CERTIFICATE OF INSURANCE (111)
ML Rod.ers & Cummin.s Insurance Inc.
P. O. Box 5148
Clearwater.Fl. 33518
INSURED
Howard Brothers Excavatin.. Inc.
1001 I11inoi. Avenue
Pal. Harbor. Fl. 33563
12-19-86
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,
COMPANY A
~ETTER
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
COMPANIES AFFORDING COVERAGE
CNA ( Continental Casualty )
Tran8portation Ins.
FCCI
THIS IS TO CERTIFY THA TPOLlCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
. BE ISSUEDHbRMAY PERTAIN,THE INSURANCE AFFORDED BY THE-POL:ICIESOESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS;AND CONOI;-
TIONS OF SUCH POLICIES,
TYPE OF INSURANCE
POLICY NUMBER
GENERAL LIABILITY
COMPREHENSIVE FORM
PREMISES/OPERATIONS
0073697
PRODUCTS/COMPLETED OPERATIONS
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (PRIV PASS.)
ALL OWNED AUTOS (OTHER THAN, )
PRIV, PASS
HIRED AUTOS
NON,OWNED AUTOS
GARAGE LIABILITY
0073698
EXCESS_ LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
00073699
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
2235-01
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
City of Clearwater
P. O. Box 4748
Clearwater, Fl. 33518
POLICY EFFECilVE POetCY EXPIRATION LIABILITY LIMITS IN THOUSANDS
DATE (MMlODiYY, DATE (MM/DD/YY) EACH AGGREGATE
OCCURRENCE
BOOIL Y
INJURY $ $
PROPERTY
12-1'-86 DAMAGE $ $
12-15-87
BI & PD $ 500 $ 500
COMBINED
12-15-86
12-15-86
1-1-87
12-15-87
112-15-87
I 1-1-88
I
PERSONAL INJURY $
BODilY
NJURr $
,PER PERSON,
WDIL(
'NJUR'i $
'PER ACCIDENT)
PROPERTY
DAMAGE $
BI & PO
COMBINED $ 500
BI & PD $
COMBINED
STATUTORY
$ 100 (EACH ACCIDENT)
$ 500 (DISEASE,POLlCY LIMIT)
$ 100 (DISEASE, EACH EMPLOYEE