CERTIFICATE OF INSURANCE
CERTIFICATE 01: INSURANCE
PRODUCER
ISSUE DATE (M~/DDIYY)
8/6/92
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL Y AND CONFERS NO
RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
Company
, Phone: 305/592-6080 Letter
INSURED Company
Letter
Students of the Allied Health Sciences Company
Program of Participating Colleges of the Letter
Florida Community College Risk Company
Management Consortium Letter
5700 S.W. 34 Street - Suite 1205 Company
Gainesville, Fl 32608 Letter
COVEB AGES Thit ,-"ifi~'. .f I.....'..... .' Ii_ .......... tile lI!"ita of IiallililJ ill effect M IIlo lnGIptiDII of IIlo po'icioI"""" .._ tile .......w liltli1a. All cIoi_ pMI..,*,", IIlo
""" ""D9IW 1....1t. ..... .DCIvce tile .......m .f inow'..... .. ,......
I THIS IS TO C, fllTl,fY, T,"", T ~LICIH Of INSUM, NCE LISTED IfLOW HAVE IUN rUUED TO THI IfIISUMD IllAMED AlOvE fOIl THE f'Ol,lCY 'EIlIOD INPlCATED, "OT WITHSTANDING ANY IIfOUIIltMENI, llllM
011I CONOfrlo.. Of ANY CONTAAC'l OR OTHER DOCUME,.,. \iff,... !I!P!CT TO ~!~'"t !~!! c.1::!~:c..s.~! C;lA": 0,( :~:.i.:t:; ~......y n~:A,". ini ...~UMiiCl..p:;.O"DU) II" H. "OUClfS O[\CtUalD H(M~ f~ ..
SU&lfCT TO ALL THf TE"M~, UCLUSIOIil~, AND CONDITIONS Of SUCH ~LlCIH
Arthur J.Gallagher &Co. - Miami
P.O. Box 02-5288
Miami, FL 33102-5288
co
L11I
"''E Of INSUIIANCE
POlICY MUMIEII
General Liability
o ComprehensIve Form
o PremISeS/Operations
o Underground ExplOSion
I COllapse Haurd
o ProcluCUlCompleted
Operations
o Contractual
o Independent Contractors
o Broad Form Property Dama"e
Cl Person. I InJury
o .
Automobile Liability
o Any Auto
o All Owned Autos (Prv, PASS)
o All Owned Auto. (Other than
Pry Pass)
o Hired Autos
CI Non-Owned Auto.
Cl Gara;e L..bihty
Cl
COMPANIES AFFORDING COVERAGE
A Chicago Insurance Company
B
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fIOUCY tfftCTTVf fIOUCY E I(I'IIIA TIC* UAIlLITY LIMITS
DAn (1lI1l1iOOI'f'fI DAn CIllllliOOIYYI t.ctl ~
Occu._
aoctily S S
Injury
Property S S
Dama"e
.I&PD S S
Combined
s
PersoMllnjury
this C.I1iflelte of Inau nee or Binder
the IImfta of lIaOillty In f~et at the Inc.
01 the policies ahoWf\ ot~ the aggr&Q
All claims paid .xhaus the 8Qgrv~at. Ii
~uCl the afnount of i .uranc. In
deftC81
ion
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY
KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES,
Authorized Repre5enwtive ~
.' 'P
Excess Liability
Cl Umbrell. Form
Cl Other lhan Umbrella Form
Workers' Compensation
And
Employers' Liability
A Other
Student Professional Liab.
8O-5-2002g64
Description of Operations/lOtationsNehicleslSpecialltems
RE: Clinical Experience - St. Petersburg Junior
_ .... _ additional insured soleb,;: as respe~ts to this
CERTIFICATE HOLDER R . '... "..:',,, ..:,', . ,;: ".:::. ." CANCELLA nON
City of Clearwater
P. O. Box 47qa
Clearwater, FL 34618-47~
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...11 Ace"'"
.0;.....,'.." L...n,
110..... l.," h...... I
&126192
5 1,000.000 Each Claim
53.000.000 Aggregate
8126193
City of Clearwater as an
" . . . . " - "
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RECEIVED AUG 2 7 1992
AJG 6186