CERTIFICATE OF LIABILITY INSURANCE (2)
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDIYY)
,.., 6128/02
PRODUCER THI5 ,..... .15 I A5 A MAIl C" ,r ....
Pilkington Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P. O. BOlf: 10066 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
11701 Belcher Road South, Suite 104
Largo FL 33773-0066 A ROYAL INDEMNITY INS CO (A+RA TED)
I'N:SU~t:U: '^'w.. Ameritrust Insurance Corporation
GULF COAST JEWISH FAMILY SERVICES, INC. B
140411C()t Blvd ~ c
Clearwater FL 33760
COMPANY
D
COVERAGES
THIS IS fO CERIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDlCAlED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDmON 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 TfPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POlICY EXPIRATlm LIMITS
LTR DATE (MMlDD/YY) DATE (MMlDDIYY)
GENERAlLIABILIlY GENERAL AGGREGATE $ _,vv_,vv_
1t COM~ERCIAL GENERAL LIABILITY PRODUCTS - COMPIOP AGG $ _, v , 'v
A = =:J (l...AIMS MADE~ OCCUR RSP244429 7/1/02 7/1/03 PERSONAL & ADV INJURY $ 1,vvv,vv_
OWNlR'S & CONTRACTORS PROT EACH OCCURENCE $ 1,___'v....
-
FIRE DAMAGE (Anyone fire) $ ""vv,vvv
- 10,UOO
MED EXP (Anyone person) $
AUTOMOPLE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
*"" ANY I..JTO
- ALL (/VNED AUTOS
- BODILY INJURY $
SCH@ULEDAUTOS (Per person)
A -x= IlIRElAUTOS RSP244429 7/1/02 7/1/03
"X" BODILY INJURY $
NONANNED AUTOS (Per accident)
-
~ - PROPERTY DAMAGE $
GARAGELABllITY AUTO ONLY - EA ACCIDENT
-
ANYUTO OTHER THAN AUTO ONLY:
-
EACH ACCIDENT $
- -
AGGREGATE $
EXCESSIABILIlY EACH OCCURRENCE $
=i UM~lLA FORM AGGREGATE $
OTt-/t. THAN UMBRELLA FORM
WO ~KEJI COMPENSATION AND ITORY LIMITS I I vEif- $
EMF>LO'ift.S'lIABILIlY
B 1002-02825-00 7/1/02 7/1/03 EL EACH ACCIDENT $ 100,000
THE: PRtRlETORl F ...~. EL DISEASE - POLICY LIMIT $ 300,000
P~TNeSIEXECUTIVE IE ~ ?~rc innlL "-"",, 100,000
OFFICEt..ARE: EL DISEASE - EA EMPLOYEE $
" m=:K L ' I .. Ii .. u; \!I~
A PRC)F!SSIONAL LlA 1/02 7/1/03 EACH oce $ 1,000,000
~41 AGGREGATE $ 3,000,000
A CRIMI 244429 'I fWV\. 1/02 7/1/03 EMP DISHONESTY $ 450,000
DESCRIPT IONt OPERATIONSlLOCAT -- ~
.. ....
ECONOMIC DEVELOPMENT DEPARTMENT
HOUSING DIVISION
CITY OF CLEARWATER
Cr'l'OF CLEARWATER, ECONOMIC DEVELOPMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~~:PATFERNANDEZ 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
fa oaOX 4748 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
CL~RWATER FL 34618-4748 OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
AUTHO~~PRESEnATII(E". "
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