CERTIFICATE OF INSURANCE (222)
II
il
- THIS CERnFICATE IS-1SSUED AS A MArrER OF INFORMAnON
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE II
STAHL & ASSOCIATES HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ORI
ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. ;
COMPANIES AFFORDING COVERAGE
PRODUCER
8200 SEMINOLE BLVD
SEMINOLE
FL 34642
COMPANY
A
AMERISURECOMPANIES
INSURED
LINDY BOWEN CONSTRUCTION CO
COMPANY
B
COMPANY
D
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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 CONDmON 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 CONDmONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
7000 BRYAN DAIRY RD UNIT B-9
LARGO FL 34641
COMPANY
C
CO
LTR
riPE OF INSURANCE
POUCY NUMBER
POUCY EFFECTIVE POLICY EXPlRAnON
DATE (MM/DDIYY) DATE (MMIDDIYY)
LIMITS
GENERAL UABIUTY CPP12 8134 0
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [K] OCCUR
OWNER'S & CONTRACTOR'S PROT
4/01/96
4/01 97 GENERAL AGGREGATE $2,000,000
PRODUCTS - COMPIOP AGG $20000, 000
PERSONAL & ADV INJURY $1, 000, 000
EACH OCCURRENCE $1, 000, 000
FIRE DAMAGE (Anyone fire) $ 1 0 0 , 0 0 0 I
MED EXP (Any one person) $ 5 , 0 0 0 I
4 01/97 1,000,000
COMBINED SINGLE LIMIT $
AUTOMOBILE UABIUTY CA12 813 3 9
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
4 01/96
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
GARAGE UABIUTY
ANY AUTO
EXCESS UABIUTY
X UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS_COMPDlSAno~ ,tiN!:!
EMPLOYERS; WIUTY
CU1281341
4 01/96
4/01/97
AUTO ONLY. EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
$
$
$1,000,000.
$1,000,000
STATI:lTCRY LIMiTS
THE PROPRIETOR!
PARTNERs/EXECUTIVE
OFFICERS ARE:
OntER
INCL
EXCL
EACH ACCIDENT $
DISEASE. POLICY LIMIT $
DISEASE. EACH EMPLOYEE $
DESCRlPnON OF OPERAnoNSILOCATlONSIVEHICI.ESCIAL ITEMS
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CITY OF CLEARWATER
CITY ATTORNEY
POBOX 4748
CLEARWATER FL 34618
SHOULD ANY OF 11tE ABOVE DESCRIBED POLICIES BE CANCElleD BEFORE 11tE
EXPlRAnON DATE 11tEREOF, 11tE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOnCE TO 11tE CERnFlCATE HOLDER NAMED TO 11tE LEFT,
BUT FAlWRE TO MAIL SUCH NoncE SHALL IMPOSE NO OBLlGAnON OR L1ABIUTY
OF ANY KIND UP REPRESENTAnvES.
AUTHORIZED REPRES
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ROBERT L