CERTIFICATE OF INSURANCE (250)
PROOUCER
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A CORQMIERIIRIIl.meUEiEII.BIIII1MiiillliwBI..IBiu................... DA1TE1/IMOM2'/DOD4IYYI
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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
COMPANY FEDERATED MUTUAL INSURANCE COMPANY OR
A FEDERATED SERVICE INSURANCE COMPANY
FEDERATED MUTUAL INSURANCE COMPANY
302 Perimeter Center North
Atlanta, GA 30348
Phone: 770-390-3900
Home Office: Owatonna, MN 55060
INSURED
060-594-9
COMPANY
B
J & K ELECTRIC INC
2712 20TH AVE N
ST PETERSBURG FL 33713
COMPANY
C
THIS IS TO CERTIFY THAT THE POLICIES 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 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,
--eo-
LTR
TYPE OF INSURANCE
POLICY NUMBER
POl.lev Ef'FECTivE-' .POlICY-EXJ>lRATION
DATE (MM/DD/YY) DATE (MM/DDIYY)
LIMITS
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
A CLAIMS MADE [X] OCCUR
OWNER'S & CONTRACTOR'S PROT
9001513
12/31/04
12/31/05
GENERAL AGGREGATE $ 2 000 000
PRODUCTS - COMP/OP AGG $ 2 000 000
PERSONAL & ADV INJURY $ 1 000 000
EACH OCCURRENCE $ 1 000 000
FIRE DAMAGE (Anyone fire) 1 00 000
MEO EXP (Anyone person)
A
~UTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
COMBINED SINGLE LIMIT
$ 1,00'0,000
9001513
12/31/04
12/31/05
BOOIL Y INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY
A X UMBRELLA FORM
9001514
12/31/04
12/31/05
EACH OCCURRENCE
AGGREGATE
$ 2 000 000
$ 2 000 000
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OTH-
ER
THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
EL DISEASE - POLICY LIMIT
EL DISEASE - EA EMPLOYEE
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/SPECIALITEMS
JERRY D BRAZIL-LICENSE HOLDER
CITY OF CLEARWATER
A112 SOUTH OSCELOA AVENUE
CLEARWATER FL 33770
SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCelLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT.
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
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