CERTIFICATE OF INSURANCE (102)
~l E C E: I V E D
Poe & Assoclates, Inc.
P.O. Box 140195
Orlando, Florida 32814-0195
OCT 2 lOAP.
THIS CERTIFICATE IS ISSUED AS A M'ATTER 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
INSURED
CITY CLERK.
We~k's-Tow{ng & Automotive,
P. O. Box 4936
Clearwater, FL 33518
COMPANY A
LETTER Insurance Company of North America
COMPANY B
LETTER Insurance Exchange of the Americas
COMPANY C
Inc LETTER
COMPANY D
LETTER
COMPANY E
LETTER
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED.
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-
'BGNS~ SUCH POLICIES.
TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRA liON LIABILITY LIMITS IN THOUSANDS
OATE (MMIOO/YY) OA TE (MMiOD/YY) EACH
OCCURRENCE
GENERAL LIABILITY BODILY
COMPREHENSIVE FORM D13827205 10-1-86 10-1-87 INJURY $ $
PREMISES/OPERATIONS PROPERTY
UNDERGROUND DAMAGE $ $
EXPLOSION & COLLAPSE HAZARD
X PRODUCTs/COMPLETED OPERATIONS
X CONTRACTUAL BI & PO $ 500 $
COMBINED
X INDEPENDENT CONTRACTORS
X BROAD FORM PROPERTY DAMAGE
X PERSONAL INJURY PERSONAL INJURY $
AUTOMOBILE LIABILITY BOOILY
INJURY $
X ANY AUTO CAL9l5696 10-1-86 10-1-87 (PER PERSONI
ALL OWNED AUTOS (PRIV PASS_) BODILY
ALL OWNED AUTOS (OTHER THAN) INJURY $
PRIV. PASS, (PER ACCIDENT)
X HIRED AUTOS PROPERTY
X NON-OWNED AUTOS DAMAGE $
GARAGE LIABILITY BI & PO
90 000 COMBINED $100
'rEA 10-1-86 10-'1-87 BI & PO
COMBINED
STATUTORY
WORKERS' COMPENSATION $
AND $
EMPLOYERS' LIABILITY $
Property D13827205 10-1-86 10-1-87 Contents
All Risk
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
City of Clearwater
Clearwater, Florida 33517