LETTER REGARDING POLCY RENEWAL
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ITY OF CLEARWATER
POST OFFICE Box 4748, CLEARWATER, FLORIDA 33758-4748
TELEPHONE (813) 562-4750 FAX (813) 562-4755
PCBUC WORKS
Amll:'\ISTRA nON
August 28, 1998
Ms. Earlene Gambill
Aim Insurance Agency
P. O. Box 15209
Clearwater, Fl. 33766
RE'f~EI'lED
Al:E 31 1998
~~;TV GLf;tH: DEpT
RE: Clearwater Group A. A. Insurance Certificate - Policy No. CP5230982
Dear Ms. Gambill:
This letter is to thank you for providing and to acknowledge receipt of the
referenced certificate evidencing the City of Clearwater as an additional insured
under the policy.
If this policy is renewed upon its expiration on November 29, 1998, please
forward the renewal certificate to my attention as well; or advise in a timely
fashion is the provided coverage will not be renewed through your agency.
Sincerely,
Earl Barrett
Real Estate Services Manager
cc: Susan Stephenson, Documents & Records Supervisor
Sharon Walton, Risk Management Specialist-Liability
ONE em. ONE F\!JURE.
*
"EQUAL EMPlDYMENT AND AFFIRMATIVE ArnoN EMPlDYER"
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PRODUCER 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.
FLORIDA INSURANCE SOURCE,
AIM INSURANCE AGENCY
P.O. Box 15209
CLEARWATER, FL 33766
INC.
COMPANIES AFFORDING COVERAGE
COMPANY A SCOTTSDALE INS CO
LETTER
INSURED
Clearwater Group A.A.
P.O.Box 518
Clearwater, FL 33757
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
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 (MM/DDIYY) DATE (MMIDDIYY)
LIMITS
A GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY CPS23 0982
CLAIMS MADE ~ OCCUR.
OWNER'S & CONTRACTOR'S PROTo
11/29/97
GENERAL AGGREGATE $
11/29/98 PRODUClS-COMP/OPAGG, $
PERSONAL & ADV. INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED,EXPENSE(Anyoneperson) $
1,000,000
500,000
500,000
500,000
100,000
1,000
AUTOMOBILE LIABILITY COMBINED SINGLE
LIMIT $
ANY AUTO
ALL OWNED AUTOS BODILY INJURY
(per person) $
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
(Per accident) $
NON.OWNED AUTOS
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION I
EACH ACCIDENT $
,.AND
DISEASE..POLlCY LIMIT $
EMPLOYERS' LIABILITY
DISEASE..EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MA1L-.1L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT. BUT FAILUR 0 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF AN I 0 UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
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,AFf~
Public Works Dept.
ATTN: Earl Barrett
P.O. Box 4748
Clearwater, FL 33758-4748