CERTIFICATE OF INSURANCE (006)
COMPANIES AFFORDING COVERAGES
ML RODGERS & CUMMINgS
PO BOX 5148
CLEARWATER, FL 33518
G. E. LEE ELECTRIC, INC.
4211 - 49TH STREET, NORTH
ST. PETERSBURg, FL 33714
COMPANY A
LETTER
B
C
o
E
SOUTH CAROLINA-UNDERWRIT
COMPANY
LETTER
NAME AND ADDRESS OF INSURED
COMPANY
LETTER
COMPANY
LETTER
COMPANY
LETTER
This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time 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 pOiicies describe
herein is subject to all the terms exclusions and conditions of such policies.
TYPE OF INSURANCE
POLICY NUMBER
POLICY
EXPIRATION DATE
LIMITS OF LIABILITY IN THOUSANDS (000)
EACH
OCCURRENCE
AGGREGATE
A
GENERAL LIABILITY
CAP4260443
01/15/85
BODILY INJURY
$
00
00
00
00
00
00
00
00
00
COMPREHENSIVE FOF{M
PREMISES-OPERATIONS
EXPLOSION AND
COLLAPSE HAZARD
UNDERGROUND HAZARD
PRODUCTS/COMPLETED
OPERATIONS HAZARD
CONTRACTUAL INSURANCE
BROAD FORM PROPERTY
DAMAGE
INDEP. CONTRACTORS
PERSONAL INJURY
PROPERTY DAMAGE
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
500
PERSONAL INJURY
A
AUTOMOBILE LIABILITY
00 COMPREHENSIVE FORM
00 OWNED
00 HIRED
00 NON.OWNED
CAP4260443
01/15/85
BODILY INJURY
(EACH PERSON)
BODILY INJURY
(EACH ACCIDENT)
PROPERTY DAMAGE
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
EXCESS LIABILITY
o
o
UMBRELLA FORM
OTHER THAN UMBRELLA
FORM
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
WORKERS' COMPENSATION
and
EMPLOYERS' liABILITY
OTHER
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will
endeavor to mail 30 days written notice to the below named certificate holder, but failure to mail such notice shall im-
pose no obligation or liability of any kind upon the company.
NAME AND ADDRESS OF CERTIFICATE HOLDER
DATE ISSUED.
CITY OF CLEARWATER
P. O. BOX 4748
CLEARWATER" FL 33518