CERTIFICATE OF INSURANCE (124)
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CLEAhWATEh. FLORIDA 33518
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INSURED
UNI~UE CONSThUCTION CO. INC_
45U9 WEST TYSON AVENUE
TAMPA. FLORIDA 33611
. .
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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
COMPANY A
LETTER
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
LINCOLN INSURANCE COMPANY
LIBERTY MUTUAL INSURANCE COMPANY
THIS IS TO CERTIFY THAT 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 CONDI.
TIONS OF SUCH POLICIES.
TYPE OF INSURANCE
POLICY NUMBER
GENERAL LIABILITY
COMPREHENSIVE FORM
>< PREMISES/OPERATIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTs/COMPLETED OPERATIONS
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
LE:;I....A00446:51
AUTOMOBILE LIABILITY
ANY AUTO
X ALL OWNED AUTOS (PRIV. PASS.)
>< ALL OWNED AUTOS (~~~JHpl~~N)
X HIRED AUTOS
X NON.OWNED AUTOS
GARAGE LIABILITY
01BA~~0647:310
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
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OTHER
DESCRIPTION OF OPERATlONSlLOCATIONSNEHICLESlSPECIAL ITEMS
CITY OF CLEARWATER
F'O BO)( /1.74:;:
CLEARWATER, FI..OhIDA 35518-4748
POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS
OA TE (MM/lJOIYY) OA TE (MMIOOIYY) EACH
OCCURRENCE
BODILY
.1. ~_~ /~? / :::::(:::1 .1. ~? / :? / f; ',:? INJURY $ SCH) $
PROPERTY
DAMAGE $ 1:::.r"'1 $
BI & PO $ $
COMBINED
PERSONAL INJURY $
BOOlY
~/lr;l/o7 ::) / .1~?.I :::: ::::: INJURY $
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OOOil Y
INJURY $
(!'fR ACCIOENn
PROPERTY
DAMAGE $
BI & PD
COMBINED $
BI & PO $
COMBINED
.1 ::~ ./ ~? / C: ~::l 1'-')/'-:>/87 (EACH ACCIDENT)
. . ~.~ ..:... ..,f
5(:JCl (DISEASE,POLlCY LIMIT)
11:11] (DISEASE,EACH EMPLOYEE