CERTIFICATE OF INSURANCE (020)
NAME AND ADDRESS OF AGENCY
Ayers/Sierra Ins. Assoc.
5111 66th St. No.
St. Petersburg, FL 33709
COMPANIES AFFORDING COVERAGES
NAME AND ADDRESS OF INSURED
Har-Mac, Inc. dba Defence Co.
7698 Ulmerton Rd.
Largo, FL 33540
COMPANY A West
LEITER
COMPANY B Auto
LEITER
COMPANY C
LEITER
COMPANY D
LEITER
COMPANY E
LETTER
American
Owners
\"
This is to certify that policies of insurance listed below have been issued to the insured named above a' '. NotwithS. ing 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 policies described herein is subject to all the
terms, exclusions and conditions of such policies.
TYPE OF INSURANCE
POLICY NUMBER
POLICY
~ DATE
limits of liability in Thousands (
oCCG~~~NCE AGGREGATE
A
GENERAL LIABILITY
ID COMPREHENSIVE FORM to be issued
~ PREMISES-OPERATIONS
o EXPLOSION AND COLLAPSE
H AZA RD
o UNDERGROUND HAZARD
~ PRODUCTS/COMPLETED
OPERATIONS HAZARD
o CONTRACTUAL INSURANCE
~ BROAD FORM PROPERTY
~ DAMAGE
ID INDEPENDENT CONTRACTORS
o PERSONAL INJURY
BODILY INJURY
$300
$ 300
05-08-84
05-08-85
PROPERTY DAMAGE
$100
100
BODILY INJURY AND
PROPE RTY DAMAGE
COMBINED
$
f'EflSONAL INJURY
$
B
AUTOMOBILE LIABILITY
o COMPREHENSIVE FORM
~ OWNED
KJ HIRED
o NON-OWNED
20203840
~
04-20-84
04-20-85
BODILY INJURY
(EAC H PERSON)
BODIL Y INJURY
(EACH ACCIDENT)
PROPERTY DAMAGE
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
$
EXCESS LIABILITY
o UMBRELLA FORM
o OTHER THAN UMBRELLA
FORM
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
WORKERS' COMPENSATION
and
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail ~ days written notice to the below named certificate holder, but failure to
mail such notice shall impose no obligation or liability of any kind upon the company, or upon the agency
NAME AND ADDRESS OF CERTIFICATE HOLDER.
City of Clearwater
City Hall
Clearwater, FL 33515
ACORD 25 (1-79)