CERTIFICATE OF INSURANCE (2)
CERTIFICATE NUMBER
SEA-000503997 -00
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDEO IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
;~fCE
PROOUCER
MARSH RISK & INSURANCE SERVICES
THREE EMBARCADERO CENTER
PO BOX 193880
(415) 743-8000
CALlFORNA LICENSE NO. 0437153
SAN FRANCSICO, CA 94119-3880
RSA-F-ALL-W/PRO- FL TAM URS
COMPANIES AFFORDING COVERAGE
COMPANY
A NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA.
INSURED
URS CORPORATION
100 CALIFORNIA STREET
SUITE 500 ,
SAN FRANCISCO, CA 94111
COMPANY
B AMERICAN MANUFACTURERS MUTUAL INSURANCE CO.
COMPANY
C AMERICAN INTERNATIONAL SPECIALTY LINES INS. CO.
COMPANY
D INSURANCE CO. OF THE STATE OF PA
COVERAGES This certificate. supersedes and replaces any previously issued certificate for the policy period noted below. 1
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS,
.G.CL .....-......, T , PI!! Of' lIi3URANCE"-- ,- -". --..-..-------f'(7L-i6'f.N~-~-.. POLICY EFFECTIVE POLICY EXPIRATION --,--__,___,__UMlIS
LTR D'iI.TE(MM/DD7W)-. - DATElMMlDDNVr
A GENERAL LIABILITY GL933-1972 04/01/02 04/01/03 GENERAL AGGREGATE $
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $
CLAIMS MADE [ZJ OCCUR PERSONAL & ADV INJURY $
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
X PERPROJECTAGGREGAT $
B AUTOMOBILE LIABILITY F5Y006395-00 AOS 04/01/02 04/01/03 $
COMBINED SINGLE LIMIT
B X ANY AUTO F5Y006396-00 HI 04/01/02 04/01/03
B ALL OWNED AUTOS F5Y006397-00 VA 04/01/02 04/01/03 BODILY INJURY $
B SCHEDULED AUTOS F5Y006398-00 TX 04/01/02 04/01/03 (Per person)
B X HIRED AUTOS X3P084803-00 MASS 04/01/02 04/01/03 BODILY INJURY $
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
G ARAG E L1ABI L1TY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
$
7\iao'496/'.;ts;OS- f/Ol/UL -ottUit03'
A 708-4968 CA 01/01/02 01/01/03 EL EACH ACCIDENT $
D THE PROPRIETORl INCL 708-4970 MA, TX, VA 01/01/02 01/01/03 EL DISEASE-POLICY LIMIT $
PARTNERS/EXECUTIVE EL DISEASE-EACH EMPLOYEE $
OFFICERS ARE: EXCL
OTHER
C PROF, LIABILITY (E&O) 476-3090 04/01/02 04/01/03 EACH CLAIM
CLAIMS MADE FORM AGGREGATE
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTlBLES OR RETENTIONS)
CLEARWATER CITY PROPERTY - BROWNFIELD REHABILITATION 901-927 CLEVELAND ST.
PROJECT NO.: C1-00009165,OO STATE OF FLORIDA IS AN ADDITIONAL INSURED AS RESPECTS GENERAL & AUTO LIABILITY,
CERT'FICA1;~,'.H()I!!QER
,:; - n.,_ "Y'~%'f'-;
2,000,000
2,000,000
1 ,000,000
1 ,000,000
1 ,000,000
5,000
1 ,000,000
1 ,000,000
1 ,000,000
1 ,000,000
$1,000,000
$1,000,000
CITY OF CLEARWATER
112 SOUTH OSCEOLA AVENUE
CLEARWATER, FL 33766
SHOULO ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATIDN DATE THEREOF,
THE INSURER AFFDRDING COVERAGE WILL ENDEAVOR TO MAIL ---3..ll DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES,
,.....:..
MARSH USA INC.
BY: Michio Nekota
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