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CERTIFICATE OF INSURANCE (3) Allstate@ ~ J CERTIFICATE OF INSURANCE I EJ ALLSTATE INSURANCE COMPANY D ALLSTATE INDEMNITY COMPANY D ALLSTATE TEXAS LLOYDS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CERTIFICATE HOLDER NAMED INSURED Name and Address of Party to Whom this Certificate is Issued Name and Address of Insured CITY OF CLEARWATER ATTN PINELLAS COUNTY ARTS COUNCIL EARL BARRETT ENGINEERING DEPT 501 CENTRAL AVE PO BOX 4748 SAINT PETERSBURG CLEARWATER FL 33758-4748 FL 33701-3727 This is to certify that policies of insurance listed below have been issued to the insured named above subject to the expiration date indicated be- low, 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, TYPE OF INSURANCE AND LIMITS Policy Effective Expiration COMMERCIAL GENERAL LIABILITY Number 49 649518 Date 10101/99 Date 10101100 Limit Amount GENERAL AGGREGATE L1MIT(Other than Products-Completed Operations) $ 1,000,000 PRODUCTS-COMPLETED OPERATIONS AGGREGATE LIMIT $ 1,000,000 PERSONAL AND ADVERTISING INJURY LIMIT $ 500,000 ~~AC-+lOC-C-tl RRENCE'L-1Ml--'f --.------..._- .----,~-_.._---._-"--_.-- ----.----- . ~. $ 500,000 PHYSICAL DAMAGE LIMIT $ 50,000 ANY ONE LOSS MEDICAL EXPENSE LIMIT $ 5,000 ANY ONE PERSON WORKERS' COMPENSATION & Policy Effective Expiration EMPLOYERS' LIABILITY Number Date Date Coverage Limits WORKERS' COMPENSATION STATUTORY - applies only in the following states: BODILY INJURY BY ACCIDENT $ EACH ACCIDENT EMPLOYERS' BODILY INJURY BY DISEASE $ EACH EM PLOYEE LIABILITY BODILY INJURY BY DISEASE $ POLICY LIMIT Policy Effective Expiration AUTOMOBILE LIABILITY Number 49 649518 Date 10/01/99 Date 10/01/00 Coverage Basis Limits ANY AUTO OWNED AUTOS HIRED AUTOS Combined Single Limits of Liability BODILY INJURY & PROPERTY DAMAGE~ 500,000 I EACH ACCIDENT SPECIFIED AUTOS X NON-OWNED AUTOS Split Liability Limits Bodily Injury Property Damage Each OWNED PRIVATE PASSENGER AUTOS $ PERSON OWNED AUTOS OTHER THAN PRIVATE PASSENGER $ $ ACCIDENT UMBRELLA LIABILITY Policy Number Effective Date Expiration Date EACH OCCURRENCE I GENERAL AGGREGATE I PRODUCTS-COMPLETED OPERATIONS AGGREGATE $ I $ I $ OTHER(Show Policy Effective Expiration type of Policy) Number Date .~DalfL . ..- - . -- '-. "--- - ------ ,-_.._-------,-- .- . . .- - DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONSISPECIAL ITEMS CANCELLATION Number of days notice FRANK L MASSARO SR 08/11/99 Authorized Representative Date Should any of the above described policies be cancelled before the expiration date, the issuing company will endeavor to mail within the number of days entered above, written notice to the certificate holder named above, But failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives, U10523-2 Page 1 of 1 III II / YOU'RE IN GOOD HANDS WITH ALLSTATE@ /]- ('~ - BU114-2 SEE POLICY IN FILE -~-"