CERTIFICATE OF INSURANCE (190)
Rogers & Associates Insurance Oper. ID CP
POBox 1747
Palm Harbor FL 34682-1747
04/28/89
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLlCIE!i BELOW.
COMPANIES AFFORDING COVERAGE
INSURED
Rodgers Brothers Services Inc
1731 Clearwater-Largo Road
Clearwater FL 33516
COMPANY A
LETTER Scottsdale Insurance
COMPANY B
LETTER American States Insurance
COMPANY C
LETTER FCCI
COMPANY D
LETTER
COMPANY E
LETTER
-T111515 I U ~I:H IltoT I HA T POLIc;.IE& OF INSURANce LISTED 8ELOW HAVE BeeN 13SUtDTO THE INSiii'iEC NAMeD ABOVE FOR THE POllG'i PERIOD INDICATEO.--
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 CONDI-
TIONS OF SUCH POLICIES.
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS
DATE (MMlDDIYY) DATE (MMIDOIYY) EACH AGGREGATE
OCCURRENCE
BODILY
04/01/0'3 04 j(Jj.!;O INJURY $ $
/ I / PROPERTY
I / 1 / DAMAGE $ $
I I 1 I
/ / / / BI & PO $ 500 $500
COMBINED
I I / /
/ I / /
I / / I PERSONAL INJURY $500
i 1 / 1
BODilY
04/01189 04/01/90 INJURY $
(PER PERSON)
/ / / / BODILY
/ / / I INJURY $
(PER ACCIDtNT)
/ / / / PROPERTY
/ / / I DAMAGE $
I / / / BI & PO
/ / / / COMBINED $ 500
I / / / BI & PO $
COMBINED
/ / / /
01/01/89 12/31/89
I , /
, ,
/ I / / $
/ / / / i
GENERAL LIABILITY
COMPREHENSIVE FORM
X PREMISES/OPERATIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
)( PRODUCTs/COMPLETED OPERATIONS
X CONTRACTUAL
)( INDEPENDENT CONTRACTORS
li BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
~C6L
&5246987
AUTOMOBILE LIABILITY
)( ANY AUTO
ALL OWNED AUTOS (PRIV, PPSS.)
ALL OWNED AUTOS (~~~JHpl~~N)
)( HIRED AUTOS
X NON-OWNED AUTOS
GARAGE LIABILITY
01-CC-501356-1
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
Mellberi 11891
OTHER
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLESlSPECIAL ITEMS
Clearwater (City Of)
10 Missouri Ave. S.
P,O. Box 4748 Finance Dept.
Clearwater FL 34618