CERTIFICATE OF INSURANCE (064)
INSURED
m, Rodgers & Currnnings Ins- Inc.
P.O. Box 5148
Clearwater, F1.3351~ ff'~\f;~,.r3} ~ r~)!l tn~ COMPANIES AFFORDING COVERAGE
\~ \l1~':'- >~,. 'f~~~~~ \;;. South Carolina Insu:Jint:eC E
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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 COVERAGE AFFORDED BY THE POLICIES BELOW.
Terra Excavating,
13400 Pine Street
Largo, Fl. 33540
Scottsdale Ins.
AUG
5
Planet Ins.
COMPANY D
LETTER
COMPANY E
LETTER
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.
CO
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TYPE OF INSURANCE
POLICY NUMBER
POLICY EF'EC"iVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS
DATE iMMiDDIYY) DATE (MMiDD/yy) EACH AGGREGATE
OCCURRENCE
BODILY
INJURY $ $
PROPERTY
DAMAGE $ $
,7/15/85 7/15/86 BI & PO
COMBINED $ 500 $ 500
GENERAL LIABILITY
COMPREHENSIVE FORM
PREMISES/OPERATIONS
UNOERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTS/COMPLETED OPERATIONS
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
SMP 44 88 095
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (PRIV, PASS,)
ALL OWNED, AUTOS (OTHER THAN)
PRIV, PASS,
HIRED AUTOS
NON.OWNED AUTOS
GARAGE LIABILITY
EBO 50 21 14
7/1/85
7/1/86
PERSONAL INJURY $
BODilY
INJURY $
(PER PERSON)
BODilY
INJURY $
(PER ACCIDENT)
PROPERTY
DAMAGE $
81 & PO 500
COMBINED $
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
~~t:~ED $
STATUTORY
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
Unassigned
7/3/85
7/3/86
$100
$
$100
(EACH ACCIDENT)
(DISEASE-POLICY LIMIT)
(DISEASE-EACH EMPLOYEE
rHEA
i1PTION OF OPERA TIONS/LOCA TIONSNEHICLES/SPECIAL ITEMS
itional Insured: City of Clearwater
Florida
7 0 ea
;. Missouri Avenue
crwater, Fl. 33515