CERTIFICATE OF INSURANCE
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..... . ", ... N .............................................................................. t~~FER.S NO RI'~H}~ '~~~'ij" T~~ ~E~tr~,t'ART.?~OlDER. THIS CE~~~Tc~~f
Hi I b Rog I I a Him i I t on Co /PMC DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
P 0 Box 23968 POLICIES BELOW.
hmp I . FL 33623 COMPANIES AFFORDING COVERAGE
8 13-289-8386 COlPANV A
LE TIER
F i reman 's F und I nlturlnc e Co
COlPANV B
INSURO LE TIER
Ande rs on Bay Cr u I s es . I nc COlPANV C
P 0 80x 3335 LETlER
CI e I rWI t e r Buch COlPANV 0
LE TIER
FL 34630 COlPANV E
LE TIER
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICA TED. NOTW'THST ANDING ANY REOUIREMENT. TERM OR CONDIT ION OF ANY CONTRACT OROTHER DOCLMENT WITH RESPECT TO WHICH THIS
CERTIFICA TE MAY BE ISSUED OR MAY PERT AIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LMITS SHOWNMA Y HAVE BEEN REDUCED BY PAID CLAMS.
00 TYPe: Of' INSUAANOI! EXPIAATlO~
Ln POLICY NUMBER POLICY Ef'ECTlVE POLICY L1MITI
DATE (MMfOOfVV) DATE (MMfOOfVV)
G!N!RAL L1ABLITY GENERAL AGGREGA IE S EXCLUDED
'--
CCMAERCIAL GENERAL LIABILITY PRODUCTS-ClJI,1PfOP AGG. S EXCLUDED
HHHH I CLAIMS MADE D OCCUR. PERSONAL & AOV. INJURY S EXCLUDED
- OWNER'S & CONTRACTOR'S PROf. EACH OCCURRENCE S 1 000 000
A -1t p rot ec t i on a OV22698833 10/29/93 10/29/94 FIRE DAMAGE (Anv one lire) S EXCLUDED
I ndemn i tv MED. EXPENSE (Anyone person S 10 000
AUTOMOllU L1ABLITY ClJI,1BINED SINGLE
- S
ANY AUTO lIMII
-
- ALL OWNED AUraS BODilY INJURY S
SCHEDULED AUJOS (Per person)
-
- HIRED AUTOS BODilY INJURY S
NON-OWNED AUTOS (Per aeeidentl
I--
I-- GARAGE LIABILITY PROPERTY DAMA GE S
1!1lCI!SlLlABLITY EACH OCCURRENCE S
R Lt.1BRElLA FOPM AGGREGA IE S
OTHER THAN Lt.1BRElLA FOPM H;~ 1 ~ ~ ~HHH ~ ~ UHHHH 1nHnn ~ [nHnn j ~ j j ~ ~; ~ ~ ~ ~ ~ ~ 1;~;; ~ ~~ ~ ~ ~ ~ ~ 1 ~ ~ ~ 1; ~ ~ fj ~
WOAKI!R'I OOhFI!NSATION I STATUTORY LIMITS i ~ ~ ~ ~1 j ~ ~ 1; ~~ ~;~; 1 ~ 1 ~1l; ~~;~~l ~; ~ 1 ~ ~ i
AND EACH ACCIDENT S
DISEASE-POLICY LIMIT .
EhPlOYI!AI'LlABLITY S
DISEASE-EACH EMPLOYEE
OTHI!R
DI!ICAPTION Of' OPUIATIOHIIlOOATICIHSIYI!H IOLI!SlIPf:CIAL ITEMS
1 98 1 100 . Queen C r I f t " ADMI RAL"
Ce r t i f i c I 18 Ho I de r Added As Add i t i on I I As su r ed As The i r I nt e r es t May Appe I r **
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R E eEl V EI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
: EXPIRATION DA TE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
rr MAIL 10 DAYSWRITTENNOTICE TO THECERTIFICA TE HOLDERNAMEDTOTHE
C i ty of C I e . rWI 18 r OGT 2 6 1993.:::: LEFT, BUT F AlLURE TO MAIL SUCH NO TlCE SHALL MPOSE NO OBlIGA TlON OR
Ha r bo rmas t e r '::::=:: U~YOF ANYK~DUP~NTHE COMPANY,ITSAGENTSORREPRESENT ATlVES.
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