CERTIFICATE OF INSURANCE (7)
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~~~I~~f0'/)fT,~~~~..,.~~) 06/20/00
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
... ACORD~
PRODUCER
Suncoast Insurance Associates
P.o. Box 22668
Tampa, FL 33622-2668
INSURED
TBE Group, Inc.
aka Tampa Bay Engineering, Inc.
18167 US 19N, Suite #550
Clearwater, FL 33764
COMPANY
ASt. Paul Fire & Marine
COMPANY
BAmerican Manufacturers Mutual Ins Co
r-
I COMPANY
! CSecurity Ins of Hartford
I COM~ANY
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
A GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [Xl OCCUR
OWNER'S & CONTRACTOR'S PROT
RP06642429
A AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
CA06609242
~m~~w~
GARAGE LIABILITY
ANY AUTO
CITY Of CL LA RW;, If,
Pl~~IC WORKSADMi~iiSl ,A1I0N
A EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
B WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
RP06642429
7CQ61261201
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE:
C OTHER
Professional
iability
X INCL
EXCL
PL515777
STATUTORY LIMITS
EACH ACCIDENT $1, 0 0 Q , 0 0 0
DISEASE-POLICY LIMIT $1 0 0 0 , 0 0 0
DISEASE-EACH EMPLOYEE $1 000, 000
$5,000,000 Each Claim
$5,000,000 Ann Agg
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDNY) DATE (MM/DDNY)
06/30/00 06/30/01 GENERAL AGGREGATE
PRODUCTS-COMP/OP AGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone person)
06/30/00 06/30/01
COMBINED SINGLE LIMIT
BODILY INJURY
(Per person)
~
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
106/30/00 06/30/01
I
AUTO ONL Y-EA ACCIDENT
OTHER THAN AUTO ONLY.
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
05/01/00 05/01/01
06/30/00 06/30/01
i
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/SPECIAL ITEMS
Professional Liability Coverage is written on a claims-made basis.
City of Clearwater
%Public Works Administration
100 South Myrtle Avenue
Clearwater, FL 33756
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*<:P~P2$--$(~$;31i(lfl/" ' M37701
LIMITS
$2 000 000
$2 000 000
$1 000 000
$1 000 000
$1 000 000
$5 000
$1,000,000
$
$
$
$
$
$
$7 000 000
$7 000 000
$
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
3il...- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OR REPRESENTATIVES,
OF ANY KIND UPON THE COMPANY, ITS AGENTS
AUTHORIZED REPRESENTATIVE
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