CERTFICATE OF INSURANCE FOR SAND KEY BRDGE PARKING AREA
OBERDORFER INS. ASSOC., INC.
4370 GEORGETOWN SQ., SUITE 903
ATLANTA, GA. 30328
TEL. NO. 404-455-1511
COMPANIES AFFORDING COVERAGES
COMPANY
LETTER
A
B
C
o
E
United States Fire Ins. Co.
Reliance Insurance Company
COMPANY
LETTER
NAME AND ADDRESS OF INSURED
Clearwater Beach Hilton Inn
715 South Gulfview Blvd.
Clearwater Beach, Fla. 33515
COMPANY
LETTER
COMPANY
LETTER
COMPANY
LETTER
This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. 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.
TYPE OF INSURANCE
POLICY NUMBER
POLICY
EXPIRATION DATE
Limits of Liability in Thousands (
OC:C~J~~~NCr AGGREGATE
GENERAL LIABILITY
A !Xl COMPREHENSIVE FORM
D PREMISES-OPERATIONS
D EXPLOSION AND COLLAPSE
H AZA RD
D UNDERGROUND HAZARD
D PRODUCTS/COMPLETED
OPERATIONS HAZARD
D CONTRACTUAL INSURANCE
D BROAD FORM PROPERTY
DAMAGE
D INDEPENDENT CONTRACTORS
D PERSONAL INJURY
CI 9 76 46 25
3/18/82
BODILY INJURY
PROPERTY DAMAGE
$
$
RECEIVED
JUN 22 1981
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
500.
$
500.
~.TY. CLERK
PERSONAL INJURY
$
AUTOMOBILE LIABILITY
D COMPREHENSIVE FORM
DOWNED
D H I RED
D NON.OWNED
BODILY INJURY
(EACH PERSON)
BODILY INJURY
(EACH ACCIDENT)
$
$
PROPERTY DAMAGE
BODIL Y INJURY AND
PROPERTY DAMAGE
COMBINED
$
$
EXCESS LIABILITY
A 5a UMBRELLA FORM
D OTHER THAN UMBRELLA
FORM
LU 4 00 37 46
522 023157 9
3/18/82
3/18/82
BODIL Y INJURY AND
PROPERTY ~7'5~
COMBINED
WORKERS' COMPENSATION
-and-
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES
Includes land located under the Sand Key Bridge used for parking area.
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail _ days written notice to the below named certificate holder, but failure to
mail such notice shall impose no obligation or liability of any kind upon the company.
NAME AND ADDRESS OF CERTIFICATE HOLDER'
City Clerk's Office
ATTN Sue Lamkin
City of Clearwater
P. O. Box 4748
Clearwater Beach, Fla.
DATE ISSUED;
June 19, 1981
33518
OBEROORFfR INS. ASsoC
.,INt
Oberdo er Ins. Assoc., Ihc.
~ I ED PR:LN:A~
-,--. cPcU