COPIES OF NEW DECLARATIONS AND BUSINESS OWNERS POLICY
] 027280 d 150 150- UOU 7U1
_._ ft4
'.,'2 BUSINESS OWNERS POLICY I HIE AETNA' CASUAlty AND SURETY COMPANY
f.~IIt-:I~-DELUXE NEW DH..'LARATI~NS. HARTFORD, CONNEC 1- Icur 06156
:....~ry . C / €_r A
JACK RICE ~ ASSOCIATES
I DEC. NQ
101
l.NAMED INSURED AND ADDRESS:
THE COLUNY LIMITED
~ STIFF ~ B~^VE~
PO JOX 2tH 7
CLEARWATER
PINELLAS COUNTY
FL 33519
POLICY NUMBER
023 JU 1286140 FCA
2.POLlCY PERIOD
FROM: 06-09-d 1 TO: 06-09-88
12:01A.M. STANDARD TIME AT
LOCA TION OF DESCRIBED PROPERTY
3.THE NAMED INSURED IS:
PAHTNERSHIP
ACCOUNT NO. 1655428013 CABS
lLOCATION OF PREMISES:
1. 421 429 CLEVELAND STREET
CLEARWATER
FL 33519
'J.DESCRIPTlON OF INSURED'S I3USINESS
UFFICE nLDG. OWNERS
i). POLICY COVERAGES- THIS POLICY PROVIDES ONLY THOSE COVERAGES WHERE liMITS OF LIABILITY ARE SHOWN BELOW.
SECTION I - PROPERTY AND COMBINED EARNINGS & EXTRA EXPENSE LIMIT OF LIABILITY
LOC. NO. 1 LOC. NO.
BLDG. NO. 1 BLDG. NO.
$ 585,000 $
PART
ONE
TITLE
BUILDINGS (INCLUDES EXTERIOR BUILDING GLASS)
BUSINESS PERSONAL PROPERTY (If Deluxe. Money & Securities Coverage is provided
up to $10,000 un and $2,000 off premises. or the Business Personal Property Limit.
wh ichever is less.)
$
$
TWO
THREE EXTENSIONS OF COVERAGE
FIVE COMBINED EARNINGS & EXTRA EXPENSE
VALUATION: BUILDINGS BUSINESS PERSONAL PROPERTY
REPLACEMENT COST
;ECTION II .. LIABILITY COVERAGE
PART TITLE
SIX BODILY INJURY AND PROPERTY DAMAGE (EACH OCCURRENCE)
3EVEN FIRE LEGAL LIABILITY (EACH OCCURRENCE)
EIGHT PREMISES MEDICAL PAYMENTS (EACH PERSON)
NINE PERSONAL INJURY & ADVERTISING INJURY (EACH OCCURRENCE)
TEN PROFESSIONAL LIABILITY (EACH OCCURRENCE) (Applicable only to Retail Drugstores,
Optical Gooos or Hearing Aid Stores. or Funeral Directorsl
)PTIONAL COVERAGES-The following Optional Coverages, if any, are provided under this policy
.rlly if a coverage and limit of liability is specified below.
INCLUDED
INCLUDED
/DEDUCTI BLE. Parts One and Two:
$ 2'5 Q Each Occurrence
LIMITS OF LIABILITY
$
$'
$
$
1,000.000
1,000,000
5,000
1,000,000
.DO\: PART
1 t-UUH I::XIt:K.IUR (~LA~S
TITLE
$
LIMIT OF LIABILITY
LOC. NO. 1 LOC. NO.
BLDG. NO. 1 BLDG. NO.
INCLUDED
.
$
$
$
$
.FORMSANDENDORSEMENTS made a part of this policy: (56711')06/84 (56690 111/84
('56695 106/84 ('56952 Ill/aS (568U5 110/84 (ILOOIB)10/B4
,MORTGAGEE (Namtl and Address) c k&.. of I'~.- Po,., 10 /.;L^/~ 7
U)C. HLOG. /
1 1 REPUI3LIC ~ANK
PU BOX 70lU, CLEARWATER
$
$
$
$
(56154
106/84
FL 33518
TOTAL PREMIUM
.. $
2,931.00
INDICATES CHANGES
=(jUNTERr;Y~1~>(Y1 I AGENCY AT: IlfrzJ()
tl
!-(
f
n 1/
I AGENT'S SIGN~'c/(
V
/),
Kt.0l
JOO .23 * U~od OJ2~H7 lO.52.J7 233 OUOO
J(,)
233
".
...~ ,.. ;Q,o.
~
-I' It:.
AUIIIJ
, & CASUALTY
I
POLICY NUMUEJOZ3 JQ 001286740 FCA
BUSINESS OWNERS POLICY
ADDITIONAL INSURE~ ENDORSEMENT
STATE O~ POLITICAL SUUDIVISIONS
WE AGREE THAT PAKT SIX - RODILY INJURY ANd PROPERTY DAMAGE LIABILITY
COVERAGE, IS AMENDED AS FOllOWS:
THE STATE O~ POLITICAL SURDIVISIJN NAMED BELOW IS ADDED TO II.A.
PERSONS INSUR~U. THIS INSURANCE APPLIES ONLY TO THE FOLLOWI~G
~AlAROS FOR WHICrl THE STATE OR PJLITICAL SUBDIVISION NAMED rlAS
ISSUED A PER~Ir IN C]NNECTION ~ITH PREMISES:
1. U~,\Il:D BY. REl\lTiO TO OR CJNTROLLED ilY YOU, AND
2. TO ~HICH BODILY INJURY AND PROPERTY DAMAGE LIAdILITY
C8VERAGE APPLIES.
HAZARDS
1. TrlE EXISTENCE. MAINTENANCE. ~EPAIR, CONSTRUCTION. ERECTION
OR RHtOVAl OF:
A. ADVERTISI~G SIGNS.
lj. A~NINGS.
C. CANOPIES.
D. CELLAR ENTRANCES.
E. COAL rlOLES.
F. DRIVEWAYS.
G. :'1ANrlDLES.
rl. MARQUEES.
I. HaIST~AV UPENINGS.
J. SIDEWALK VAULTS.
K. STREET BANNERS OR DECORATIONS.
L. SIMILAR EXPOSURES.
2. TrlE CONSTRUCTIUN. ERECTION, OR REMOVAL OF ELEVATORS.
3. THE OwNEKSrlIP, MAINTENANCE O~ USE OF ANY ELEVATORS COVERED
BY THE POLICY.
DESIGNATION OF STATE OR POLITICAL SUBDIVISION
CITY CLERK
PO !.3C1X 4748
FL 33518
CLEARWATER
ALL OTHER PROVISIONS JF THIS POLICY STILL APPLY.
frlIS fNOO~SEME~T FORMS A PART OF TrlE POLICY TO ~HICH IT IS ATTACHED.
(56711) 6/P''t
CAT. 658162 PRINTED IN U.S.A.