CERTIFICATE OF LIABILITY INSURANCE (2)
Client#: 14895 RELCO
AClJlm,. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYY) I
02/27/01
PRDJUqER j THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
RbDTEAM COMMERCIAL LINES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HENRY S LEHR INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUClES BELOW.
POBOX 25001
LEHIGH VALLEY, PA 18002-5001 INSURERS AFFORDING COVERAGE
INSURED INSURER A: TRANSCONTINENTAL INSURANCE COMPANY
RELIGIOUS COMMUNITY SERVICES INC INSURER B:
1855 HIGHLAND AVE S INSURER C:
CLEARWATER, FL 33756 INSURER D:
I INSURER E:
-,. . ~
COVERAGES
THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUUENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ;
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO All. THE TERMS, EXCWSIONS AND CONDITIONS OF SUCH
POUCIES. AGGREGATE UMrrS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIO~ LIMITS
A ~NERAL LIABILITY S195889448 03/01/01 03/01/02 EACH OCCURRENCE .1.000.000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire .200 000
l CLAIMS MAD~ OCCUR MED EXP (Any one personl .15.000
f- I PERSONAL & ADV INJURY .1 . 000 . 000
I--- I GENERAL AGGREGATE .3 . 000 . 000
n'LAGGR~nLlMIT nSPEA: PRODUCTS.COMP/OP AGG .3 . 000 . 000
POLICY P'~gT LOC
A ~TOMOBILE LIABILITY S195889448 03/01/01 03/01/02 COMBINED SINGLE LIMIT $1,000,000
~ ANY AUTO (Ea KCldent)
f- ALL OWNED AUTOS BODILY INJURY
(per per.on) .
f- SCHEDULED AUTOS
~ HIRED AUTOS BODIL Y INJURY !
~ (per KCldent) . i
NON.OWNED AUTOS
PROPERTY DAMAGE .
(per KCldent) I
RARAGE LIABILITY AUTOONLY.EAACCIDENl . I
ANY AUTO OTHER THAN EAACC .
AUTO ONL Y: AGG .
A EXCESS LIABILITY S195889448 03/01/01 03/01/02 EACH OCCURRENCE .1 . 000 . 00 0
~ OCCUR 0 CLAIMS MADE AGGREGATE .1 000.000
. I
i
~ DEDUCTIBLE . I
X RETENTION $100 0 0 ,
. I
WORKERS COMPENSATION AND l~gWft1l?Q I 10Jt'. I
I EMPLOYERS' LIABILITY E.L. EACH ACCIDENT .
E.L.DISEASE.EAEMPLOYEE .
I m
E.L. DISEASE-POLICY L1MI .
A I OTHER PROFESSIONAL S195889448 03/01/01 03/01/02 $1,000,000 PER OCC I
~IABILITY I $3,000,000 AGGREGATE
DESCRIPTION OF OPERATIONS/LOCATIONSlVEHICLESlEXCLUSIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS i I
ISSUED AS EVIDENCE OF COVERAGE DURING THE POLICY TERM. U u~ i
I
MAR 0 '7 200'! I
-.-, cnv 1"\'-' I
-. . ---. ;--.:~ . I
CERTIFICATE HOLDER
I ADDIT1ONA1.INSlEEO: INSlRR I.SlCR:
CANCELLATION
SHOULD ANYOFTHE ABOVE DESCRIBED POLICES BE CANCELLED BEFCRElHEElCPI'lAllON
DATETHEREOF,THE ISSUING INSURER WILLENDEAVORTOMAIL15- DAVSWRllTEN
NOTlCETOTHE CERTlFlCAlE HOLDER NAMED TO THE LEFT. BUTFAlUR: TO 00 SCI SHAll.
IMPOSE NO OBLIGATION OR LIABILITY OF ANYKIND UPON THE INSURER,ITSAGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESE ATIVE
e
CITY.OF CLEARWATE~.i-,j ECEIV~EDr...1
~i~N s O~~~~L A~ ~r----". '-',. .
CLEARWATER. FL 331 56/ MAR '" 5 2nD1 ,
I ~ ..:n:lC;:,I<{~ ~~'.I li~~ r>;.. ...., r.,.,. ....._ '
ACORD 25-S (7/97)1 of 2 d#a642:~.1M;~~~.4~ .-
JMB ~ ACORD CORPORATION L"S
....,.;,.
~;..
IMPORTANT
If the certificate holder is an ADDmONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of suchendorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
II
ACORD 25-8 (7/97)2 of 2 #864253/M64249