CERTIFICATE OF INSURANCE (033)
WEST COAST INSURORS
P. O. Box 10340
St. Petersburg, Fl. 33733
THIS CERTIFICATE IS ISSUED AS A MATTER 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
COMPANY A
LEITER
INA/ AETNA
INSURED
WELCH TENNIS COURTS, INC.
201 TRAVELERS WAY NO.
ST. PETERSBURG, FL. 33710
COMPANY B
LEITER
COMPANY C
LEITER
COMPANY D
LEITER
) 1984
",,.
t.
E
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
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.
TIONSOF SUCH POLICIES.
TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
OA TE (MM/OONY) OA TE (MMIDDIYY)
GENERAL LIABILITY BODILY $ $
COMPREHENSIVE FORM INJURY
X \$
X PREMISES/OPERATIONS MFC D10743497 8-15-.84 8-15 -85 PROPERTY
UNDERGROUND DAMAGE $
EXPLOSION & COLLAPSE HAZARD
X PRODUCTS/COMPLETED OPERATIONS 1$
BI & PO $ 500 500
X CONTRACTUAL COMBINED
X INDEPENDENT CONTRACTORS PERSONAL"UU~
X BROAD FORM PROPERTY DAMAGE
Ix PERSONAL INJURY 500
I
AUTOMOBILE LIABILITY BOOILY
INJURY $ 250
ANY AUTO (Pl:R Pl:RSON)
X ALL OWNED AUTOS (PRIV. PASS.) CAL 796787 8-15-84 8-15-85 BODILY
ALL OWNED AUTOS (OTHER THAN) INJURY $ 500
. PRIV. PASS. (Pl:R ACCIDENT)
HIRED AUTOS PROPERTY $
NON-OWNED AUTOS DAMAGE 100
GARAGE LIABILITY BI & PO $
COMBINED
EXCESS LIABILITY
UMBRELLA FORM XS 014106 8-15-84 8-15-85 BI & PO
COMBINED
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION AWS C22199043 8-15-84 8-15-85
AND (EACH ACCIDENT)
EMPLOYERS' LIABILITY (DISEASE-POLICY LIMIT)
(DISEASE-EACH EMPLOYE )
OTHER
All Operations
City