INSURANCE CERTIFICATE (21)
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.
Logan Insurance Agency, Inc.
3801 North 9th Ave.
Pensacola, Fla 32503
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER
COMPANY B
INSURED LETTER
West Coast Water Sports, Inc. COMPANY C
2273 Willow Tree Drive LETTER
Clearwater, Fla 33576 COMPANY D
LETTER
COMPANY E
LETTER
Western World/CIS
Adriatica/CIS
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 '(HE POLICIES DESCRiBED HEREIN IS SUBJECT TO ALLTtIE TERMS, EXCLUSIONS, AND CONDI-
TIONS OF SUCH POLICIES,
LIABILITY LIMITS IN THOUSANDS
POLICY EFFECTIVE
DATE (MM/DDIYY)
POLICY EXPIRATIO~
DATE (MM/DDIYY)
rYPE OF INSURANCE
POLICY NUMBER
EACH
OCCURRENCE
GENERAL LIABILITY
COMPREHENSIVE FORM
PREMISESiOPERA TIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTSiCOMPLETED OPERATIONS
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PtRSONil.L INJURY
I BODILY
IN,IURY $
8/27/88 I PROPERTY
DAMAGE $
I-
!
IBI & PO $
COMBINED
I
$
GLA286542
8/27/87
*-
I
500 1$ 500
'ERSONAL !N"UR' t -- - -
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INJURY
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AUTOMOBILE LIABILITY
o ANY AUTO
~.~ ALL OWNED AUTOS (PRIV PASS)
U' ALL OWNED AUTOS (~~7JRpl~~N) I
HIRED AU IOS I
NON OWNED AU ros I
W~i GARAG::~:~_C_=7=~==-~=-L_ _ __ ~__.___~_~.__________+ _
:rEXCESS LlABII.lTY 'I:
UMBRELLA FORM
C E___~!HER r..~~_~~.f3.R~~ORM ___~ RE 703527
WORKERS' COMPENSATION :
AND I
EMPLOYERS. LIABILITY I
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DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
$
STP,TUTORY
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City of Clearwater
Clearwateri Fla 33575
(additiona insured)