INSURANCE (2)
.-i- --
tr
~
ArtlTIONAL INTEREST ENDORSEMENI
.; ,
-
It is agreed that such insurance as is afforded by the policy for bodily injury liability or for property damage
liability shall also be made available to each interest hereinafter named; but such inclusion in additional
interest or interests shall not operate to increase the limits of the company's liability. RECEIVED
Add it io na I Interest:
The CI ty Clerk of CIMrwter
P.o. 80x 4J1t8
CI..rN8ter FL 33518
NOV 8 1974
All other terms, conditions and agreements of the policy shall remain unchanged.
CITY c~
This endorsement forms a part of Policy No. GLA 81244
issued to 80ard of Trust_s - St.. Petersburg Junior
College
by the NATIONAL INDEMNITY COMPANY of Omaha, Nebraska,
and is effective from
NATIONAL INDEMNITY COMPANY
c.:
~~a-/ ~ ~
By
(D Authorized Re ' /
Dana oehrlg ~ Assocl_tes"" Inc..
(The Attaching Clause need be cdmJ1l~ted only when this endo~ment is issued subsequent to preparation of the policy.)
Secretary
NI 1194 (12/68)
J2F
I .,
I NATIONAL INDEM~ITY COMPANvt
3024 Harney Street
Omaha, Nebraska 68131
CERTIFICATE OF INSURANCE
RECE!VED
OCT 7 1974
CITY CLERK
This certificate of insurance neither affirmatively or negatively amends,
extends or alters the coverage afforded by the Policy Dr Policies number'l'
ed in this certificate
_.- .
October 4
19
74
This is to certify that the following described policies have been issued and are in full force and effect,
NAME OF INSURED
P.O. ADDRESS
LOCATION COVERED
Board of Trustees - St. Petersburg Junior College
2400 Harn Blvd.. Clearwater, Florida
DESCRIPTION OF WORK
Prjvate ponl
POLICY NO. KIND OF INSURANCE LIMITS EFFECTIVE EXPI RES
Workmen's Compensation Legal
and Employer's Liability
I For each item show "Not Covered" if no
coverage afforded,
General Liability:
Bodily Injury: Each Occurrence $ 300.000
GLA 81244 Aggregate - Products - 10-10-74
Completed Operations $_ to 10-10-75
Property Damage Each Occurrence $ 25,000
Aggregate - Operations $
Aggregate. Products -
Completed Operations $
Automobile Liability:
Bodily Injury Each Person $
Each Occurrence $
Property Damage Each Occurrence $
- --- "- " ,,- ---
Covers:
Excess Liability: D Automobi Ie ~j General Liability
Name of Primary Insurer:
Primary Limits:
Excess Limits:
In the event of any material change in or cancellation of said policies. NATIONAL INDEMNITY COMPANY intends to notify the
party to whom this Certificate is addressed of such change or cancellation, but undertakes no responsibility by reason of any failure so
to do.
This Certificate issued to:
The City Clerk of Clearwater
P.O. Box 4748
Clearwa:er 33518
- dfv
Title
"'.~
U. 100e (1/73)
NOTE TO AGENT - Mail Copy to Home Office immediately.
, ~
I NATIONAL INDEMNITY COMPAN'"
3024 Harney Street -."
Omaha, Nebraska 68131
CERTIFICATE OF INSURANCE
This certificate of insurance neither affirmatively or negatively amends,
extends or alters the coverage afforded by the Policy or Policies nUmber-j'
ed in this certificate
.
October"
19
llt
This is to certify that the following described policies have been issued and are in full force and effect,
NAME OF INSURED
P,O, ADDRESS
LOCATION COVERED
aoard of Truste..... St. "'tersburg Junior Col lege
21400 "'A Blvd.. Cle.rwater. Florida
DESCRIPTION OF WORK
Private ~,
POLICY NO.
KIND OF INSURANCE
LIMITS
EFFECTIVE
EXPI RES
Workmen's Compensation
and Employer's Liability
Legal
For each item show "Not Covered" if no
coverage afforded,
General Liability:
Bodily Injury:
Property Damage
Each Occurrence $ 300.000
Aggregate - Products -
Completed Operations $_,-
Each Occurrence $ 25 .000
Aggregate - Operations $
Aggregate - Products"
Completed Operations $
10-10-74 to
10-10-75
GLA8Ult...
Automobile Liability:
Bodily Injury
Each Person
Each Occurrence
$
$
$
Pro perty Da mage
Each Occurrence
Covers:
Excess Liability: D Automobile D General Liability
Name of Primary Insurer:
Primary Limits:
Excess Limits:
In the event of any material change in or cancellation of said policies, NATIONAL INDEMNITY COMPANY intends to notify the
party to whom this Certificate is addressed of such change or cancellation, but undertakes no responsibility by reason of any failure so
to do.
NATIONAL INDEMNITY COMPANY
This Certificate issued to:
T~ CIty Clerk of CI~.~ter
P.O. Box 47lf8
CI..r...r ]3518
By DaM Roehr 19 .. Auoc I_tel .fn.c.
Title
U. lOOe (1/73)
NOTE TO AGENT - Mail Copy to Home Office immediately,
I' NATI~NAL I~DE~~ITY COMPAN~
3024 Harney Street .
Omaha, Nebraska 68131
CERTIFICATE OF INSURANCE
This certificate of insurance neither affirmatively or negatively amends,
extends or alters the coverage afforded by the Policy or Policies number-l
ed in this certificate
I
October 4
19
74
This is to certify that the following described policies have been issued and are in full force and effect,
NAME OF INSURED
P.O. ADDRESS
LOCATION COVERED
Board of Trust.ees .. St. Petersburg Junior College
2400 liar" Blvd.. Clearw;iter, Flori da
DESCRIPTION OF WORK
Prfrvat~ Pool
POLICY NO.
KIND OF INSURANCE
LIMITS
EFFECTIVE
EXPI RES
Workmen's Compensation
and Employer's Liability
Legal
For each item show "Not Covered" if no
coverage afforded,
General Liability:
Bodily Injury:
Each Occurrence
$ --300 , 000
GLA 81244
Aggregate - Products,
Completed Operations $_
10..10..74 to
10.10-75
Property Damage , , " Each Occurrence
$
25.000
Aggregate - Operations $
Aggregate. Products -
Completed Operations $
Automobile Liability:
Bodily Injury,
Each Person
Each Occurrence
$
$
$
Property Damage
Each Occurrence
Covers:
Excess Liability: D Automobile
Name of Primary Insurer:
Primary Limits:
I-~
L: General Liability
Excess Limits:
In the event of any material change in or cancellation of said policies, NATIONAL INDEMNITY COMPANY intends to notify the
party to whom this Certificate is addressed of such change or cancellation, but undertakes no responsibility by reason of any failure so
to do.
NATIONAL INDEMNITY COMPANY
This Certificate issued to:
The City Clerk of Cle.rweter
P.O. eox 4]!f8
Cl~ar~ter 33S1B
By_
Dana Ro.hri 9 &. Ancx;l.-tes ,111e;;,
Title
U . lOOe (1/73)
NOTE TO AGENT ~ Mail Copy to Home Office immediately,