CERTIFICATE OF INSURANCE (175)
ICERTIFICATE OF INSURANCE
I
40
_his Certificate is issued as a matter of information only and confers no righ.ts. upon the Certlflcateholder. This ce. rtificate
oes not amend, extend, or alter the coverage afforded by the policies listed below. The policy Is subject to change by
endorsement and to assignment and cancellation in accordance with Its terms.
This Is to certify that the insurance pollcy(s) numbered below has (have) been issued by this company and for the cover-
ages and limits of liability as shown.
* Certlflcateholder:
Insured: 059-521-5
CITY OF CLEARWATER
POBOX 4748
CLEARWATER FL 33518
GULFVIEW ELECI'RIC INC
6540 INDUS'IRIAL AVE
PORT RICHEY FL 34668
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GENERAL LIABILITY
Policy Number: 9001283 Effective Date: 11/01/88
Coverages:
Commercial General Liability - Occurrence
Limits of Liability:
General Aggregate: $1,000,000
Personal & Advertising Injury: $500,000
Medical Expense (Anyone person): $5,000
AUTOMOBILE OR GARAGE LIABILITY (No Fault is provided if required by Statute)
Policy Number: 9001283 Effective Date: 11/01/88 Expiration Date: 11/01/89
Vehicles Covered:
All Autos
Hired Autos
Non owned Autos
Limits of Liability:
Bodily Injury and Property Damage Combined: $500,000 Each Accident
UMBRELLA LIABILITY
Policy Number: 9001124 Effective Date: 11/01/88
Limits of Liability:
Bodily Injury and Property Damage Combined: $1,000,000 Each Occurrence $1,000,000 Aggregate
30 days written notice will be given to the Certificateholder named above if during the term of such policy(s),
cancellations or changes occur which affect this certificate.
Expiration Date: 11/01/89
Products Comp Ops Aggregate: $1,000,000
Each Occurrence: $500,000
Expiration Date: 11/01/89
.
~ !.a,.~'
PRESIDENT
IL-F-14 (05-88 C)
?,t:Jl;~L
SECRETARY
FEDERATED MUTUAL rrltraA 'relt
INSURANCE COMPANY r...,..~, ,..,
5883 Glenridge Dr NE /. "'SURANC'Er..
Atlanta, GA 30328 JY, "