CERTIFICATE OF LIABILITY INSURANCE
ACORD..
CERTIFICATE OF LIABILITY INSURANCeIN8:~~ B 01 [)3/02
THIS CERTll=lcATe IS ISSUED AS A MATTER OF IN~ORMATION
ONL.Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATf! DOES NOT AM~ND, EXTEND OR
At TER THE coveRAGE AFFORDED BY THE POLICIES BEL.OW.
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PRODUCER
BOUCHARD-STARCREST
101 STARCRBST DRtVE
POBOX 6090
CLEARWATER 'L 33758-6090
Phone.727-447-64Bl ll'ax;727-449-1267
INSURED
INSURERS AFFORDING COVE~GE
King Bngineering Assoc, Ino.
Mt Bllrlll1OW/lIk
4921 Memorial Hwy S~8 300
Tmpa rL 33634
COVERAGES
INsURER A:
INSURER 1;1;
INSURER C;
INSuRER 0:
INSUR!:~ E~
CO~tMBNTAL CASUAL~~ COMPANY
TRANSPORTATION INSURANez CO
THE pOLIcies OF INSURANce ~ISTEO BELOW HAVE BEEN ISSUeD TO THe INSU~EO NAMeO ABOVl: FOR THE POLICy PERloO INOrCATI;O. NOTWITHSTANDING
ANy RI;:OUIR~M~NT, 'rEFlM OR CONolTION OF ANY CONTRACt OR OTHER DOCUMENT WITH I'lESPECT TO WHICH THIS CEI'ltI~lcATE MAy BE IssUelJ OR
MAY PERTAIN. TH~ INSURANce A"fORtll:iD SY THE I'OLlCI~s or;$C~I~EtI HE~EIN IS SUBJECT to ALL THE TEflMS, ExCLuSiONS I\No CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOwN MAY HAVE B~EN REOUC~O BY PAID Cl.AIMS,
'fFrs/( ......""- ~W~~b~E' .p~t~~~JWi?N . ..... ....-..---
~TR 'tYI"l: OF' INSURANC!! PO~ICY NlIMBEM OAT M LIMITS
~NERAL LIABILIty EACI,I OCCUR~ENCE ~3000000
A ~ COMME~CIAL GeN!:I'lAL LlAIlILlTY AEAl138051Bl 01/01/01 01/01/03 "'!:Iii OllrMGI; (Any ona IIrtl) 5
t!JCLAIMS MADE IJ OCCll~ ,,,
MEO EIlP (Ally o~e p.'.tlN) S
I-
X ERRO~,,~,,_ &: OMK:tSSIO PERSONAL & ADV INJURY 5
I-- -
GENERAL AGGREGATe 53000000
f-- -
~!~'L AGGAI$GA'tE LIMIT APnS PER: PI'IODUCTS " COMp/o!> AGG $
"'I POLlCT n ~~~;: ~OC
AllT0l\J10BILE LIABILITY COMBINEO SING~l; LIMIT $
- (E~ ~~~Idanl)
ANy AUto
- .-
ALL OWNEO AUTOS BODilY INJURY 5
.- IPer ~eteonl
f-- SCHEDULED Alrros
HIi'lEO AUTOS eODIL Y INJURY S
f-- I"er accident!
'-- NON-OWNED AUTOS --
- .....~--- PROPI;RTY DAMAGI: 5
.I"8r accldent)
GARAGE LIABILITY AUTO ONLY .I:A ACCIDENT S
q ANY AUtO OTHI;J:I'THAN ~ACC 5
AUTO ONLy: AGG $
EXCE!l9 LIAbiLITY l:ACH OCI:;UR"I:NcE 5
~ OCCUR o CLAIMS MAoe _-............~
AGGREGA'rE 5
5
R beoUctleLE $
ReT~NTION 1& 5
WORKells COMPE!N8ATION AND I TbWuMYrs r IOJ~'
B EMploY);:RS' L1A9JLlTY WCCl636720l5 01/01/02 01/01/03 E,L. EACH ACCloeNf $ 500000
I:.L. bISl;ASE " Ei\ EMPLOYEE $ 50000~_~.~__
E.L. DlseAsl;. POLiCY liMit S 500000
OTHER
bESClIll>noN 01' OI>ERATIOt-lSlI.OCATION5IVEHICL);:!!IEXClU$lONS ADDED BY I!NDOIlSEIlIlENTI9PECIAL PROVISIONS
FAX 562-4755
CERTIFICATE HOLDER IN. r AoolTlOIolAL INSUIIED: II\I9URER lETT~R: CANCEL.LATlON
C'ITOrCL SHOULD ANY OF 'mE AlIOlle D!:scllIBEtI POLlCI~S iii!! CANCELLED IlEl'oRI: tJ.lE EXPIRATION
DATE THI:REoF, THE ISSUING INSUReR WILL ENtll:AvoR TO MAil ~ OAYS ~lllttEN
CIT~ or CLEARWATER NOTICE TO THE CeRTIFICATE HOLbEIlIllAMl:D TO nil; 1.5FT, BUT FAILURE to 00 SO SHALl.
A1'TN ALtOm IMPOSE NO OBLIGATION OR ~IAeILITY OF ANy kiND UPoN TH);: INSURIlR, ITS AoeNTS 011
100 S MYRTLB AVE #220
C'LIARWATER PL 33758 REI'RESENtAtIIlES.
I A~OR\lyt:::Z
ACORD 25-S (7/97)
eACORD CORPORATION 1989
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