM . CLEARWATER MUNI
. CIPAL MARINAl PHONE NO. : 8134626954 ,. " .......... . Aug. 20 1998 11 : 17AM P2
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, ACORD .<ClEB0GIEI. ~';EU!t~1 'BI- < : ~<:'I SU .. .:1\1 .::::ce.ps:.::.:w.:....
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l'RODUCEI'I THIS CERTIFICAU '"liED AS A MATTER OF INFORMATION
Mut.ual Insurance Agency ONLY AND CONFERS NO fliGHTS UPON THE CERTIFICATE
of clearwa~er, Ine . HOLDER. THIS CERTIFICATE POES NOT AMEND. EXTEND OR
P.o. BOx 1779 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
C1earwat.er n. 33757-1779 coMPANIeS A~O"DIIIIQ COV&RAGE
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John GIlY COMPANY
B 13-442-97.51 A Aut.o Own'lllrll
J"t- No. A13-44.~-606<l Jilllll No -...,.. ,.
lNSUI'ED OQMPANY
B
Marina Dent.al 5 Dentu~. COMPANY ,.
Clinic, p .A. c
25 Causeway Blvd. , St.e . 20 COMPANY
Clearwater FL 3.630 D
1111$ IS TO ceFmFY THAT THE pOLICies OF INSURANCE U81'ED BELOW HAVE BEEN ISSUED TO 1118 INSURED NAMI!O ABOVE FOR llil! POLICY PliiRlOD
INDIOATED. NOlWmcSTANDING ANY REQUIREMENT. TERM OR CONDmON oF ANY CONTRACT OR OlliER DOCUMENT WITH RESPeCT TO WHICH 1111$
CERTlI'ICA TE MAY fiE ISSUED 01\ MAY PeRTAIN, nte INsuRANCE AJIFOR[)eD BY THE POLlCE$ DESCRIBED HER&lN 15 SUBJECT TO All THE TERMS.
EXCLUSIONS AND cONDITIONS OF SUCH POLICIES. LIMn'S SHOWN MAV HAVE BEEN AEDUCEO BY PAlO CLAIMS.
co TYPE OF IH8URANCE POUCT ...-. IIOUCY EJ'FlIlImVE POLlGY EXPlAAl10N UMITS
L'm DATI! CMMIDDJYYJ DATE IMI\IIIDDIY'tI
~1lRAL UABlUTY GeN!IIAl AGOIIE13AT! S 1000000
A X COMMERCIAL GENERAL UAIlIUTY 92-178132-00 06/03/98 06/03/" PRODUCTS. OOMI'IOP AGG .
.iI :=J CLAIMS MADE [!] OCC\IfI PERllONAL & ADV INJURY S 1000000
OWNEII'$ 41 CONTftAo1'Oll'll PilOT EACH OCCUI\I\ENOE . 1000000
-
RIlE DAMAGE (An, _It,el . 50000
MED EXP 1M>( _ ""roan) . 50DD
~MOBlLl"'ABIUTY COM8IN~ BINl3L~ LIMIT .
- ~Y AUTO
-
- AlL OWNED AUTOS BO\JlLV INJ URY
$
SCHEDULED AUTOS lPer penanl
-
HIReD AUTOS BODILY INJuRY
- IPw..,Gi_1 .
NON-OWNED AUTOS
-
P1\O!'~TV OAMACE .
QARACi UAIIlUTY AUTO ONLY. EA ACCIDENT $
....,.;;
- ANY AUTD OTHER THAN AUTO ONLY:
EACH ACCIDENT ,
AGGREIiA TIi .
iXCllS$ UABlUTY EACH OCCURRENCE $
~ UMBRELlA fOl\M AGGI\EI.ll\TI! .
OTH!R THAllI UMIlAaJ.A FQRM .
WORI(gu: COMPENSATION AND IfC STA . I /01:' ~~~:\~!;hi~~i:(;~~~r;::;j:::~r~m{:;(~::~~~~:~~l~
,.P .l!'41'!,Q~: .!JAIIIWY . .,,, - .. .".. .... ,~ .. -.., .' .. .. .. . .. 'E~J;ACI~AeCIOENT'.'.h - ~._.~. .. --'--
THE 1"1\01"111"011I R'NCL EL DISEA5~ . I'OUCY UMIT $
PAATNERIIEXECllTlIJE
O~F1CERS AIlE:. EXa. I!\. l)ISEASE . EA EMPLOVEE S
OTH~
A Personal Prop. repl . cost. SO ,000 .
1l_I'lION OF Opt;RAnaN&MC~nONllIV&MCLIiIII8O'ECIAlITw.
AdcU:ti.onal insured: Ci.-ty of Clearwater I
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CI!rl010 ~UlJ) lIMY OP THI! MOW IIEICAIIIEI) POUllIlIS BE CANCEI.UiD IlIIIORE THE
Ul'lAATION DATIl YHI!RBlf. TtII! ISAllING O_PANY W1lJ. ENDEAVOR '0 MAIL
cit.y of Clearwat.er ..!2..l>AY$ _TnN NOTICE TO THE CERTIRCATli HOLDER NAMIiD TO TlIr LIFT.
TO _'UOH ND'IICE .HALL Il\lP08E NO DBUGATION OR ulllilUTY
Barbontaaterlll Oflic. ~ < (J#~N
25 Causeway B1vd. THE CQtoIIPANY.ITI A~TS OR REl'RE$ENTATIVES.
clearwatezo ll'L 34630 );; ~ TATlYI!
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