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INSURANCE CERTIFICATE (22) Logan Insurance Agency, Inc, 3801 North 9th Ave. Pensacola, PIa 32503 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 LETTER INSURED i'lest Coast Water 2273 Willow Tree Clearwater, Fla COMPANY B LETTER Sports, Drive 33576 Inc. COMPANY C LETTER COMPANY D LETTER COMPANY E LETTER CIS/ Adriatica DiSicurta THIS IS TO CERTIFY THAT POLICIES OF INSURANCE L1S1"EOBELOW 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- TIONS .OF SUCH POLICIES. I TYPE OF INSURANCE POLICY NUMBER I~'EF'EC~'/E POLICY EXPIRATION DATE IMMIDDIYYj EACH C~TF 'NADON". OCCURRENCE GENERAL LIABILITY I BODIL Y COMPREHENSIVE FORM INJURY $ $ PREMISES/OPERA nONS PROPERTY UNDERGROUND DAMAGE $ $ EXPLOSION & COLLAPSE HAZARD PRODUCTS/COMPLETED OPERATIONS CONTRACTUAL BI & PO $ $ COMBINED INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY PERSONAL INJURY $ AUTOMOBILE LIABILITY BODILY INJURY $ ANY AUTO (PER PERSON) ALL OWNED AUTOS (PRIV PASS.) BODILY ALL OWNED AUTOS (OTHER THAN) !'UURY $ I I P~Q ~cr:JEN~-" PRIV. PASS. r--- HIRED AUTOS PROPERTY NON-OWNED AUTOS DAMAGE $ GARAGE LIABILITY , i ~6t~~ED $ , -~---- -,---~-,--,--_._,'-'" -~-".,------ EXCESS LIABILITY UMBRELLA FORM BI & PO $ $ COMBINED OTHER THAN UMBRELLA FORM RE703527 8 27 87 8 27 88 500 500 STATUTORY WORKERS' COMPENSATION $ (EACH ACCIDENTI AND $ ,DiSEASE-POLICY LIMIT) EMPLOYERS' LIABILITY $ (DISEASE-EACH EMPLOYEE) OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS City of ClearwaterFlorida (tithe city") A tlunicipal Corporation P.O. Box 4748 Clearwater, Fla 34618-4748