LETTER AND BUSINESSOWNERS SPECIAL POLICY
ViE hie
g AGENCY
I
I
INSURANCE
BONDS
INVESTMENTS
Jack Vegl'ite
Bruce Veghte
Daniel Amend
Cheryl Hall
Marilyn Lebo
Charles Rosser
AUQust
... "-J ~
1986
City Clerk
P.O. Box i.t7i.t8
Clear'water" ~ Fl
.3.3518
Owner: The Colony LTD
Pr'opertj:
'-12 i -29 Cleveland
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ut.-..
Company: USF & G
Polk:! #: BSP08145768i.t
Effective Date: t'/9/86
PcUc:y Ter-fn: 1 year-
enClosure: P;u=dnessowner'~~ ~;pecial
The enclosur'e noted above protects your interest in the
above proper.ty in accordance with the policy provisions.
Please advise if any corrections are necessary.
Slncer'ely.
THE VEGHTE AGENCY
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Diane Helland'
Cammer'cia} Lines Department
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601 S. LINCOLN AVE.. 813447-3483. P.O. BOX 1560. CLEARWATER, FLORIDA 33517
RENEWAL OF NUMBER
i~ra&n.o.u, .Atat~knd
EACH A CAPITAL STOCK COMPANY
,ge.,fG, ~n~iJa.J~.foiicy to "the Company" or to "this Company" mean the Company designated above by the letter X.
UlS~4:) fts". DECLARATIONS
This Declarations Page with Forms and Endorsements at-
tached completes the Policy indicated below by the letter X,
.1 BUSINESSOWNERS STANDARD POLICY
,.~&- ~UN~TIED ST A lrJES FiDELIITY AND GUARANTY COMPANY
\.@ 0 FIDELITY A~~D llUIARANliY iNSURANCE INDERWRllrIERS. liNe.
lEMORANDUM OF BUSINESSOWNERS POLICY
No. BSP
New
1. Named Insured and Mailing Address
The Colo,ny LID
C/O Sttff & Brauer
P.O.80x 2817
Cleantater.Ft 33519
2, Policy Period 6/9/86
(No" Street, Town, County, State & Zip Code)
~ BUSINESSOWNERS SPECIAL POLICY
InceptIOn
Expiration
Beginning and ending at 12:01 AM, Standard Time (12:00 noon in Maine,
Michigan, New Hampshire, North Carolina, and Virginia) at the location of
the described premises,
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3. The Named I nsured is: Ii Individual 0 Corporation II Partnership n Other:
4. Mortgagee's Name and Address Republic Bank P.O. Box 7010, Clearwater, Fl 33518
city tlerk. P.O. Box 4748 Clearwater, Fl 33518
5, Location of Premises (Enter "Same" If Mailing Address is also Location of Premises) . Business of the Named Insured
[. 421.. 29 Cleveland Street, CleU'Water, FL o fft ce
2.
3.
6, In Consideration of the premium, insurance is provided the named Insured with respect to those premises described above and with respect to
those coverages and kinds of property for which a specific limit of liability is shown, subject to all of the terms of this policy including forms and
endorsements made a part h~reof:
(Specify)
]
SECTION
COVERAGE
LIMIT OF LIABILITY
Bldg. No
Bldg No.
I
PROPERTY
COVERAGE
COY. A-Building(s)
Automatic Increase in Insurance. Coverage A-Building(s)
shall be automatically increased by 2% or 0 %, which-
ever is greater, at the end of each periodof three months
after the inception date of the policy.
II
COMPREHENSIVE
BUSINESS
LIABILITY
COVERAGE
COY, B-Business Personal Property
COY, C-Loss of Income -Actual Loss Sustained, not
exceeding 12 Consecutive Months.
COY, D-Money and Securities (APP,licable only if Businessowners Special Policy is I on Premises
indicated above,) off Premises
COY, E-Business liability. The limit of liability with respect to the completed operations
and products hazards combined is an aggregate limit for all occurrences during the
policy period,
Fire Legal Liability
COY. F-Medical Payments
$
7 0 .
IC
each occurrence $I ,OOO,QOO
each occu rrence $50,000
each person $ 1,000
each accident $10,000
JPtlona oyerages
The following coverages are afforded under this policy only when designated by an "X" in the box(es) shown below: limit of liability
0 Employee Dishonesty each occurrence $ 5,000
0 Exterior Signs each occurrence $
iJ Exterior Grade Floor Glass Replacement Cost
0 Burglary and Robbery Refer to Pages 6 and 7 of Form
(Applicable only if Businessowners Standard Policy is indicated above), BU 00 01
0 Boiler, Pressure Vessels and Air Conditioning Equipment Replacement Cost
0 Other (Specify)
8. Pol icy forms and endorsementsattached at inception: BU0201 (11-75 ) , 9, Total Policy Premium $3,105.
BUOO02(5-76).BUOO04(4-84),Gen.170(8-78),FirelOl0
(9-81) ,IlO928(6-85) (Initial Annual Premium if Item 2. (Policy Period)
states Expiration to be "Until Cancelled")
Countersignature Date OW 7/28/86
Agency at
C1 urwater, Fl
The Veghte Agency
Agent.
Fire 84~ (5-76) Printed 1/85
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BUSINESSOWNERS
FLORIDA
AMENDATORY
CANCELLATION
ENDORSEMENT
BU 02 01 (Ed. 11 75)
,
~
,
. '
. BU 02 01
(Ed, 11 75)
GENERAL CONDITIONS-2-Cancellation by the named insured: The Cancellation
Condition of this policy is amended as follows:
2, If the named insured cancels. the return premium due the insured shall be'
calculated on a pro rata basis in accordance with the following procedure:
(a) The annual policy premium shall be reduced by a minimum earned
premium of 10%. and
(b) such resulting premium shall be multiplied by the unearned pro rata
factor,
SEE POLICY IN FILE