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INSURANCE CERTIFICATES FOR 8/92 - 9/93 - 10/93 ISSUE DATE (MMIDD/YY) PRODUCER CO~EGYS INSURANCE CORNER PO POX 60309 ST PETERSBURG FL 33784 THIS CERTIFICATE IS ISSUED AS A MATTER OF INF 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 AMERICAN STATES INS CO ~~T~~~NY B S"ETT INS MGRS D~~~E~~GW fglR "ERlCAN STATES ~sS~ 0" 1992 @ CITY CLERK DEPT' INSURED GIRLS INCORPORATED OF PINELLA5 7700 615T 5T IW PINELLA5 PK FL 34665 ~~~~~NY C ~~T~~~NY D COMPANY E LETTER COVPAGES THIS IS TO CERTIFY THAT THE 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDD/YY) DATE (MM/DD/YY) LIMITS ACOENERAL LIABILITY alA M 18 518 39 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR. OWNER'S & CONTRACTOR'S PROTo 8/13/92 8/13/93 GENERAL AGGREGATE $1,000,000 PRODUCTS-COMP/OP AGG. $1,000,000 PERSONAL & ADV. INJURY $500,000 EACH OCCURRENCE $500 ,000 FIRE DAMAGE (Anyone lire)$? 0,0 00 MED. EXPENSE (Anyone person) $ 5 0 () 0 6/1 8/9 3 COMBINED SINGLE LIMIT $ 500,000 AUTOMOBILE LIABILITY 7 4 A P 11 9 71 2 ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY 6/18/92 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) PROPERTY DAMAGE $ EACH OCCURRENCE $ UMBRELLA FORM OTHER THAN UMBRELLA FORM AGGREGATE $ D WORKER'S COMPENSATION ANI) EMPLOYERS' LIABILITY ~C3057156 10/05/91 10/05/92 X STATUTORY LIMITS EACH ACCIDENT , ~--DISEASE""POUCY LIMIT DISEASE-EACH EMPLOYEE $500,000 . $ 5 0-0-,0-00 $500 000 OTHER DESCRIPTION OF OPERA TIONS/LOCA nONS/VEHICLES/SPECIAL ITEMS CITY OF CLEARWATER IS NAr,ED AS AN ADDITIONAL INSURED CERTIFICATE HOLDER CITY OF CLEARWATER POBOX 4748 CLEARWATEH FL 34617 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL .....l.Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE S ALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE PA, IT A SENTATIVES. AUTHORIZED REPRESENTATIVE ~AFK S. EERSET ~.,... i A.~.tlll.~ i CERTIFICA TlIoFINsuRANCE 9/14 93 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 L W. I ISSUE DATE (MMfDDfYY) 'PRODUCER i I i I I I I I , i I INSURED , I c c }" ~ (; Y:~ I",]::; U F: A ~, C E COR!~ E IT F ( ~C)i 6G30s; S T P E'1 :' R S 8 U R (~ COMPANIES AFFORDING COVERAGE 1L 3~7(j4 f~~~~NY A SCUTHEhN UNDER~RITERS f~T~~NY B GIrLS INCOIPCRATFJ p n; ELI A S 7 7 (; U 6 1 5 'I S T r: (' FINFIUS PY OF' f~~~NY C FL 34665 f~T~~~NY D f~T~~~NY E COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD . II'JDICATED,.NOTWlTHSTMIDJNG. A!i.Y.HEQUIREMENLTERM OR CONDITION OF ANY CONTRACT OROTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFO-RijEIYBYTRE~p6LIC.fE-SDESCRIBED HEREH..ns SU-BJECTTCJALCTRETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, I I~~ TYPE OF INSURANCE I A GENERAL LIABILI~Y I Y COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR. POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMfDDfYY) DATE (MMfDDfYY) LIMITS GLA317f,EU d/13/93 b /1 J / 9 4 GENERAL AGGREGATE PRODUCTS-COMPfOP AGG. PERSONAL & ADV, INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) $1,000,000 $l~OOO,UOO $500,000 $500,000 550,000 OWNER'S & CONTRACTOR'S PROT, , '--. ~ MED. EXPENSE (Anyone person) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY COMBINED SINGLE $ LIMIT BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY LIMITS EACH ACCIDENT $ $ AND DISEASE-POLICY LIMIT EMPLOYERS' LIABILITY DISEASE-EACH EMPLOYEE $ OTHER I I I r-"----~--- I DESCRIPTION OF OPERATIONSfLOCATlONSIVEHICLES/SPECIAL ITEMS I CCVEkACE IS FRCVIfEL BY: ~ESTFHN WORLD IruSURANCE COMrANY ! CITY OF CLIAE~AT[R IS ~A~ED AS Ah ADDITIONAL INSUREL , i I I CERTIFICATE HOLDER I i CITY OF CLEAEWATE~ r C rex 4748 CIEAldHTEE SEP 1 7 1993 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO CRY CLEIK cgPl'tAIL ~ 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, ITS AGENTS OR REPRESENTATIVES. FL 34617 ACORD2S.S (7/90) ~~d AT.OM 11. CERTIFICATEJoF..INSURANCE H/~')/'j3 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 P llCIES BELOW. ISSUE DATE (MM/DD/YY) PRODUCER c (',' ,~.' c~, C. V : '.1.' ~- j~';~. r I ;.= t C ...: r ~,' ;" ',~ L ~':CJ r ,." ..il~L COMPANIES AFFORDING COVERAGE en-I ? f: '; 1 U: c, L:,: ( L. .i .: "j f 4 f~~~~NY A F. ;.. 'il t. "( 1i' Iii Uh"~ [I J'II~; C~) INSURED f~T~~NY B ~ TIC J': Po L I 1, L' 1 I' I T Y CIYI.,~~ r!'lcr)]Pcr;p,j'[!; UF VllVELUS 77CU 015'1 'T U FI~ELLAS DV t~ j4h6~ f~~~~NY C COMPANY D LETTER '1 F ICer tlJ L COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT THE 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDD/YY) DATE (MMIDD/YY) LIMITS j.Glut6<1 d /13 I <.11 t / 1 j / 'J. 4 GENERAL AGGREGATE PRODUCTS-COMP/OP AGG. PERSONAL & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) $1 , U (; U , U (; () $1 , J L U , iJ (; () $5 t: U , 0 C U $')(;0 ,(JUG oL,CUU OWNER'S & CONTRACTOR'S PROT, AUTOMOBILE LIABILITY } ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS MED. EXPENSE (Anyone person) $ :Co 6/1t/~'3 t, /1 b / lJ 4 COMBINED SINGLE LIMIT $~ (" "f'. ___, ;u, '..) \...i v' BODILY INJURY (Per person) $ )I HIRED AUTOS 1 NON-OWNED AUTOS BODILY INJURY (Per accident) $ GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE $ $ T 1.;:' IJ1;' SJ 1.2/31 /'~,UL~TAWTOIW-~ums-________________+ EACH ACCIDENT $') CO, U DISEASE-POLICY LIMIT $5 (iJ , 0 C U DISEASE-EACH EMPLOYEE $5 C () , 0 (I U WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS (1'1' Y ()} eLF I~!- J,~' Fi. IE, r fc., l' E)' ~'S ,\!, !:) L I cr' I Cc A 10 I],:) l ,i] '"' CERTIFICATE HOLDER C T r[ '[ I) } C',; A) " j: -; r PC f(J}; L.7Lt,'.j, C 1. I ,'~E J' T ! ' j' I, OCT 2 9 f.ft,i~OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE "~PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 'fry "~D" MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE nf\ OeIfh=T, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. _i 4 ~ n D.R ,Es~.N.T4J"'V~'," ~~.' ~ . l-..' _: ~J ~'~;t,' ~ , . 'Oi, 'OJ @){tORD CORPORA TfON 19