INSURANCE (4)
cflP:( :n:.:~Jnce
fLEV, REHBAUM & CAPES, INC.
, P. O. BOX 4130
.
2433 GULF TO BAY
CLEARWATER. FLORIDA 3351B
July 5, 1979
'RECEIVED
City of Clearwater
City Hall
Office of City Clerk
p.O. Box 4748
Clearwater, Florida 33518
.. (; 1979
;~~
RE: St.Petersburg Junior College
Certificate of In.uraDce - Morningside Swiuming Pool
Attn: Denise
Dear Deni 8e:
Per our conversation, attabhed please find the completed Certificate of Insurance
for the above captioned insured. We trust you will find this in order and if you
have any questions, please do not hesitate to call us.
Yours very truly,
I
~::::~ ~jL'J
Commercial Dept.
Alley, Rehbaum & Capes
P.O. Box 4130
Clearwater, Florida 33518
~ COMPANIES AFFORDING COVERAGES
COMPANY
LETTER
A
B
C
o
E
'lbe Home Insurance Company
COMPANY
LETTER
NAME AND ADDRESS OF INSURED
St.Petersburg Junior College
Central Administration
p.O. Box 13489
St.Petersburg, Florida 33733
COMPANY
LETTER
COMPANY
LETTER
COMPANY
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
EACH
OCCURRENCE
TYPE OF INSURANCE
POLICY
EXPIRATION DATE
POLICY NUMBER
GENERAL LIABILITY
~ COMPREHENSIVE FORM
~ PREMISES-OPERATIONS
o EXPLOSION AND COLLAPSE
H AZA RD
o UNDERGROUND HAZARD
o PRODUCTS/COMPLETED
OPERATIONS HAZARD
~ CONTRACTUAL INSURANCE
o BROAD FORM PROPERTY
DAMAGE
o INDEPENDENT CONTRACTORS
~ PERSONAL INJURY
BODILY INJURY
50
7-1-80
IST8523098
PROPERTY DAMAGE
$ 50
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
PERSONAL INJURY
AUTOMOBILE LIABILITY
o COMPREHENSIVE FORM
DOWNED
o HIRED
o NON-OWNED
BODILY INJURY
(EACH PERSON)
BODILY INJURY
(EACH ACCIDENT)
$
$
PROPERTY DAMAGE
BODIL Y INJURY AND
PROPERTY DAMAGE
COMBINED
$
EXCESS LIABILITY
o UMBRELLA FORM
o OTHER THAN UMBRELLA
FORM
BODIL Y INJURY AND
PROPERTY DAMAGE
COMBINED
$
WORKERS' COMPENSATION
and
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNj:HICLES
Additional Insurec1
Morningside SwiDming Pool- leased from the City of Clearwater
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail _ days written notice to the below named certificate holder, but failure to
mail such notice shall impose no obligation or liability of any kind upon the company.
NAME AND ADDRESS OF CERTIFICATE HOLDER:
Jul 5 1979
City of C1earwater-City Hall
Office of City Clerk
P.O. Box 4748
Clearwater, Florida 33518
DATE ISSUED:
{;/
. l ,Y'o.
. I '
I l
$ 100
100
100