INSURANCE CERTIFICATE (25)
COMPANY
LEPER
COMPANIES AFFORDING COVERAGES
CONSTITUJfr~/~hti' E '0'
QICK VAN DUZER & ASSOC., INC.
P.O. BOX 49894
LOS ANGELES, CA. 90049
476-6561 879-3062
COMPANY
LETTER
NAME AND ADDRESS OF INSURED
Windsurfjng International, Inc. and
West Coast Water Sports, Inc.
240 Windward Psge #805
Clearwater, FL 33515
COMPANY
LETHR
COMPANY
LETTER
COMPANY
LETTER
A
B
C
o
E
JUL 19 1985
CITY
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 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 conditions of such policies.
TYPE OF INSURANCE
POLICY NUrv~dER
POLICY
EXPIRATION DA1E
limits of Liability in Thousands (000)
oCCG~~~NCE AGGREGATE
A
GENERAL LIABILITY
IKJ COMPPEHENSIVE FORM C F 416 G 427 - 3
0' PPEMISES~OPEPATIONS
o EXPLOSION AND COLL,\PSE
H AlA PO
o UNDEPGPOUND HAlAF.D
o PRODUCTS/COMPLETED
OPEPATIONS HAlAPD
o CONTPACTUAL INSUPANCE
o BPOAD FOPM f'POPERTY
DAMAGE
o INDEPENDENT CONTRACTOPS
g] PERSONAL INJURY
2-20-86
AUTOMOBILE LIABILITY
o COMPREHENSIVE FORM
DOWNED
o HIPED
o NON-OWNED
EXCESS LIABILITY
t
o UMBRELLA FOPM
o OTHEPTHAN UMBPELLA
FORM
WORKERS' COMPENSATION
and
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES
WINDSURFING SCHOOL AND WINDSURFER RENTAL.
Cat instruction and rentals.
BClDII..Y INJURY
PROPERTY lJAMAGE
BODILY INJURY AND
PROPFRTY DAMAGE
COMBiNt:C
$1,000
$1 , 000
Pcr~S(':'N,^.L i~JU;iY
BODILY INJURy
(EACH PERSUN)
BODILY INJlIRY
(EACH ACCIDENT)
$
PI'(, PEPTY DAMAGE
Ellll:!_' INJURY AND
f'RCiPEPTY DAMAGE
COMBINED
[JODil_' INJURY AND
PIWf~[fnY [)'\MAGE
COMBINED
Coverage also includes Hobie
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 HOLDEP'
ADDITIONAL INSURED:
City of Clearwater
PO 4748-33518
Clearwater, FL 33518
Attn: C~~torney
ACORD 25 (1-79) Cc.' " 13, :;' JJ../~;U:--. _/
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I
I
Corrected Certificate