CERTIFICATE OF INSURANCE (5)
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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
DATE (MM/DD/YY)
PRODUCER
l' Suncoast Insurance Associates
P.o. Box 22668
Tampa, FL 33622-2668
INSURED
COMPANY
ASt. Paul Fire & Marine
Tampa Bay Engineering, Inc
18167 U S 19, N
Suite 550
Clearwater, FL 33764
COMPANY
BAmerican Manufacturers Mutual Ins.Co
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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MM/DD/YY)
LIMITS
A GENERAL LIABILITY RP 0 6 642429
X OMMERCIAL GENERAL LlABILlT
CLAIMS MADE LiJ OCCUR
WNER'S & CONTRACTOR'S PRO
A AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
CA06609242
06/30/98 06/3 0/99 GENERAL AGGREGATE $2 000 000
PRODUCTS-COMP/OP AGG $2 000 000
PERSONAL & ADV INJURY $1 000 000
EACH OCCURRENCE $1 000 000
FIRE DAMAGE (Anyone fire) $1 0 0 0 0 0 0
ME D EXP (Anyone person) $5 0 0 0
06/30/98 06/30/99
COMBINED SINGLE LIMIT $I, 000, 000
BODlL Y INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE $
GARAGE LIABILITY
ANY AUTO
A EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
...- R -WCRKl'i:~SCOMPEN~TIOHANDc.
EMPLOYERS' LIABILITY
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: I EXCL
C OTHER PL702332
RP06642429
AUTO ONL Y-EA ACCIDENT $
OTHER THAN AUTO ONL Y:
EACH ACCIDENT $
AGGREGATE $
06/30/98 06/30/99 EACH OCCURRENCE $3 000 000
AGGREGATE $3 000 000
1.CQ60~QUL_
Q.2Jo U~ 8 0 5L ()..u~~
STATUTORY LIMITS
EACH ACCIDENT
Professional
Liability
DISEASE.POLICYLIMIT $1 000 000
DISEASE-EACH EMPLOYEE $1, 000, 000
06/30/98 06/30/99 $2,000,000 each claim
$2,000,000 aggregate
DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLES/SPECIAL ITEMS
Professional Liability is written on"a.~ .
Contractor Pollution Legal Liability ih u~e4 m ~
1 __'~"~.._..........
City of Clearwater
%Public Works Administration
100 South Myrtle Avenue
Clearwater, FL 33756
_i.piioffi~< \1
SHOU LD ANY OF THE ABO ~ '
EXPIRATION DATETHERE F, TH ISSUING COMPANYWILL ENDEAVOR TO MAIL
..3..0.- DAYS WRITTEN N,OTlqE 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.
>AZi~~~D::ESE~T~VE~.......>.>..
'" 'CXS<,\)Acc>f{QCQFlflQRAtl~,~~:r
and reported.
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