CERTiFICATE OF INSURANCE (213)
Bill Williams Agency, Inc.
6109 9th St. N.
St. Petersburg, FL 33703
ISSUE DATE (MMIDD/YY)
3/18/91
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PRODUCER
IS ISSU 0 A A MA TER INF RMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
f~~~~NY A
N.C.C.I. - Atlantic Division
f~~~NY B
State Auto Insurance Co.
INSURED
Ryan Management Group, Inc.
33649 US Hwy 19 N. Ste 129
Palm Harbor, FL 34684
f~~~NY C
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COMPANY D
LETTER
f~~~NY E
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD
INDICATED, 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MMIDD/YY)
LIMITS
GENERAL LIABILITY
BX COMMERCIAL GENERAL LIABILITY
CLAIMS MADE
2707595
GENERAL AGGREGATE $1000
PRODUCTS-COM PlOP AGG, $1000
1/17/91 1/17/92 $1000
$1000
50
5
COMBINED SINGLE $
LIMIT
BODILY INJURY $
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
EACH OCCURRENCE
AGGREGATE
- -- --------- - - - -~,--
1/5/91 1/5/92 $ 100
$ 500
100
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
A
WORKER'S COMPENSATION
AND
2707557
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS
Cliet - Terbo Group, Inc.
1140 NE Cleaveland
Clearwater, FL 34615
CANCELLATION
CERT'FICA TE HOLDER
City of Clearwater
P.O. Box 4748
Clearwater, FL 34618-4748
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILUR MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF A KIN UPON THE OMPANY, ITS AGENTS OR REPRESENTATIVES,
.4~ .
~~~~
@ACORO CORPORATION 199
ACORD 25-S (7/90)