CERTIFICATE OF INSURANCE (3)
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ISSUE DATE (MM/DD/YY)
10(16(96
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.
PRODUCER
Long & Company, Inc.
P. O. Box 14958
Clearwater, FL 34629-4958
COMPANIES AFFORDING COVERAGE
f~T~~NY A
The Travelers
INSURED
COMPANY B
LETTER
The Travelers
Tampa Bay Community Development Corp
P. O. Box 5579
Clearwater, FL 34618
COMPANY C
LETTER
COMPANY D
LETTER
Riscorp of Florida
f~:r~~NY E
co
I
ES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSIANDINGANY REQUIREMENT, IEBM-OR CONDITION Of ANY-COIllTRACT -OR OTHEflDOCUMENT-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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MM/DD/YY)
LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR.
109X7952 660
03/01/96
03/01/97
GENERAL AGGREGATE
PRODUCTS.COMP/OP AGG. 1 ,000,000
PERSONAL & ADV. INJURY 1,000,000
EACH OCCURRENCE 1,000,000
FIRE DAMAGE (Anyone fire) 50,000
MED. EXPENSE (Anyone person) $ 5,000
B
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON.OWNED AUTOS
GARAGE LIABILITY
COMBINED SINGLE
LIMIT
$
109X7952 660
03/01/96
03/01/97
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE $
D
AND
EMPLOYERS' LIABILITY
25230
03/01/9"6
03/01/97
. EAGH ACCIDENT
DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Development of Residential Property
CANCELLATION
Attn: Alan Ferri
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAil ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
lEFT, BUT FAILURE TO MAil su NOTICE SHAll IMPOSE NO OBLIGATION OR
LIABILITY ANY KIND ON E OMPANY, ITS AGENTS OR REPRESENTATIVES.
City of Clearwater
P. O. Box 4748
Clearwater, FL 34618
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@ACORQ CORPORATION 1990