CERTIFICATE OF INSURANCE (108)
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CERTIFICATE OF INSURANCE 1
37
~hiS Certificate is issued as a matter of information only and confers no rights upon the Certificateholder. This Certificate
oes not amend, extend, or alter the coverage afforded by the policies listed below. The policy is subject to change by
endorsement and to assignment and cancellation In accordance with Its terms.
This is to certify that the insurance policy(s) numbered below has (have) been issued by this company and for the cover-
ages and limits of liability as shown.
* Certlflcateholder:
Insured: 059.620.5
CITY OF CLEARWATER
POBOX 4748
CLEARWATER FL 33518
SOUTHERN PLUMBING
POBOX 387
PORT RICHEY FL 34288
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GENERAL LIABILITY
Policy..NumbeeBIDl833.._-.Effacti\laDAtA' 11L22L8ft.- Expiration Date: .i1l22LB1nn
Coverages:
Comprehensive Including Products & Completed Operations
Multi-cover liability, Including Blanket Contractual, Broad Form Prop Damage & Pers Liability
limits of liability:
Bodily Injury and Property Damage Combined: $300,000 Each Occurrence
AUTOMOBILE OR GARAGE LIABILITY (No Fault is provided if required by Statute)
Policy Number: 869834 Effective Date: 11/22/86 Expiration Date: 11/22/87
Vehicles Covered:
All Autos
All Owned Autos
Hired Autos
Non owned Autos
Limits of Liability:
Bodily Injury and Property Damage Combined: $300,000 Each Accident
30 days written notice will be given to the Certlflcateholder named above if during the term of such policy(s),
cancellations or changes occur which affect this certificate. '
$300,000 Aggregate
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PRESIDENT
6222 (01-86 C)
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, " SECRETARY
FEDERATED MUTUALrrltr8~...rlt
INSURANCE COMPANY r.."IIlI114' .."
5883 Glenridge Dr NE f' ATSURANC'E' ~
Atlanta. GA 30328 if I "