CERTIFICATE OF INSURANCE (6)
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CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE CO VERAGE AFFORDED BY THE
POLICIES BELOW.
Frink B, HII I & Co of I I I inois
10 S. LISllle Street
Chiclgo. IL 60603~1095
COMPANIES AFFORDING COVERAGE
312-641-1900
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CLEARWATER BEACH HILTON
LANE HOTELS, INC.
1200 SHERMER RD.
NORTHBROOK.
IL 60062
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Internltionll
Insurlnce
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LETTER D
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THIS IS TO CERTIFY THA T THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICA TED. NOTWITHST ANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTlFICA TE MA Y BE ISSUED OR MA Y PERT AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LMITS SHOWNMAY HAVE BEEN REDUCED BY PAID CLAMS,
TVPEOf INSURANCE
POLICY NU~
POLJOYEffECTIVE POLICY EXPIRATION
DATE (MM/OO/W) DATE (MM/DD/VV)
LIMITS
GENER AL L1ABIL ITY
A
AUTOMOBILE LIABILITY
X ANY AUTO
All OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
12/01/92
GENERAL AGGREGA IE
PRODUCTS-COMP/OP AGG,
PERSONAL & ADV, INJURY
EACH OCCURRENCE
FIRE DAMAGE (An one tire!
MED. EXPENSE (An one erson $
CIlv1BINED SINGLE
LIMIT
2 000 000
1 000 000
1 000 000
1 000 000
50 000
5 000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR,
OWNER'S & CONTRACTOR'S PRO!.
LIQUOR LI AB
7916832
12/01/91
12/01/92
X
7916830
12/01/91
000 000
BODILY INJURY
(Per pe..onl
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
EXCESS LIABILITY
EACH OCCURRENCE
7916831
STA TUTORY LIMITS
12/01/91 12/01/92 EACH ACCIDENT
DISEASE-POLICY lIMI T
DISEASE-EACH EMPLOYEE
UMBREllA FORM
.OHIER ~HANUMBREHA fORM
A
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
000 000
000 000
000 000
OTHER
DESCRIPTION Of OPERATlONS'LOCATIONSlVEHICLESlSPECIAL ITEMS
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~:m SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
W: EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
rr MAIL 30 DAYSWRITTENNOTICE TO THECERTIFICA TE HOLDERNAMEDTOTHE
CI TV OF CLEARWATER :::t: LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
p, O. BOX 4746 ll~ L1ABLlTY OF ANY KIND UPONTHE COMPANY,ITS AGENTSOR REPRESENT A TIVES,
CLEARWATER. FL 34618-4748 i:!:LuTHORIZED ESENTATIVE
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