CERTIFICATE OF INSURANCE (2)
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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 34629-5209
INC.
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER London Companies
INSURED
Clearwater Group A.A.
P.O.Box 518
Clearwater, FL 34617
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY 0
LETTER
COMPANY E
LETTER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOlWlTHSTANDING 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 (MM/DDIYY)
LIMITS
A GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY DPODOL20 7584 R11
CLAIMS MADE [i] OCCUR
OWNER'S & CONTRACTOR'S PROT,
11/29/96
GENERAL AGGREGATE $
11/29/97 PRODUCTS-COMP/OP AGG, $
PERSONAL & ADV, INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED.EXPENSE(Anyoneperson) $
1,000,000
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
COMBINED SINGLE $
\YJ~ LIMIT
BODILY INJURY
(Per person) $
o,.,!o,
i.::~:!., BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
EACH OCCURRENCE
AGGREGATE
500,000
500,000
50,000
5,000
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
AND
EMPLOYERS' LIABILITY
DISEASE--POLlCY LIMIT
DISEASE-.EACH EMPLOYEE
WORKER'S COMPENSATION
OTHER
DESCRIPTION OF OPERATlONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
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P.O. Box 4748
Clearwater, FL 34618