INSURANCE CERTIFICATE (19)
LOeaIl III;:;, Ag2ncy, Inc.
3dOl N. 9th Ave.
Pe.nsacola, 1<'la. 32503
1 ,
TIllS CERTIFICATE IS ISSUED AS A MATTER Of= IPiFORMATION ONLY AND CONFEns
NO JIIGHTS UPON TIlE CERTlFlCA TE ~IOLDER. THIS CERTIFICA TE OOES NOT .6.MEHD,
E)(TENO OR AL TEfl THE COYEAAGE AffORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
INSURED
~CSL Coast Sui ling Center,
3025 ti a v e r for d 1J r .
Clearwater, Fla. 34621
COMPANY AHonticello
u::nER Ins.
COMPANY B
LETTER
----
Inc. COMPANY CScottsdale
LEHER Ins.
COMPANY D
Ll;TTI';R
COMPANY E
LETTER
.. .
THIS IS TO CERTIFY THAT POLICIES OFINSURANCF LISTED BELOW HAYE BEEN ISSUEOTOTtlE INSURED NAMED ABOVE FOR THE POLICY PERIOOIt-lDICATED. _
NOTWITHSTANDING ANY REOUIIIEMENT, TERM OR CONDITION OF A.NY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TIllS CERTIFICATE MAY _
!lE ISSIJEO OR ~AY PERTAIN, THE INSUflANCE AffOROED BY THE POLICIES DESCRIBEO HEREIN IS SUBJECT TO ALL tHE TERMS, EXCLUSIONS. AND CONOI. II
nONS OF SUCH POLICIES.
CO
LTR
TYPE OF INSURANCE
rOLlCY NuMBEfl
mlley rrrrcTlvr
llA IE ,MM.1)ON<)
--.".-- - .-....- - .-.
POlle.( nPIRA TlON LIABILITY LIMITS IN THOUSA.NDS
(tA TE (MM,((I/VVl [ACH AfjC.iREGA fE
("C(U~R[~i('[
1lO0lL y
INJURY $ $
6-11-91 PROP~Rrv
DAMAG~ $ $
BI & PO $ $
COMBIN~O
500 500
GENERAL LIABILITY
CO~Wl1lHlNS'V~ ~OHM
1~ X PREMISESJOPFRATIONS dL 25 5265
UN[lf RGI101lNO
nPLOSiON ~. ('OLLAf'~;f. fiAlARO
PRODlIWilCI)MPl.fTEO OPERA liONS
L:ON I HAL IUAL
INOFPENDENT COl\TMC10fl$
BROAD FORM PROPERlY OAMAGE
P(HSOr,AL INJURY
6-11-90
PERSONAL INJURY $
AUTOMOBILE LIABILITY
ANY AUTO
All OWNED AUTOS IPR/Ii PASS)
All O'MJED AIITO'> (OlltLH IHAIJ)
. PRIV. PASS.
HIRFD AUTOS
IIIJN-OWNED AUIIJS
GAHAlil lIA8111TV
IJO'-'Ll
IItJU.,
IP!~ Pl~["', $
[((Ill
:~t;ro{'f'IT' $
PROi>(R',.
OAMAGP $
61 & PO
COMIlINEl.> $
E)(CESS LIABILITY
UM~RLLLA . (14M
C X OTHFR THAN i.lMflRfl.lA ~ORM
XXL 013358
EXCGSS
6-11-90
6-11-91
~~)t~~l:O $ 5 0 (J
$500
<; T A TlJTORY
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
$ IF ACH AGCillLN I \
$ IU'SlAc;L .POllCT lIMiI J
$ IOISFASF.fAC~ FW'U)yFfl
rR-
DESCRIPTION OF OPERATlONS/LOCA T10N$NEHICLES/SPECIAL ITEMSE; n do r 3 em en t Cl d din g wa v e r un n era 11 ci c has e boa t
effective 2-27-91.
A l) D 1'1' I 01:1 ALL Y I H SUR ED.
.. .
City of Clearwater
r.J u n i c i pH 1 Cor fl .
P. o. Box 4748
Clearwater, ila. 3461B