CERTIFICATE OF INSURANCE (012)
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will
endeavor to mail 30 days written notice to the below named certificate holder, but failure to mail such notice shall im-
pose no obligation or liability of any kind upon the company,
NAME AND ADDRESS OF CERTIFICATE HOLDER
DATE ISSUED,
CITY OF CLEARWATER
POST OFFICE BOX 4748
CLEARWATER, FL 33518
R.