CERTIFICATE OF INSURANCE (4)
PRODUCER
Suncoast Insurance Associates
P.O. Box 22668
Tampa, FL 33622-2668
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THIS CERTIFICATE IS SUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CEfUlFICA TE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
TAMPBAY3
......'ACORO:
DATE (MM/DDIYV)
06/09/99
INSURED
COMPANY
ASt. Paul Fire & Marine
:4
Tampa Bay Engineering,:; nc\
18167 U S 19, N
Suite 550
Clearwater, FL 33764
COMPANY
BAmerican Manufacturers Mutual Ins. C
\ .
COMPANY
CSecurity Ins 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MMIDDIYV) DATE (MM/DDIYV)
A GENERAL LIABILITY RP06642429 06/30/99 06/30/00 GENERAL AGGREGATE $2 000 000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $2 000 000
CLAIMS MADE [X] OCCUR PERSONAL & ADV INJURY $1 000 000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $1 000 000
FIRE DAMAGE (Anyone fire) $1 000 000
MED EXP (Anyone person) 55 000
A AUTOMOBILE LIABILITY CA06609242 06/30/99 06/30/00 51,000,000
X COMBINED SINGLE LIMIT
ANY AUTO
ALL OWNED AUTOS BODILY INJURY
(Per person) $
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
(Per accident) $
NON-OWNED AUTOS
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONL Y-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
A EXCESS LIABILITY RP06642429 06/30/99 06/30/00 EACH OCCURRENCE 000 000
UMBRELLA FORM AGGREGATE 000 000
OTHER THAN UMBRELLA FORM
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WORKERSCOMPENSAnON AND x' 'STATUTORY LIMITS
EMPLOYERS' LIABILITY EACH ACCIDENT $1 000 000
THE PROPRIETOR! X INCL DISEASE-POLICY LIMIT $1 000 000
PARTNERSIEXECUTIVE DISEASE. EACH EMPLOYEE $1 000,000
OFFICERS ARE: EXCL
C OTHER PL702332 06/30/99 06/30/00 $2,000,000 each claim
Professional $2,000,000 aggregate
iability
DESCRIPTION OF OPERA TIONS/LOCATIONSNEHICLESlSPECIAL meus
Professional Liability is written on a claims made basis and reported
Contractor Pollution Legal Liability included.
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
...3..!l..- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
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City of Clearwater
%Public Works Administration
100 South Myrtle Avenue
Clearwater, FL 33756