INSURANCE BINDER (2)
lY concern;
~wa ter
ROSS YACHT SERVICE, INC.
I
I
rised that we have bound with the Aetna Casualty and SUI
lility coverages per the attached binder in your favor f
:ion of these coverages. The policy is being issued and
a revised certificate of insurance and endorsement namj
'water as additional named insured. Thank you.
~ws
RODGERS & CUMMIN(
[B
REALTOR'
General InsuranJce - Real
P. O. Box 6600
1988 Gulf to Bay Bouleva
Clearwater, Florida 3351:
Phone: 442-4111
Rodgers & Cummings, Inc.
P.O. Box 6600 CC*PAHY A
Clearwater, Florida 33518 LEITER
C~ANY B R
LEITE"
NAME AND ADOf![SS Of INSIJm:D C
CC*PANY
Ross Yacht Service, Inc. LEITER
279 Windward Passage COMPANY 0 1977
Clearwater, Florida 33515 LEITER
COMPANY E Cl11'" CLEp
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.
limits of liability in Thousands (000)
OCC0~~~N(;E AGGREGATE
rYPE OF INSURANCE
POLICY NUMBER
POLICY
EXPIRATION DATE
GENERAL LIABILITY
BODILY INJURY
$ 500
A
!Xl COMP,1EHENSIVE FORM
IX] PREMISES..-.OPERATIONS
D EXPLOSION AND COLLAPSE
HAZARD
D UNDERGROUND HAZARD
IX] PRODUCTS/COMPLETEL
OPERATIONS HAZARL
IX] CONTRACTUAL INSURANCE
D BROAD FORM PROPERTY
DAMAGE
D INDEPENDENT CONTRACTORS
PERSONAL INJURY
BINDER (f!tJ
9/30/78
I "",m "'"'"
Il<)lIIIY INJURY AND
f'ROPERTY DAMAGE
COMBINED
f--- .Applle' to Products/Completed
I Operations Hazard.
50
I
I $
i
I
i---
I
$
$
AUTOMOBILE LIABILITY
BODILY INJUI,Y
(EAC H PERSON)
BODILY INJURY
i (EACH OCCURReNCE)
l----~~-------
i F'I'OI'[ RTY DAMAGE
! .-----.
i BODII Y INJURY AND
PIlOPLRTY DAMAGE
COMBINE["
D COMPREHENSIVE FOR~'
DOWNED
D HIRED
D NON.OW"IED
fl ,~:~ES~, ~:~'lIT' m i--
I ,I' :', 'j,\'iU'1' "'I I
iM
BODILY INJlJf~Y :\N:~)
PHOflEF?Pr .)^H,~.,(;-
.WORKERS' COMPENS/TON
I ,. ,
ar)[j
L;'~.:"'LV". i.:.h,,: i..lhOh",i' I
....1_.__._..........___.__....____
I
______~___..i___~_____.,_.__.,_._
o 'PI HI
. immm_IIii!~;miliUlililllll~illI!~_~__iII...1II
[jE:SCF;I~.:i()r, ~'i- .,_:-If.F,!'-i'~)I',C; _,'l~ .l:~W-:.t
'1lIIIIIllUllillllllllllliilllWiIIIlIltllllllrjllUUll!llllllilllliliiilillllllillAl_lI:j~iiiiaiihljllalttili!llm!4iilllliliiililllHilIlIil
ADDITIONAL NAMED INSURED: CITY OF CLEARWATER
./'
/~ ot ~
C,mcHllatkm:
:;,h(j~-::: ~ny :)f th;'? above cle;;~r.l"bed p:)liclesbe cancelle:J bdo'('l',:' Exp:rai::1I date thereof, the,issulng corll-
,nny i.lll e:l,jeavH tJ ITIJ,I ~ CLiyS written notice 1:ollw ::(Ic\'l n,FYH':l certificate holder, out failure to
I')lal s:.J=r r.,:,tlce shal: impose no obligation or' liability of any ki:'d ,J[)Oil tlie ;:)rnpany.
I r".AML /'l.ND A[J[);:?F::S 01: CERTif:!C t, T'~_ :-K)LDU~
i
l CITY OF CLEARWATER
P.O. BOX 4748
Clearwater, Florida
' ---- ----
33518
"''' "''':;"7)r1~ u
~ger.~_~um!Jling.~Jnc .__
v~ AUTHORIZED REPRESENTAllvE