CERTIFICATE OF LIABILITY INSURANCE (3)
06/28/01 15:00:58 From:(727)577-5775
TO: 18132812411
Hull & Company, Inc.Page:002/002
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PRODUCER
REAL INSURORS
5005 W. Laurel St.
SUITe 214
Tampa, FL 33607-3836
A COR Dr... <:~n;(*??'I;:IiI.;;:~:K;:?tt;.....~t;....i;.;'\.A::'B:.<;I.I..;~~<Ij(i~l..b~9:::it;~:.~.~>.. DA6T/2E8'M/2MOIDODI1YY)
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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.
COMPANIES AFFORDING COVERAGE
COMPANY
A SCOTTSDALE
INSURED
Bait House, Lie
PO Box 3025
Clearwater, FL 33767
COMPANY
B
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDDIYY) DATE (MMIDDIYY)
POLICY NUMBER
LIMITS
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [8] OCCUR
OWNER'S & CONTRACTOR'S PROT
7/1/2002
GENERAL AGGREGATE $
PRODUCTS. COMPIOP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone lire) $
MED EXP (Anyone erson $
CPS0440322
7/1/2001
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
COMBINED SINGLE LIMIT
BODIL Y INJURY
(Per personl
BOOlL Y INJURY
IPer aCClden')
PROPERTY DAMAGE
GARAGE LIABILITY
ArJY AUTO
AUTO ONLY. EA ACCIDErJT $
OTHER THAN AUTO OrJL Y
EACH ACCIDENT :I;
EXCESS LIABILITY
UMBRELLA FORM
OTHER THANUMBREll:AFGRM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE
THE PROPRIETOR!
PARTtJERSiEXECUTIVE
OFFICERS ARE
OTHER
i IrlCL I
EXCL
EL DfSEASE - POLICY LIMIT $
EL DISEASE EA EMPLOYEE :I;
ECEIVED
DESCRIPTION OF OPERATIONSlLOCATlONSNEHICLESiSPECIAL ITEMS
CC-r"( C_ C6L tL
Cc ~ R ~ '5 K; rv\ f'n'LpJ e--
J U L 0 2 ?rW1
RISK MANAGEMENT
CITY OF CLEARWATER
RISK MANAGEMENT DEPT
PO BOX 4748
CLEARWATER, FL 33758-
RECEIVED
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
$
500000
500000
500000
500000
50000
5000
EXCLUDED
:I;
EXCLUDED
:I;
EXCLUDED
:I;
EXCLUDED
EXCLU OED
$
EXCLUDED
EXCLU OED
EXCLUDED
EXCLUDED
EXGWDE&=-
EXCLU OED
EXCLU OED
EXCLUDED
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
JUL 0 3 2001 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
-~ . ,_. OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
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