CERTIFICATE OF INSURANCE (076)
NAME AND ADDRESS OF INSURED
Wright Superior
1401 Avenue E
Riviera Beach,
Riedel & Assoc., Inc.
3570 Consumer st., #1
Riviera Beach, FL 33404
COMPANIES AFFORDING COVERAGES
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 an quirement, 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 conditions of such policies.
FL 33404
COMPANY
LETTER
A
B
C
D
E
Amer iCffl'Ef5
COMPANY
LETTER
Inc., Etal
MAR
CITY
COMPANY
LETTER
IYPE OF INSURANCE
POLICY NUMBER
POLICY
EXPIRATION DATE
A
- n GtN ERAi: -UA6tll'T'f--
g] COMPREHENSIVE FORM
~ PREMISES--OPERATIONS
o EXPLOSION AND COLLAPSE
HAZARD
o UNDERGROUND HAZARD
~ PRODUCTS/COMPLETED
OPERATIONS HAZARD
g] CONTRACTUAL INSURANCE
~ BROAD FORM PROPERTY
DAMAGE
~ INDEPENDENT CONTRACTORS
~ PERSONAL INJURY
PERSONAL INJURY
BODILY INJURY
1-30~ 87
Oh.AM-253058-01
PROPERTY DAMAGE $
BODIL Y INJURY AND
PROPERTY DAMAGE $
COMBINED
A
AUTOMOBILE LIABILITY
[] COMPREHENSIVE FORM
[] OWNED
[] HIRED
[] NON-OWNED
BODIL Y INJURY $
(EACH PERSON)
BODILY INJURY $
(EACH ACCIDENT)
PROPERTY DAMAGE $
BODILY INJURY AND
PROPERTY DAMAGE $ 500
COMBINED
BODIL Y INJURY AND
PROPERTY DAMAGE
COMBINED
01-BA-143711-01
1-30- 87
EXCESS LIABILITY
o UMBRELLA FORM
o OIHf R THAN UMBRELLA
FORM
OR.HHS'COMJ3E.II!SAIlO!\l___
and
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATlONSIlOCATIONSNEHICLES
$
$
$
500
500
$
(f ACCILH I
Cancellation: Should any of the above descri~d 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
ma;1 such not,e. shall ;mpos. no obligation 0' liabil;ty ot an~inpa:
NAME AND ADDRESS OF CERTIFICATE HOLDER L I.
City of cl~er
P . O. B x 0 &2.2...--->
Clearwater, Florida 33507-1729