CERTIFICATE OF LIABILITY INSURANCE (4)
'Feb-OB-Ol 11:04A Moore I ~ Moore Ins 941 7j3 17B5 P.Ol
ACORD.. CERTIFICATE 01: LIABILITY INSURANCE I DATE (MMlDDIYY)
FEB 8 01
I'noDUCER THIS CERllFICATE IS ISSUED AS A MAnER OF IN"O~MATION ONLY AND
MOORE & MOORE INSURANCE AGENCY CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDE~. THiS C~RrIFIC~Te
601 8TH AVE, WEST Does NOr AMeND. ~reND OR ALTER THE COVERAGE AFFORDED BY THE
PALMETTO fL 34221-5115 POLICIES BELOW.
PHONE: 941-722-3238
FAX: 941.723.1785 COMPANIES AFFORDING COVERAGE
. .. ...--.-...-. ..------. .-....-. . .. '__H___
INSURED fQ..~P:"NY A Auto Owners In$~~m:e Company
SILVER DOLLAR TRAP CLUB, INC. COMPANY B:
12601 SILVER DOLLAR ORIVE ..._. . .-.. -
COMPANY C:
ODESSA FL 34556 -'.'- . w,._ -
COMPANY D: -.." .....--
COMPANY E:
THIS 15 TO eERTI~YIHA! THE roLlCICS OF INSURANCE LISTED BELOW HAVJ: BEEN ISSU~ TO TIlE INSURED HAMHJ A9()Vt: ~OH rHE PULlCY PERIOD INDlCATCO.
NOTWITtlSTANDING ANY REQUIREMeNT, TERM OR CONDITION or ANY CONTRAGT OR OTl-tEI'l OOClJMENI WIlH RESPECT TO WHICH THIS CERTlFlCAT!O MAY DE ISSl)FD
OR MAy PERTAIN. THE INSUAANCE AFFORDEO By THE t'OLlCII:S Ul:SCIiIB~1) HEREIN IS SUBJECT TO ALL TH~ TERMS. EXCLUSIONS AND CONDITIONS OF SUCH f"OLICIES.
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
.."...." . --
I~l~ TYPE OF INSURANCE POLICY NUMBIlR POLICY EFFEcnI/E POLleT EllPtRATIlIH LIMITS
GENERAL LIABILITY 804612.20409507-01 JAN 29 01 JAN 29 02 EACH OCCURRENCE S 1,000,000
-
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any Olle rile) $ 50.00~
- =J CLAIMS MAD!O rxl OCCUR -.--,
MED. EXP (Any One I'erson) S 5,000
. ......-
A PERSONAL & AIJV INJURY $ 1.000.!OOO
....-.
UENERALAGGREGATt $ 1.000,000
- .
G!ON'L AGGREGATE LIMIT ^I'PLI!OS PER, PRODUCTS-COMPIOl' AGG. S 1,000,000
-l pOLICy n PROJE(;T n LOC -...., . ..--
~UTOMOBILE L1A81L1TY COMtlINf:D 51NGLE LIMIT
f-- $
ANY AUTO (Ea accidenl)
... .....
ALL OIiVNt:OAUrOS DODII Y INJURy
- ("Sf person I $
SCHEDULED AUTOS
'--
HIRED AUTOS BODIl.Y INJuRy
- $
1II0N.OWNED AU I OS (Per acd<lenl)
_. ..-.
I-- -.. PR()f"ERTY DAMAGE S
GARAClE liABILITY Al!l'O ONLY - EA ACCIDENT $
R ANY AUTO - .-.
OTHER THAN EA ACe $
, AUTO ONLY: -..
AGG $
EXCESS LIABILITY r;;ACH OCCURRENCE S
=:J OCCUR o CLAIMS MADr;; -
~GR~~ATE._._ $
-
s
=-J DEDUCTIBLE .. -. --
S
RETENTION S -
$
WORJ<ERS COMPENSATION AND 1 WC5TAru. I IOfllE:R
EMpLOYERS' LIABILITY lIMIT
~.!;:ACH ACCILJENT S
..
E.L. DISEASE-fA EMPLOYEE S
1-. ...
!O.I. [)ISEASE-POLlCY LIMIT S
OTHER:
I
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLESlSPECIAL ITEMS CERTIFICAT ;il:C: ~~~nt~rcB~~g~L~i Reo AS
IT PERTAINS TO: PART OF THE SOUTHEAST 1/4 OF SECTION 1Q, TOWNSHIP 27 SOUTIi. RANC ~O1 ,
FLORIDA
~ FEB - 8 2m ~
CERTIFICATE Hnl nER T I ADDlTlOHAlINSURI;O; INSURER L!1TER: CANCELLATION rlTv nr~' r'I:'V.'^TrO
SHOULD ANY Of THE ABOV n, Inl 'f' \1/( B~~:f.QV: t~&U!P~ ~
TH~ EXI'IRAIION DATE TIIr;;REOF. rHE ISSUING COMPANY WILL !ONDEAII()H TO MAIL
CITY OF CLEARWATER 10 OAYS WRITTEN NOTlCr;; TO rHE Ctlrrll'ICATE HOLOER NAMED TO HiE LEfT
ATTN MR. EARL BAIU~ETT BUT fAILURE: TO MAIL SUCH NOTICE SHALL IMPOSt NO OBUGArION OR LIABIl ITY
REAL ESTAll; SERVICES MANAGER OF ANY KIND UPON THE COMPANY. II S AGENTS OR REI'KESENTATIVES.
P. O.BOX 4748 AIJTHORIZ!;:[) REpRESENTATIVE C(}~,-L"m~
CLEARWATER FL 337584748
Attention:
:<:...- It
ACORD 2508(7197)
Certificate # 3330
James C. Moore, Jr.
A 183018