CERTIFICATE OF INSURANCE (091)
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THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW . .
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601 S!,J(,NN
If=ii''iri~~ll FL
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INC.
COMPANIES AFFORDING COVERAGES
33606
COMPAi". v A
LETTER
COil./PAi".Y B
LETTER
COMPANy C
LETTER
COMPANY 0
LETTER
COMPANY E
LETTER
INS
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NAME AND ADDRESS OF INSURED
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INTER-BAY MARINE
CONSTF:UCT ION CO
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LIBF~i~; r'y' jVil..,iTutiL.
UNDERWRlfERS ~ LLOYD
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33~.:543
This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this lIrne. Notwithstanding any requirement. ferm or con"
dition 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.
COMPANY
LETTER
TYPE OF INSURANCE
POLICY NUMBER
PO LI C Y
EXPIRATION DATE
EACH
OCCURRENCE
AGGREGAT I
GENERAL LIABILITY
BO'JkY I~JL'RY
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i"i
COMPREHENSIVE FORM
M Fe: 1) {) 61"700 ~5~.;()
C".\,/O~ /"}--:'?
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PREMISES-OPERA TlONS
EXPLOSION AND COLLAPSE
HAZARD
UNDERGROUND HAZARO
PRODUCTS/COMPLETED
OPERATIONS HAZARD
CONTRACTUAL INSURANCE
BROAD FORM PROPERTY
DAMAGE
INDEPENDENT CONTRACTORS
PRUPERT'{ D,A..MAGE
BODILY INJURY AND
PROPEHTY DAMAGE
COMBINED
1. } ()OO
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PEf~SONAL INJURY
~
BfiF'07 62B~) 1 ,~,~)
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BODILY INJURY
lEACH PERSON}
BOOI L Y INJURY
([ACH OCCURRENCE)
PROPERTY DAMAGE
~~g~LE~~~/~:~:(~~ s 1.
COMBINED
BOOI L Y I~JURY AND
PROPERTY DAMAGE
COMBINED
WORKER'S COMPENSATION
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.nd
EMPLOYER'S LIABILITY
OTHER
1. :3~::! 140?'/B40 1~.5
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BINDEt-o:
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Cancellation: Should any of the, above described policies be cancelled before the expiration date thereof, the issuing com-
pany willend'eaiJor. to mail 30 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.
NAME AND ADDRESS OF CERTIFICATE HOLDER
DATE ISSUED
()6./ 1. 3~/B~')
CITY OF CLEARWATER
~:O.[i. BUX 474f;
Cl...EARl,H~TER J FL