INSURANCE CERTIFICATE (24)
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. ISSUE DATE (MM/DD/YY) ~
. 3 2 88 .ii
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.':'..JOgan Insurance Agency, Inc.
~?'?J/380l North 9th Ave.
. {;/ Pensacola, Fla 32503
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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 Western World CIS
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f~,r':~~NY E it:1
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' 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- t~'
. TIONS OF SUCH POLICIES. '1.
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i LTR TYPE OF INSURANCE I DOllCY NUMBER ,C':::T~:'X\-DD-rZ1 cC;;~E,'~~~,~c;~\1' ALL LIMITS IN THOUSANDS ri,J
GENERAL LIABILITY GCi.;E,AL"GGREG"JE,
COMMERCIAL GEiJERAL LIABILITY PRODUCTS.COMP/OPS AGGREG.ATE
CLAIMS MADE [XloCCU.,PENCE GLA286542 8/27/87 8/2:!/88 PERSD~JAL & ADVERTISING INJURY
OWNER.S & CONiR.~CTORS PROTECTIVE EACH DCCURREIJCE
INSURED
COMPANY B
LETTER Riunione Adriatica CIS
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West Coast Water
2273 Willow Tree
Clearwater, Fla
Sports,
Drive
33576
Inc.
COMPANY C
LETTER
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COMPANY D
LETTER
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OTHER THAN UMBRELLA FORM
fiRE DAMAGE (ANY ONE FIRE)
I!,EDICAL EXPENSE lAIN ONE PE,SONI
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
CSL $
80DIL Y
I,'.JURY
(PER PERSON) $
BODIL Y
INJURY
(PER $
ACC:DENn
PROPERTY
DAMAGE $
EXCESS LIABILITY
Follow Form Exces
RE 703527
8/27/87
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
$
$
$
OTHER
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DESCRIPTION OF OPERATIONS I LOCA TIONSIVEHICLESI RESTRICTIONS I SPECIAL ITEMS
Original cancellation notice is rescinded. Policy remains in force.
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Additional Insured:
City of Clearwater Florida
(the city)
A MuniCipal CorpozatioD
P.O. Box 4748
Clearwater. Fla 34618-4748
pl.
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX.
PIRATlON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENT VE
.,