CERTIFICATE OF INSURANCE (007)
COMPANIES AFFORDING COVERAGES
Baylis Insurance Agency Inc.
P.O. Box 2355
Winter Park, FL 32790
Tharp Plumbing Systems, Inc
2677 Mercy Drive
Orlando, FI 32808
COMPANY
L I' f! II~
A
B
C
o
E
tVEO
COMPANY
II T1 FIl
COMPANY
L[Tl[R
NAML AND M;~}rirss or INSURED
C: Jtllt'flr.lY'
~ ( ! , ! it
1984
COMPANY
LETTER
This is to certify that policIes of insurance listed below have been issued to the insured named above and are in force at this time. Notwithstanding any requirement, term or conditi n
of any contractor other document with respect to which this certificate may be i,sued or may pertain, the insurance afforded by the policies described herein is subject to all t e
terms, exclusions and conditions of such policies.
1 yr'[ OF INSURANCE ]
GENERAL L1ASlUn .
POLICY NUMllf P
POLICY
[XPIRATION DA T E
Limits of Liability in Thousands
EACH
OCCURRENCE
AGGREGA E
XPW 193694
3-1-85
BODIL Y INJURY ~
pROPERrVDAMAGE $
--- :
I
I
$300
[]j COMf'REHENSIVE FORM
[Jij f'r,[ MIS ES--OpERA T IONS
[-'1 EXPLOSION AND COLLAPSE
- IIAZARD
5a UNDERGROUND HAZARD
r;;j PRODUCTS/COMPLETED
L.AI OPERATIONS IIAZARD
[]j CONTRACTUAL INSUfiANCE
r;;j BROAD FORM PROpUHV
L.AI DAMAGf
[]j'INDEpENDENT CONTRACTORS
GO PeRSONAL INJURY
$100
BODILY INJlIRY ,'NU
PROPFlHY UM~ .\c;f
COMf3!Nlll
$
PUlson.\1 INJiJllY
$300
3-1-85
l,ODILY INJUI1Y
(EACH ACCIDENT)
AUTOMOBILE LIABILITY
BOnlLY INJUPY
If ACH PUlSON)
[Xl COMPI~rHU~SIV[
CXJ OWNE!)
1:X111111[ D
[Xl NON ()WNUl
H)I!M
XAW 193694
PF~urU~l Y OAMAGt
BODIL Y IrlJURY AND
PROPERTY DAMAGE
COMBINED
EXCESS LIABILITY
BOllll~Y INJURY AND
PROf'UHY DAMAGE
COMIJINlD
D UMfJl1FLLA FOFlM
D ()THfflTHANUMflRELLA
I' GriM
~. WOBKERS'COMI'E-NSAIJON _
and
EMPLOYERS' LIABILITY
OTHER
1144-00
--112-31-84
~~L''''F''''''''
([A(;H Ace [NT)
DE~CRIPTION OE OPERATlONS/LOCATIONSNEHICLfS
Cancellation: Should dn~' of the above described poliCies be cClncelled before the eXplriltlon dilte thereof, the issuing com-
pany:dl endeavor to marl 30.-- days WI Iltf~n notice to the beluw nallled certificate holder, but failure to
marl "'_:I:lllotlce shall Impose no obllgiJtlOl1l1r IliJb:lity of ;II1Y KII''.I upon the company.
NP.Mt ,'ND MJlJlltSS OF ([ RTlFICAl f HOI Df R
City of Clearwater
112 S. Osceola Avenue
Clearwater, FL 33516
DAIT 1:<;11[1)
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