CERTIFICATE OF INSURANCE RE OMISSIONS AND ERRORS
Quality In~urance Services,
119 E. Ogden Avenue
Hinsdale, IL 60521
Inc.
COMPANIES AFFORDING COVERAGES
COMPANY A
LEITER
COMPANY B
LEITER
NAME AND ADDRESS OF INSURED
COMPANY C
u. S. Home, Corporation LEITER
u. S. Home Mortgage Corporation 0
COMPANY
U. S. Home Acceptance corporation LEITER
One Crossroads of Commerce
COMPANY E
Rolling Meadows, IL 60008 LETTER
This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time, Notwithstanding
of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies descri
terms, exclusions and conditions of such policies,
St. Paul Fire & Marine Insurance Co.
RECEIVED
JAN 18
TVPE OF INSURANCE
POLICY NUMBER
POLICY
EXPIRAT'ON DATE
Limits of Liabili in Thousands (
OCC~~~~NCE AGGREGATE
GENERAL LIABILITY
A
o COMPREHENSIVE FORM
o PREMISES-OPERATIONS
o EXPLOSION AND COLLAPSE
HAZARD
o UNDERGROUND HAZARD
o PRODUCTS/COMPLETED
OPERAT'ONS HAZARD
o CONTRACTUAL INSURANCE
o BROAD FORM PROPERTY
OAMAGE
o INDEPENDENT CONTRACTORS
o PERSONAL INJURY
MORTGAGE E & 0
AUTOMOBILE LIABILITY
o COMPREHENSIVE FORM
DOWNED
o HIRED
o NON-OWNED
BODILY INJURY
$
$
PROPERTY DAMAGE $
BOD'L Y INJURY AND
PROPERTY DAMAGE
COMBINED
112JG8282
10-27-80
'Ift@@,"I
BODILY INJURY
(EACH PERSON)
BODILY INJURY
(EACH ACCIDENT)
$
EXCESS LIABILITY
PROPERTY DAMAGE
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
o UMBRELLA FORM
o OTHER THAN UMBRELLA
FORM
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
$
WORKERS' COMPENSATION
and
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERAT'ONS/LOCATIONSNEHICLES
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail ~ days written notice to the below named certificate holder, but failure to
mail such notice shall impose no obligation or liability of any kind upon the company,
NAME AND ADDRESS OF CERTIFICATE HOLDER:
City of Clearwater
P. O. Box 4748
Clearwater, FL 33518
ATTN: Lucille Williams, City Clerk
DATE ISSUED: Januar 15,
~WT~
...,
QUALITY INSURANCE S~ VICES. Inc.
119 EAST OGDEN AVENUE
HINSDALE, ILLINOIS 60521
(312) 325-4545
Date
1-15-80
Subject u. S. Home
TO
Mortgage Errors & Omissions
Policy
. Lucille Williams, City Clerk
City of Clearwater
P. O. Box 4748
Clearwater, FL 33518
O IMMEDIATE 0 NO REPLY
REPLY REOUESTED NECESSARY
message,
Lucille:
Cl
--'
o
Ct.,
Attached please find our certificate of insurance on the captioned policy for
u. S. Home Corporation. We also enclose a photo copy of the 10-27-79/80 policy.
Please keep these for your rec ords. If you have any questions, please advise.
cc: Tom Myers
U ~ IIo"'C' ('f"Irp
Ted Neswold
Vice President
SIGNED
reply DATE
RECEIVED
JAN 18 1980
CITY CLERK
SIGNED
RECIPIENT RETURN PINK COPY