CERTIFICATE OF INSURANCE (209)
,__.___.._____o__._.__.~______._________~_._.
A~~~tIU.~
CERTIFICA TIj OF INSURANCE
I
ISSUE DATE (MMIDD/YY)
1/16/91
Hilb, Rogal and Hamilton Company
of Tampa Bay, Inc.
P.O. Box 23968
Tampa, Florida 33623
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
PRODUCER
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER
Inst. of London Underwriters
COMPANY B
LETTER
COMPANY E
LETTER
Royal Insurance corniE t 'E 1 V ED
Capital Assurance cO'J~~ \ & \99'
C\1Y CLERK
INSURED
Inter-Bay Marine Construction Company,
Incorporated
7950 - 118 Avenue North
Largo, Florida 34643
COMPANY C
LETTER
f~TMiE~NY 0
COVERAGES
THIS :3 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE I~!SURED 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 ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDDiYY) DATE (MMIDDIYY)
ALL LIMITS IN THOUSANDS
X GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR,
OWNER'S & CONTRACTOR'S PROT,
GENERAL AGGREGATE
$
CLU90309HLl 00
3/1/90
3/1/91
PRODUCTS.COMPIOPS AGGREGATE $ 1,000,
PERSONAL & ADVERTISING INJURY $ 1,000,
EACH OCCURRENCE $ 1,000,
FIRE DAM.AGE (Anyone lire) 50 ,
MEDICAL EXPENSE (Anyone person) $
$5000 Ded. Per Occurrence
c
.:.},/,: /.~TC:
~r,AUUOI1GO
'.I, . -'.11
-' I . I ../ V
J ; li,.~ .
~I ...., ~-'-
COMBINED
SINGLE
~ Il_~IT
$ 1,000,
AUTOMOBILE LIABILITY
ALL OWNED AUTOS
X SCHEDULED AUTOS
[JODILY
INJURY
(Per person)
.v.
n;Rt:.u "urea
~;.::III y
X NON.OWNED AUTOS
GARAGE LIABILITY
INJURY $
(Per accident)
PROPERTY
LiAMAGE
A
CLU9031lHLlOl
3/1/90
3/1/91
EACH AGGREGATE
~CCf~{Y~bE,;; 1 ,000,
EXCESS LIABILITY
OTHER THAN UMBRELLA FORM
STA-TUTOH'{'-- ------
WORKER'S COMPENSATION
AND
$
$
$
(EACH ACCIDENT)
(DISEASE-POLlt;Y LIMII)
(DISEASE-EACH EMPLOYE )
EMPLOYERS' LIABILITY
OTHER
B Hull, Protection
and Indemnity
030190
3/1/90
3/1/91
$1,000, P & I Hull
Per Schedule
. DESCRIPTION OF OPERATlONSILOCATIONSIVEHICLESISPECIAL ITEMS **CERTIFICATE REVISED EFFECTIVE 12/6/90. HORKERS'
i
! COMPENSATION COVERAGE ELIMINATED. RE: Subaqueous water main, Clearwater Harbor, Clearwater,
I Florida. The City of Clearwater and Briley, Wild & Associates are included as additional
I insureds with respect to th~<?1ect_.L_p~:'='_..~~11.!:!",a._c~~alH~e.,<1~,~.:r.~~~g.!_~_._.__-.-..., -,....-,-.---
i CERTIFICATE HOLDER CANCELLATION
CITY OF CLEARWATER
P.O. BOX 4748
CLEARWATER, FLORIDA
34618
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO,
MAIL ~ DAYS 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~~i'\~.~~-_~~r~}f~91___~~~=:=::=__-._, ____.
@ACGRDcc:eRPOHATION 19-
,_," "0 .__.' _0..__...._,',___..._ _
AUTHORIZED REPRESENTATIVE
Richard E. Murdock