CERTIFICATE OF INSURANCE (4)
LONG & COMPANY INC
P. O. E:ClX 14958
CLEARWATER FL 31629
ISSUE DATE (MM/DD/YY)
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PRODUCER
COMPANIES AFFORDING COVERAGE
-.4958
~~~~~NY A
THE TRAVELERS
INSURED
~~~~~NY B
THE TRAVELE~i:S
RECEIVE
TAMPA BAY COMMUNITY
DEVELOPMENT CClRP
POBOX 5579
CLfARWATER FL
~~~~~NY C
OCT 1 0 1995
34618
COMPANY D
LETTER
RISCORP OF FLORIDA
CITY CLERKDE"T~
COMPANY E
LETTER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDteATEEl,NOTwtTHST ANDl NG' ANV'FlEQUIREMEN'f;-'fERM O1'teONDITtOf'.K)F"ANY-CONTRACT OR OTHER DOCUMENTWITHriESPECTTO WHICH TH IS
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/DDIYY) DATE (MM/DD/YY)
LIMITS
A GENERAL LIABILITY 1 0 9 X 7 9 5 2 6 6 0
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE, X . OCCUR.
OWNER'S & CONTRACTOR'S PROTo
3/01/95
3/01 /96 GENERAL AGGREGATE $1 , 000 , 000
PRODUCTS-COMP/OP AGG. $1, 000 , 000
PERSONAL & ADV. INJURY $1,000, 000
EACH OCCURRENCE $1,000,000
FIRE DAMAGE (Anyone fire) $ ~.I 0 , 000
MED. EXPENSE (Anyone person) $ 5 , 0 0 0
3/0 1 /96 COMBINED SINGLE
LIMIT
$
1,000,000
E: AUTOMOBILE LIABILITY 1 09 X 7 9 5 2660
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
GARAGE LIABILITY
3/01/95
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE $
D
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
25230
:3/0 1 /9~:;
EACH OCCURRENCE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
$100,000
DISEASE-POLICY LIMIT $ ~j 0 0 , 000
DISEASE-EACH EMPLOYEE $ 1 00 , 00 0
..1.
OTHER
DESCRIPTION OF OPERA TIONS/LOCA TIONSIVEHICLES/SPECIAL ITEMS
DEVELOPMENT OF RESIDENTIAL PROPERTY
...,., ,~~'I\l.
C"..caLLATION
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z
CITY OF CLEARWATER
112 ClSCEClLA AVENUE
CLEARWATER FL 34616
CO~PC~RPORATION 1990