CERTIFICATE OF INSURANCE (3)
PRODUCER THIS CERTlACATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIACATE
HOLDER. THIS CERTlACATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMEGYS INSURANCE CORNER
POBOX 1438
ST PETERSBURG
FL 33731-1438
COMPANY
A
BURNS & WILCOX LTD
INSURED
GIRLS INCORPORATED OF
PINELLAS
7700 61ST STREET NORTH
PINELLAS PARK FL 33781
COMPANY
B
PROGRESSIVE
COMPANY
C
CYBERCOMP
i
I
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nus IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD
INDICATED, NOlWlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTJACATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCWSIONS AND CONDITIONS OF SUCH POUClES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COMPANY
D
co TYPE OF INSURANCE. POLICY NUMBER POLICY EfFECTIVE POUCY EXPIRAnoN UMITS
LlR DATE (MIIJDDIYY) DATE (MMIDDIYY)
GENERAL UABILITY CPS0584875 7/11/03 7/11/04 GENERAL AGGREGAlE $2,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS. COMPIOP AGG $ 2 , 0 0 0 , 0 0 0
CLAIMS MADE [K] OCCUR PERSONAL & ADV INJURY $1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $1,000,000
FIRE DAMAGE (Any one fire) $ 50,000
MED EXP (Any one person) $ 5,000
AUTOMOBILE UABILITY CA022120880 7/11/03 7/11/04 500,000
COMBINED SINGLE UMIT $
ANY AUTO
AU. OWNED AUTOS BODILY INJURY
X (Per p8IlIOII) $
SCHEDULED AUTOS
HIRED AUTOS BODilY INJURY
$
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABIlITY
ANY AUTO OlHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGAlE
EXCESS UABIlITY EACH OCCURRENCE
UMBREllA FORM AGGREGAlE
OTHER THAN UMBREllA FORM
WORKERS COMPE."I!!AnoN AND l-<lCXOO15534 1/01/03 1/01/04
EMPLOYERS' UABILITY
El EACH ACCIDENT $
THE PROPRIETOR! INCL El DISEASE-POUCY UMIT $
PARTNERSIEXECUTlVE
OFFICERS ARE: EXCL El DISEASE-EA EMPlOYEE $
OTHER
DESCRP110N OF OPERA1lONSJLOCATIONSNEHICLESISPECIAL ITEMS
'04 APR 13 PM1:00
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SHOULD ANY OF TIE ABOVE DESCRIBED POUCIES BE CANCELlED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUI'IG COMPANY WILL ENDEAVOR TO MAL
~ DAYS WR/TIEN NOTICE TO THE CERTIFICATE HOlDER NAMED TO THE LEFT,
BUT FAlWRE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGAnoN OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATlVES.
AUTHORIZED REPRESENTAnvE
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