CERTIFICATE OF LIABILITY INSURANCE
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PRODUCER
AIM Insurance Group,
AIM INSURANCE AGENCY
P.O. Box 15209
CLEARWATER, FL 33766
6
:::):(:(:::::::::(::':}:::i/::))):: DATE (MM/DD/VY)
.,. :::::::::::::'::::,',:::::::,:,:,:: ::::::)}}}}}} 12/08/1998
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.
'_____n COMPANIES AFFORDING COVERAGE
Inc.
COMPANY
A
SCOTTSDALE INS CO
INSURED
Clearwater Group A.A.
P.O.Box 518
Clearwater, FL 33757
COMPANY
B
COMPANY
C
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 NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDDiYV) DATE (MM/DD/VY)
LIMITS
A GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [i] OCCUR
OWNER'S & CONTRACTOR'S PROT
CPS230982
12/08/1998 12/08/1999 GENERAL AGGREGATE $ 1000000
PRODUCTS - COMP/OP AGG $ 500000
PERSONAL & ADV INJURY $ 500000
EACH OCCURRENCE $ 500000
FIRE DAMAGE (Anyone fire) $ 100000
MED EXP (Anyone person) $ 1000
COMBINED SINGLE LIMIT $
BODilY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
-'~---,._.-.
I $
i EL DISEASE - POLICY LIMIT $
EL DISEASE - EA EMPLOYEE $
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
- WORKERS-COMPENSATION ANI>
EMPLOYERS' LIABILITY
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
CITY Of CLEARWATER
PUBliC WORK ADMINISTRATION
qifOOf:t9Al$.aQijp~A :ii#';@~€g:::qifi.iXf9}(::.).....:....::.:.::::::.:.:........
ATTN: Earl Barrett
City ox Clearwater
POBox 4748
Clearwater, FL 33758-4748
..)CANCEI..1.AtION:......
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
1.L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAl SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY