COURT STREET IMPROVEMENTS - 08-0035-EN - CERTIFICATE OF LIABILITY INSURANCE (3)03/23/2009 09:48 7275624755 ENG
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LCRD7M CERTIFICATE OF LIABILITY INSURANCE
033/23/33 /09
PRODUCER 1.600.4720072 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
150 8awglraDe Dr AL ER THE COVERAGE AFFORDED EY THE POLICIES BELOW,
ROCh88ter, NY 14620 INBURER9 AFPORbING COVERAGE
INSURED
Paychmx A4zinazz Solutions
Inc INSLIRIBRA' ILLINOIS NATIONAL INSURANCE COMPANY
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S13MPBA F1 SERVICES LLC
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THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT, TRIM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CE:RTIFICaTE MAY HE ISSUED OR MAY PERTAIN
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IN$URANCrz AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITICNS OF SUCH POLICIES, AGGREGATE LIMITS
SHOWN Y NA D BY PAID CLAIMS.
INSR POLCYERPecfwp. POLICY EXPIRATION
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WORnRS COMPENSATION COV)3hO$ IS PROVIDED TO ONLY TSOSS EMPLOYEES LSASBD TO, BUT NOT SVOCONTRACTORS OF M NAMED INSII
CONTRACT NO 08_0035-EN COURT ST IMPROVEMENTS CLEARWATBR FL
CITY OF CL7EARWATER
ATTN PU$L1C WORKS CONSTRIICTIOM
PO Box 4748
CLEAR7TATER , £L 33792
SHOULD ANY OF THE ABOVE 009011010 POLICIES EE CANCELLED BEFORE THE EXPIRATION DATE
TM1?9F, THE ISSUING M LKCk WILL BNOEAVOR TO aua 90 DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOL619 "24ED TO THE LEFT, BUT FAILURE TO 00 90 9HA4y, iMp OBE NO OOLICATION
OR LIA9NJTY OF ANY MIND UJ QN TH6 INSURER. MI ACENTi OR REPRESENTAY104r,
AUn tP RSPRESENTATAIE A.,
USA
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11309322 ® ACORD CORPORATION 4988