CERTFICATE OF INSURANCE (3)
,
CERT1IICATE OF INSURANCE
Lawton-Byrne-Bruner
Insurance Since 1889
Ten Broadway, Saint Lout) Missouri 63102. 314 -621-5540
\ttct\"~ ;
~O\J -15 1916
.-.T c\.f..~
CI 1. '
Issued to
CITY OF CLEARWATER, FLORIDA
DATE 11111/76
PRODUCERM. WERNER
This is to certify that the Companies designated below have issued to the named insured the policies shown, The policies listed apply with respect to the coverages
and limits of liability indicated by specific entry herein, subject to all the terms and conditions of such policies.
Should the below mentioned policies be cancelled, assigned or changed before the expiration date, the Companies through Lawton-Byrne-Bruner will endeavor to
give written notice to the above named certificate holder; but failure to give such notice shall impose no obligation of any kind upon the Companies or Lawton-
Byrne-Bruner.
DESCRIPTIVE SCHEDULE
n Kind of Insurance ' ____Gompan.y and. - Expiration _ .- Limits of LiabiliW
Policy No. Date
W or kmen 's ST. PAUL FIRE & Statutory
Compensation MARINE INSURANCE CO 1 011/ 79 EMPLOYERS LIABILITY $100,000.00
796NA0148 ONE ACCIDENT
General ST. PAUL FIRE & Bodily Injury $ 300,000.00 Each Occurrence
Liability MARINE INS. CO. 10/1/79
& 300,000.00 Aggregate Products
WATERCRAFT 685NA2381 Property Damage $ 50,000.00 Each Occurrence
,LIABILITY 50,000.00 Aggregate
I c:~)
I Automobile ST. PAUL FIRE & Bodily Injury $ 100,000.00 Each Person
Liability MARINE INS. CO. 10/1/79 300,000.00 Each Occurrence
(:~ ) 685NA2381
Property Damage $ 50,000.00 Each Occurrence
,--------...-.....,..-
LIQUOR ST. PAUL FIRE & $300,000.00 EACH COMMON CLAUSE
LIABILITY MARINE INS. CO. 7/21/77 $300,000.00 AGGREGATE
GLA 32490
UMBRELLA ST. PAUL FIRE & $3,000,000.00 EACH OCCURRENCE
LIABILITY MARINE INS. CO. 1 0111/7 9 $3,000,000.00 ANNUAL AGGREGATE
585XA3776 RETAINED LIMIT $10,000.00
Remarks:
RE: PARKING LOT FACILITY
CITY OF CLEARWATER, FLORIDA
(X) BEING RENEWED
Insured:
'STAN MUSIAL & BIGGIE'S, INC.
10330 NATURAL BRIDGE
ST. LOUIS, MISSOURI 63134
L
'!'hi. Ce<tificote of 10,",'0," do", not ,mend, oxt.~oth"Wi"
alter the terms and conditions of insurance coverag:~j;h~ policies
identified above.
(CLEARWATER BEACH HILTON)
L,' aW4Y~~e-Br~,n,er
By WK {Ut}ftL-