CERTIFICATE OF INSURANCE (207)
CERTIFICATE OF INSURANCE:
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Bill Williams Agency, :
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6109 9 t h S t r e e tN. : ---------------------------------------------------------------------:
St. Petersburg, FL : :
I 33703 : COMP AN I ES AFFORD I NG COVERAGE :
i_~~~~_~!_~_~~~~_-~3~~_____________________I------------------------------------------------~--~--~rr.--t-~~ f
: INSURED : COMPANY LETTERA Owners I nsurance Company :
: :---------------------------------------------------------------------------l
: : COMP~YUJnRB Auto Owners Ins. 12093 :
1 ~~B~o;~~ ~38avati ng, Inc. l-ro;;Y-LETTERc---Fcc j--------------------erfy;c.-"(,Lr:m:----;
: 02: ona FL : --------------------------------------------------------------------:
: 34660 : CCH'IPANY LETnRD Continental Ins. Co. -MOAC :
: :---------------------------------------------------------------------------1
: : COHPANY UJnR E :
:> COVERAGES {===========================================================--========================================================:
: THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY :
: PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION (f ANY CONTRACT III OTHER DOCUMENT WITH RESPECT TO :
: WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN} THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO
: ALL TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLIC ES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I
:-------------------------------------------~~---~--~---~~~------~----~~~-~--~------~~~~~~--~~~~---~--~~~---~~~--~~=~~~~~~~~----~~:
- : co: TYPrDrINSURANCE--' r . POLICY~ER.. - T POLICy EFF : POLICY EXP: ALL LIMITS IN THOUSANDS :
:LTR: : : DATE : DATE : :
;---~--------------------------------:----------------------------:--------------1--------------:---------------------------------l
: : GENERAL L I AB I L I TY : ::: GENERAL AGGREGATE : 2000 :
~ : : :: :---------------------i-----------i
: A: IX] COMMERCIAL BEN LIABILITY : ::: PRODS-COMP/OPS AGG.: 1000 :
: : : ::: ------------------ i ----------}
:: [ ] CLAIMS MADE 1:] acC. :894612 20397194 03/15/90 03/15/91 : PERS. & ADVG. INJURY: 1000 :
: : : :: ------------------- i -----------1
: : IX] OWNER' S & CONTRACTOR'S : :: EACH OCCURRENCE : 1000 :
:: PROTECTIVE: :: --------------------- : ----------- :
I : : :: FIRE DAMAGE : :
: []: :: (ANY ONE FIRE) : 50:
: : :: ------------------ ~ ----------- :
: []: :: MEDICAL EXPENSE: :
I : : ,:: (ANY 01'1: PERSON): 5:
:---:-------------------------------:----------------------------:--------------1--------------:---------------------:-----------:
: : AUTOMOB I LE L I AB : ::: COI1B. SINGLE LIMIT : 1000 :
; : : :: :---------------------i-----------:
: : [] ANY AUTO: ::: BODILY INJURY: :
: : [] ALL OWNED AUTOS: ::: (PER PERSON) : :
: B: IX] SCHEDULED AUTOS :890212 20112461 03/15/90 03/15/91 :--------------------:-----------1
: : IX] HIRED AUTOS: : : BODILY INJURY: :
: 1 IX] NON-OWNED AUTOS: : : (PER ACCIDENT!: :
: : [] GARAGE LIABILITY: : :---------------------:-----------:
: : [] : : I : PROPERTY DAMAGE: :
~---:--------------------------------:----------------------------:--------------:--------------:---------------------------------i
l _l.EXCESS L lAB ILIT.Y_o.uL.. ... .............. .... . ..... : ..:. . :. : EACH OCC: AGGREGATE :
: B: IX] UMBRELLA FORM . :892112--71526499 03uTfS/90 -0371.-sT9T r~ -1--i
: : [] OTHER THAN UMBRELLA FORM : ::: I 1000 : 1000 :
:---:--------------------------------:----------------------------:--------------:--------------:---------------------------------:
: : : ::: STATUTORY :
: C: WORKERS' COMP :06503 01/01/91 12/31/91: 100 EACH ACC :
: : AND 500 DISEASE-POLICY LIMIT :
: : EMPLOYERS' L I AB , I I I 100 DISEASE-EACH EMPLOYEE:
:---:--------------------------------:----------------------------:--------------:--------------:---------------------------------:
: : OTHER : ::: :
: D: Contractors Equip. : IMC 872374 03/15/90 03/15/91 : $1000 OED
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: DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS :
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: LAURA STREET DRAINAGE IMPROVEMENT (87-15) :
1> CERTIFICATE HOLDER (==~. ~=~ =AjkONri-THE=AB~= llESCRI BED=POLICIES=BtcANCELLED-BEFORE THE=Ex:===l
: .' ..~J.w = PIRATION DATE THEREOF, THE ISSUING COI'PANY WILL ENDEAVOR TO MAIL30 I
: ., non = DAYS WRITTEN NOTICE T CERTIFICATE HOLDER NAMED TO THE LEFT, BUT ;
: nEe 2 7 \17U = FAILURE TO MAIL S ICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF :
: CITY OF CLEARWA TE~ = ANY KIND lIP~ T Y. ITS NTS OR REPRESENTATIVES. :
; ~fE~g~A~~~8FL bUll.UING UlV. ~-AUrHoRIZED-REP '- ~ ~------------------1
: 34618 {-.'.ITV ('If C\ F I\RWATE~ :
: _ACORD 25-5 (3/8B) ,\ \ I J--' :