CERTIFICATE OF INSURANCE (129)
Burke-Lehman Insurance, Inc.
2173 N.E. Coachman Road
Clearwater, Florida 33575
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
Heritage East Yachts, Inc.
25 Causeway Blvd. #28
Clearwater, Florida 33515
COMPANY A
LETTER South Carolina
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY 0
LETTER
COMPANY E
LETTER
INSURED
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR MA Y PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI.
TIONS OF SUCH POLICIES.
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DDIYY)
POLICY EXPIRATION
DATE iMM/DDIYY)
LIABILITY LIMITS IN THOUSANDS
EACH
OCCURRENCE
A x
GENERAL LIABILITY
COMPREHENSIVE FORM
PREMISEs/OPERATIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTS/COMPLETED OPERATIONS
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
Glass
SMP4862800
5-12-87
-12-88
BODILY
INJURY $ $
PROPERTY
DAMAGE $ $
BI & PO $ 300,00
COMBINED
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (PRIV. PASS.)
ALL OWNED AUTOS (OTHER THAN)
PRIV. PASS.
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
PERSONAL INJURY $
BCOI~ V
INJU^Y $
If';:R PfRSONI
BOOILV
INJURV $
(f'fA ACCIDE~'T)
PROPERTY
DAMAGE $
BI & PO
COMBINED $
" A x
,-;..
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
g~t~~ED $
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
STATUTORY
$
S
$
(EACH ACCIDENT)
(DISEASE.POLlCY'L1MIT)
(OISEASE.EACH EMPLOYEE)
OTHER
Additional Insured: City of Clearwater
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLESlSPECIAL ITEMS
.ti"~"
. :nON~-:.'--' :71{:l}~!-j ~ :~"":-!:'~~Jr$~iHF/~~~ -<' ~~~::~~~~~~}, ~::. ~~~,",\:~'~~f~';~: :'~;
City of Clearwater
Risk Management
P.O. Box 4748
Clearwater, Florida 34618
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX.
PIRATIOfoDATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL DA YS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
A~NTATI:
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