CERTIFICATE OF INSURANCE (9)
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PRODUCER
Suncoast Insurance Associates
P.o. Box 22668
Tampa, FL 33622-2668
DATE (MMIDDIYY)
06/13/02
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.
COMPANIES AFFORDING COVERAGE
TBE Group, Inc.
380 Park Place Blvd., Suite 300
Clearwater, FL 33759
COMPANY
AUnited States Fidelit & Guaranty CO
COMPANY
BAmerican Manufacturers Mutual Ins Co
INSURED
COMPANY
CSecurity Insurance of Hartford
THIS IS TO CERTIFY THAT THE 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO
LTR
TYPE OF INSURANCE
POUCY NUMBER
POLICY EFFECllVE POLICY EXPlRAll0N LIMITS
DATE (MM/DDIYY) DATE (MMIODIYY)
06/30/02 06/30/03 GENERAL AGGREGATE s2 000 000
PRODUCTS-COMP/OP AGG s2 000 000
PERSONAL & ADV INJURY sl 000 000
EACH OCCURRENCE sl 000 000
FIRE DAMAGE (Anyone fire) sl 000 000
MED EXP (Anyone person) s10 000
06/30/02 06/30/03 COMBINED SINGLE LIMIT $1,000,000
BODILY INJURY $
(P", person)
BODILY INJURY $
(P", accident)
PROPERTY DAMAGE S
AUTO ONL Y-EA ACCIDENT S
OTHER THAN AUTO ONLY:
EACH ACCIDENT S
AGGREGATE $
06/30/02 06/30/03 EACH OCCURRENCE s7 000 000
AGGREGATE s7 000 000
05/01/02 05/01/03 X STAlUTORY LIMITS
EACH ACCIDENT
06/30/02 06/30/03
A GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [XJ OCCUR
OWNER'S & CONTRACTOR'S PROT
BK01158348
A AUlOMOBlLE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
BA,01158301
GARAGE LIABILITY
ANY AUTO
A EXCESS LIABILITY BK001158348
X UMBRELLA FORM
OTHER THAN UMBRELLA FORM
B WORKERSCOMPENSAll0NAND -. - 7CQ61261203
EMPLOYERS' LIABILITY
THE PROPRIETOR!
PARTNERSJEXECUTlVE
OFFICERS ARE:
C OTHER
rofessional
iability
X INCL
EXCL
PL515777
DESCRlP110N OF OPERA1l0NSILOCAllONSNEHlCLESlSPECIAL ITEMS
Professional Liability is written on a claims made basis
City of Clearwater
%Public Works Administration
100 South Myrtle Avenue
Clearwater, FL 33756
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPlRAll0N DATE THEREOF, TliE ISSUING COMPANY WILL ENDEAVOR TO MAIL
..3.0....- DAYS WRITn:N NOllCE TO THE CERllFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOllCE SHALL IMPOSE NO OBLIGATION OR LIABILITY
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OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTAllVES.
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