CERTIFICATE OF INSURANCE (14)
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HOMEOWNERS INSURANCE
AGENCY~ INC.
S3b EAST TARPON AVE. #2
TARPON SPRINGS. FL 34b89
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 ALTER THE COVERA6_E AFFORDED BY THE POLICIES FELOW.______.__
C D M PAN = .~ S _H F~F" D R DJ-.l!_~ C D V E E ;4: G E_..___,____
COMP.i\NV
~ETTEF M
SILVER STREAK TAX!
Fobby L. Taylor DFA
607 E. Soruce St.
Tarpon Sorings~ Fl 34b89
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CANAL INSURANCE - I .~-;; n-W~tnr-;
CANAllNDE~NITY C~rrn. @-.--4!
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[H~PANY
LETTEF F
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CDMPANY
COMPANY
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COMPANY
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;=== C 0 V ERA S E S ===========================================================================================================;
TH1S IS TO :ERTIFY THAT THE ?GL~CIES OF INS0RHNCE LISiED BELDW HAvE BEE~ ISS~~D :D T~~ I~SUREr NAMED ABOvE FDR :~E fS~:[Y PERIOD;
IND1CB~ED. \DT~ITHSTANDINS ANY RE}U1REME~T, ~ERM DR COND1T:ION OF ANY CDN:RACT GS D~HEh ~OCJMENT wlTY RESPECT TO wHICH T~IS
CE?T~FlCA~t ~AY BE ISSJED 02 ~4Y PEQTAIN, r~E lNSU?ANCE B~FDRDED BY THE FJLI:JES DESCRIBED HER~11 lS SUBJEST ~0 ALL T~E TEQMS.
E:;~CLjE~ON~; A~nJ CDNDI~~[CN$ [iF 3LTH ?OLl[:EES~ LI?!iTS ~:HJW;:1 i1AY HA')E~~BEEN ;:'~DU[~r BY ?A1D C.Lq.IJ1E~.:....._.______..______..__._...._,__.,._.__,
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POLICY EFF, : POLICY ~XP~;
. ~JE.; __ T";{::I.~~..Jlttuf}liCE ___"__ POLICY NUMBER
DA'E
rAF
~IM,lTS
SENERAL LIBB1LITY
GENERAL ~G3REGATE
$
[Jffiffi2fcia} General Li2bility~
PHODUCT'3-[:DMPlDP .BSG~:tGHTE . -1-___..___'
~ ., C23ims Made [ ~ Sc[ur:
PERSDNAL & ADV~ lNJ~K~
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DAD2rcs & LCDtracIDrrs Prot,:.
EACH DCCUFF.~ENCE
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FJ~~ DA:~AGE ~-'~:'~".: Dne 7:r!?:.
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~EDJ EX':'EN~E
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~~~1 ODe p2rs~ns.
AuTO~OBILE L~ABILITY
Ci}~1BINE:f SlNGLE
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AutG
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-X] S:~EjuIEd ~utOE
=~.Ll~'f ;~'~,:'::h"~
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100.000
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~ifec P..ut[~
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226711
09/30/92
09/30193
B:::=:~Y IN:L;
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300~OOO
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FPC~'ERTY DAMAGE
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EXCESS LIABILITy
EACH GCCURHENCE
[ } UMBRE~LA r:OHM
AGGREGAT~
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WDRKER S COM?ENSAT]DN
EB~:Y ACe DENT ,
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< -D!.SEASE-POLJGY LH'ET i ~ .
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DISEASE-EACH EMPLDYEE
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Physical Damaoe
Canal Ins.
P-(l39337
09/30/92
09130/93
COil ore hen
Collision
$;:100 Ded
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DESCRI?TIDN DF OP~;ATIONS/LOCPTIQNS/VE~lCLES:SPE:Ig~ iT~Mq
1986 Plymouth Reliant Station Wagon
1989 Dodge Aries LE
;=== C E R T I F I CAT E H 0 L D E R ===================== CAN eEL L A T ION ===========================================
SHDULD ANY OF T~E ABGVE DESCR~P~D ~OL!C!ES BE CANCEL_ED BEFJRE !HE
City of Clearwater
Planning t Development
P.O. Fox 4748
Clearwater~ Fl 3461B
~XPIRATIDN DATE THEREDF: T~E :SSj!~E CJ~?ANj WILL ENDEAVOR TJ
MAI~ 10 DAYS WRITTEN NQTI:E TO TH~ C~R~:FICATE rGLDE? ~AMEr T0 ~HE
LEFTz BUT FAILJRE TD ~AI~ SUCH ~CT}CE E~?LL IrFGS~ NC J3LIGAT=ON DR
lIABILITY OF ANY ~:IND UPON THE SDMPANY. ITS AGENTS UK REPRESENTATIVES.
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CORFOFATIDN 19'~O
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