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CERTIFICATE OF INSURANCE I Ri:rr,\r,-"" \ . ..',. '. . l' .... _. t..~ If:t""...". I MAP 5 1976 (' ny CL.ER~ Date: March 3, 1976 CERTIFICATE OF INSURANCE This is to certify that the policy of insurance described below has been issued to U. S. HOME CORPORATION and its wholly-owned subsidiaries and is in force as of the date of this Certificate. A thirty (30) day notice of policy alteration or cancellation will be sent to CITY OF CLEARWATER COVERAGES FOR WHICH INSURANCE IS AFFORDED LIMIT OF LIABILITY POLICY NUMBER EFFECTIVE DATE Employee Dishonesty $5,000,000 TRBC l35T256-3-75 Monies & Securities, $5,000,000 On and Off the Premises " " 9/1/75 to 9/1/76 9/1/75 to 9/1/76 Depositor's Forgery & $5,000,000 Credit Card Forgery (Outgoing) " " 9/1/75 to 9/1/76 Counterfeit Money and $5,000,000 Money Orders " " 9/1/75 to 9/1/76 The insurance afforded is subject to all the terms of the policy, including endorsements, applicable thereto. The policy is for the sole benefit of the insured and does not bestow upon any other person or organization any rights or benefits. THE TRAVELERS INDEMNITY COMPANY By: , " ." , a;......... . ,~, ~CJ,~7l. ,~~~ Leonard N. Altamura (Authorized Representative) t ("2-)