DESCRIPTIVE SCHEDULE FOR POLCY NUMBER 799ZA0951
..
Issued to
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Ten Broadway, Saint Louis, Missouri 63102
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,
CERTIFICATE OF INSURANCE
City of Clearwater, Florida
DATE
BROKER
2/21/75
L
-.J
M. 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 CNtcelled, 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 obliga-
tion of any kind upon the Companies or Lawton-Byme-Bruner.
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This Certificate of Insurance does not amend, extend or otherwise
altEr the terms and conditions of insurance coverage in the policies
identified above.
Kind of Insurance
Workmen's
Compensation
General
Liability
&
Watercraft
Liability
Automobile
Liability
Liquor
Liability
Unberalla
Liability
Remarks:
Insured:
DESCRIPTIVE SCHEDULE
Company and
Policy No.
Sto Paul Fire &
Marine Insurance
799ZA0951
Expiration
Date
Limits of Liability
Statutory
6
.
Each Person
Each Occurrence
Aggregate Products
Each Occurrence
Aggregate
,,<-
Employers Liability $100,000009
lbdily Injury $
Sto Paul Fire &
Marine Ins. Coo
300,000000
300,000000
Property Damage $ 50 ,000000
50,000.00
685NA2381
St. Paul Fire &
Marine Ins. Co.
685NA2381
Bodily Injury $
100,000000
300,000000
Each Person
Each Occurrence
10-1-7
Sto Paul Fire &
Marine Ins. Co.
GLA 18362
Property Damage $ 50 ,000000 Each Occurrence
$300,000000 Each COmmon Clause
$300~000000 Aggregate
, 7-21-7
Sto Paul Fire &
Marine Ins. Co.
585XA3776
I
10-11-76j
i
$3,000,000000 Each Occurrence
$3~000~000000 Annual Aggregate
Retained Limit $10,000000
RE: Parking Lot Facility
City of Clearwater, Florida
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"'''..e. .,__ ·
Ten Broadway
St. Louis, Mo. 63102
314 - 621.5540
STAN MUSIAL & BIGGIES, INC.,
10330 NATURAL BRIDGE,
ST. LOUIS COUNTY, MISSOURI 63134
MORTON T. WERNER
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By
Lawton-Byrn.-~
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