CERTIFICATE OF INSURANCE
COMEGYS INSURANCE CORNER
POBOX 1438
ST PETERSBURG FL 33731-1438
727 521-2100 727 5
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PRODUCER
COMPANY
A
TIG
INSURED
COMPANY
D
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THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDIT1ON 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 CONDmONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
GIRLS INCORPORATED OF
PINELLAS
7700 61ST STREET NORTH
PINELLAS PARK FL 33781
COMPANY
B
COMPANY
C
CO
LTR
TYPE OF INSUP.ANCE
POUCY NUMBER
POLJC"( EFFECI1VE POUcY EXPIRATION
DAtE (MMIDDIYY) DAtE (IIIIIDIWYY)
UMITS
GENERALUABIUTY T7X38840372
X COMMERCIAL GENERAL LIABILITY
ClAIMS MADE [K] OCCUR
OWNER'S & CONTRACTOR'S PROT
07 11/02 07 11 03 GENERAL AGGREGATE $3,000,000
PRODUCTS-COMPIOPAGG $ INCLUDED
PERSONAL & ADV INJURY $1, 000 I 000
EACH OCCURRENCE $1 , 000 , 000
FIRE DAMAGE (Any one fire) $ 1 0 0 , 0 0 0
MED EXP (Any one person) $ 5 , 0 0 0
AUTOMOBILE UABIUTY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
COMBINED SINGLE LIMIT $
BODILY INJURY
(Per pelllOll)
$
BODILY INJURY
(Per accldent)
$
PROPERTY DAMAGE $
GARAGE UABIUTY
ANY AUTO
lliE PROPRIETORI
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
AUTO ONLY - EA ACCIDENT $
OlliER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
EXCESS UABIUTY
UMBReLLA FORM
OlliER lliAN UMBREUA FORM
WORKERS COMPENSATION AND
EMPLOYERS' UA8lUTY
DESCRlP110N OF OPERAll0NSJL0CA1IONSIVEtCLE8I8CIAL IIEM8
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED
:_1Il_.:tttttt:ttttIltltl):):Ilil]1:fllllMll:mlmll::MltHl:ilHH@::)i)ltRftB'l.;!;:I_ltHllilttil)MI1Mlltttlti))tiHtH:tlt)@llMfIHHlttIHHMt)i)lI@ttt:HH:
SHOULD ANY OF THE ABOVE DESCRIBED POLICES~JfM t:J~1IEFOREJI'HI!
- -.V ..L, I"lz..v~---
EXPIRATION DATE 11EREOF, lIE ISSUING COMPANY WILL ENDEAVOR 10 MAL
.l..O...- DAYS WRI11'I!N N011CE 10 lIE CER1FICA'II! HOU3ER NAMED 10 11tE LEFT,
BUT FAILURE 10 IIAIL SUCH NOTICE SHAU. IMPOSE NO OBLIGATION OR UAIII.ITY
OF ANY IOND UPON lIE COMPANY ITS OR A11VES.
AU11tORI2S) Rl!PRESENl'A11VE
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CLEARWATER HOUSING ^UTHORI~Y
112 S OSCEOLA AVENUE
CLEARWATER, FL 33756