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CERTIFICATE OF INSURANCE FOR 06/09/1995-06/03/1996 '--"'-"-_._-~---'-----'--,-, .- I'ROl;ll,JCKK Mutual Insut~ncc of Clearwater P.O. Box 1779 Clearwater. FL 34617 John Gay 813-446-6064 Aco~I~.IiIll\__.ill~ll'~~~~:~""" TRIS CERllPTCATE IS ISSUED AS ~ M^,.l"r~R OF INFORMATION ONLY AND CONFERS NO RIGHTS urON THE CERTIFICATE IIOLDlm. 'l'ms CERnnCATE DOES NOT AMEND. EXTEND OR At::rER TilE COVERAGE ^l"FOROEOBY mE 'POLICIES BELOW.. Agel'lcy COMPANIES AFFORDING COVERAGE INIlUlll'.D Marina Dental & Denture Clinic. P.A. 25 C8u~eway Blvd., $te. 20 cL~arwat~r, FL 34630 COMPANY A Auto Owners u:rrF.R COMPANY R LFITBR COMPAN\' C LE'ITER eOMPAN\. D Le:rn!k COMPANY E LEI'n!K HilS IS TO CEnnFY THAT nIE POUCIES OF INSURANCE USlED BELOW HAVE BEEN ISSUED TO l1IE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED, NOTWITI1STANDING ANY REQUIREMENT. TERM OR CONDmON Of ,\Ny CONl'RI\CT OR 01Hll.R OOCUl'-1BNT 'hUH F.&PBCT TO WHICH lHIS CERTIBCATU MA.Y Ill} .ISSUI,I~ OR MAY PERTAIN, HIE INSURANCE AFFORDED BY nm POUCIES DESCPJBED HERElN IS SDB1ECT T<;) Al.L THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POUClES. U~nTS SHOWN MAY lLWIl BEBN REDUCED BY PAID CLAIMS, co : LTK: TIil'E or INSURANCE POLICY NUMBER ; WlLlCY RIlFECTIVIli' POLICY aXPIRA'tlON : DATE(MMlDDI\'Y) . PATII: lW>fIDD/n) LIMITS : GENERAL LlADILm' A )(. COMMBRCLA,L GENBRAL llAllILTTY CLArM~ M AOr.: X : (x',ClJR, ' . OWNER'S.t CONTRACTOR'S PROT, 92-178132-00 06/03/95 06/03/96 :GENBRAL AGGllEGATIl ;PROL>UCTs.c:OMl'i'Ol' AOO. ~, " : PERSONAL '" ADv, INlUP.Y AvrOMOBILE L1ABILrrY 1000000 .,,, .............. EAClI OCCUlUUlNCIl i $ 1000000 , ........"....,,'.. ~lll.r, I>AM~(;il(^,\Y '~~ r.",) : $ 50000 : MED. EXFENSE (Any"", pmno..,) ; $ 5000 ANY AUIU COMOlNED SINGLE : I.IMIT !$ AJ.l..1.1WN~:rl Aln()~ Sc:'HF.nUl .F:n Auro.'; : BODILY INIURY i'~!~l'too) $ HlIl.ED A VTO~ NON-OWNED AUTOS . GARAGE LL'JIILTTY ; nOll)!.. Y INJURY : (pe-r Gooident) :$ . I>ROJ>TItTY UAAIAGIO : EACU OCCURRENCE ; $ . UMBREI..LA fORM OTHER THAN UlmREllA FORM . AGGRECATE WOIU(KR'S COMI'KNSA.('ION : S-fATtilORY LIMn'S AM> lOA(:H Al:(:IUI;1H JiMPlO\'KR.'I'LIABlLlTY D1SEASIl...POLlCY LIMIT . DISEASE-EACH l'./vlPLOYF.F. OTIIIlR D&BCRlI'IION OF OPERATIONSILOCATIOMlIVBHICl..ll!!/!;lI'ECIAL ll'ltM!! City of Clearwatet ill h~mcd as add'l ;nsur~d. q~):(:rl\IfJ\'rE nm:..))ER City of Clearwater H~rbormasters Office 25 Causeway Blvd_ Clearw3ter FL 34630 .CE:r:'E"~JIlG:~~;f.~Nnqfll>:;:;::<:;..:::;.;;::::;::::;:>>::,>:::'::':':':'\'::::::r:::;::r:..'~:::' : SHOUl]) ANY OF 1}l1j AJ.lOVIl DESCRIBED POUCIES BE CAtK~1iJ.J..llD BBFORB lHB J UNO 7 1995 IOXPlRA110N DATE TIfEREOF, 'mE rSsutNG COMPANY 'WILL ENDEAVQR 1"0 .. IIWL....1Q.. DAYS W:RIl"rnN NOTICE TO nIE CERTIFlCATEHOLDfm NAMBD TO TIm CITY CLeRK DlPfL lEFf. BUT FAILURE TO MAlUUCll NonCE SHAU.IMPOSE NO OBUOA TIO,/-! OR. IIA1)TIJTr OJ" ANY KIND UPON nIE CO Y. ITS AGENTS ORRB:'RI'SBlTAn:vns. N'l' TIYK" -4 ~ {L" f -7'2--7--. . - (;t,<. ,'?- .:,:::::, ..:::w#e.Qmi;ep'jfQ~'t.lctNi~ij: