CERTIFICATE OF INSURANCE (6)
ACORD: >IIIIIBIIIIIIIIIII[I."III')
TAMPBAY3
(LC~('.
PRODUCER
~uncoast Insurance Associates
P.o. Box 22668
~ampa, FL 33622-2668
DATIE (MM/DDIYV)
06/15/01
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
COMPANY
AUSF&G
INSURED
Tampa Bay Engineering, Inc.
aka TBE Group, Inc.
380 Park Place Blvd., Suite 300
Clearwater, FL 33759
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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MMIDDIYV) DATIE (MMIDDIYV)
A GENERAL LIABILITY BK00872931 06/30/01 06/30/02 GENERAL AGGREGATE $2 000 000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-<:OMP/OP AGG $2 000 000
CLAIMS MADE ~ 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) $10 000
A AUTOMOBILE LIABILITY BA00872882 06/30/01 06/30/02 $l,000,000
X COMBINED SINGLE LIMIT
ANY AUTO
ALL OWNED AUTOS BODILY INJURY
(Per person) $
SCHEDULED ALlTOS
HIRED AUTOS BODILY INJURY
(Per accident) $
NON-OWNED AUTOS
JUN 1 9 2001
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY -fA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATIE $
A EXCESS LIABILITY BK00872931 06/30/01 06/30/02 EACH OCCURRENCE $7 000 000
X UMBRELLA FORM AGGREGATE $7 000 000
OTHER THAN UMBRELLA FORM $
B WORKERS COMPENSATION AND 7CQ61261202 05/01/01 05/01/02 X STATUTORY LIMITS
EJIIII'L()YE~' ,LI~Bll,.l~__~o_~_ ---~-',- -------.----". ACH--ACGll)ENT ~-- -e -- .000 ,-000.
THE PROPRIETOR! X INCL DISEASE-POLICY LIMIT $1 000 000
PARTNERSIEXECUTIVE DISEASE-EACH EMPLOYEE $1, 000 , 000
OFFICERS ARE: EXCL
C OTHER PL515777 06/30/01 06/30/02 $5,000,000 Each Claim
Professional $5,000,000 Ann Agg
iability
DESCRIPTION OF OPERA TIONSILOCA TIONSNEHICLESlSPEClAL ITlEMS
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
EXPIRATION DATIE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
...3....0....- DAYS WRlTTlEN NOTICE TO THE CERTIACATIE HOLDER NAMED TO THE LEFT,
BUT FAILURE 10 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
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