CERTIFICATE OF INSURANCE (179)
~~
Bill Williams Agency~ Inc.
6109 9th Street No.
St. Petersburg, FL 33703
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR .\!.TERTHE Q,OVERAGE AFFORDED. BY THE POUCIES BELOW.
COMPANIES AFFORDING COVERAGE
INSURED
Suncoast Excavating, Inc.
211 Hedden Court
P.O. Box 838
Ozona, FL 34660
COMPANY A
LETTER
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
Auto-Owners Ins. Co.
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 OF ANY CONTRACT OR 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 THE TERMS, EXCLUSIONS, AND CONDI-
TIONS OF SUCH POLICIES.
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS
DATE (MM/DOtIY) DATE (MMlDDtIY) EACH AGGREGATE
OCCURRENCE
BODILY
INJURY $ $
PROPERTY
DAMAGE $ $
03-15-89 03-15-90 BI & PO
COMBINED $:I., 000
PERSONAL INJURY $
mlLY
INJURY $
(PfR PfRSONI
BOOIL Y
INJURY $
03-15-89 03-15-90 (PER ACCIDENT)
PROPERTY
DAMAGE $
GENERAL LIABILITY
COMPREHENSIVE FORM
PREMISEs/OPERATIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTs/CDMPLETED OPERATIONS
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
894612 20397194
AUTOMOBILE LIABIUTY
ANY AUTO Scheduled
ALL OWNED AUTDS (PRIV, PASS,)
ALL OWNED AUTDS (OTHER THAN)
PRIV, PASS,
HIRED AUTOS
NON.OWNED AUTDS
GARAGE LIABILITY
894612 20397194
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
894612 20397194
BI & PO ~
03-15-89 03-15-90 COMBINED ....~,OOO
5T A TUTORY
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
$
$
$
(EACH ACCIDENT)
(DISEASE.POLlCY LIMIT)
(DISEASE-EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlSPECIAL ITEMS
CITY OF CLEARHATER IS NAMED AS ADDITIONAL INSURED AS RESPECTS CREST LAKE
SIDEWALK REPLACEMENT
of Cleanva ter
P.O. Box L~748
Clearwater, FL 33518