CERTIFICATE OF LIABILITY INSURANCE
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ACORD",
CERTIFICATE OF LIABILITY INSURANCE
DATi 1.....'tlOIVVI
08 2€ 99
nus CERTIFICATE IS ISSUED A5 A MATTEA OF INFORMATION
ONLY AND CO!lolFliRi NO RIGHTS UPON THE CERTlFICATf.
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
AI. TER THe COVERAGE AFFORDED BY THE POLICI!S 8ELOW.
PlIClOUCf.lI
Rea: Insurors, Inc.
SOGS w~s: Laurel S~reet
Suite 214
7a~ a FL 3360i-3636
INSV~61 Bait Rouse I::c
POBox 3:>25
Clearwater Beach
Fl
33767-8025
INSURERS AFFo~rnNG COVERAGE
: 1~'3lJFlIf\...ECot t.sdale % Hu:l
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TIojE PGLloes OF INSIJIUNCE llsnD BELO.... HA'/E 6EfN 1$$iJEO TO THe I"'SU~,) NA'olED ABO.le FO~ T1-IE POLICY ~IO:) INDICATlO, NO"TW,THSTAND!NG
ANY REQUlFlE.'vlEN7. TERM O~ CONomON ~, ANY CONTIlACT 011I OThER OOCJMENT WITH RESPeCT TO w;,ICH THIS CElmF1CATE MAY 8! !$SUED OR
MAY '"!I\T,o,IN. THE iNSUl"ANC; AFFORDED BY THE POLICIES OESCRJB8j HiRIlt.lI~ SUa.JE::T T':: .411 -H; TERMS. EXCLUSIONS AND CONOITIONS OF SUCH
POLICiES. AGGRfGA TE ~IMITS SHOWN MA" HAVE BEEN REOUcaJ 3'1' PAD CtAI...S.
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DUC"1'TlO'" Of 0l'EJY..T1ONS4.0CAr'O....N~CW/IJICWSIONS ADDED BY ENDOII5Pl9i1'ISI'tt:Illol. ~1ICIYl810ft8
Location, 46 Causeway Blvd, Slip 156, Clearwater 3ea:h Fl 33767
CEFlnFICATi HOLDER
,.tJ)omONAl INSI.l\ED: 1H.\/RiIl ~
CANCELLATION
s",QUUlIUiY Of 1'4E J1SCVE DESCNMD PO:JClU IC CA/OlCLIB) N1OI11! "HE EXPlltA'l'lC>>l
0'\'. THEMOP. TMI! ~WlNlS INSlJIICfI ""u. ENDeAVOR TO ~All -.!Q DA'fS WR1'T!N
'lona TO T>lE CERr"C,A~ >lOL.OEll ........cc ~o nE LEI'T. IlI.r. FAlUJl\li TO lIO SC sKAll.
..pas, NO Ci\,lQ.ATJON 011 U...BlUTY O' AIiY liNe UPO!\I THI! IHllLRBt m ..GE){TS Oil
City of Clearwater
2S Causeway Blvd
Clearwater Fl 33757
Attn: Catherine
. ACORD CORPORA TlON 1988
S 08-26~99 F ~27-462-
ACO"O 25,S (7/97)
100 'd
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