CERTIFICATE OF INSURANCE (217)
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CERTI FICA Tf jF INSU R~'~:~CA TE IS ISSUED A~ MATTER OF INFORMATION O:~ ;~:~:~: NO
RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EX-
TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES B,9-0W
PRODUCER
DIKMAN-STAHL & ASBD
8200 SEMINOLE BLVD
SEMINOLE FL 34642
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IANY
APR 06 1992 ER A
COMPANIES AFFORDING COVERAGE
CODE
GULF INSURANCE CO
GULF INSURANCE CO
SUB,
INSURED
GULF INSURANCE CO
LINDY BOWEN CONST
4783 37TH ST N
ST PETERSBURG
3:3714
COMPANY
LETTER
FL
COMPANY E
LETTER
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COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IN,
DICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITiON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CER,
TIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLU-
SIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
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POLICY EFFECTIVE
DATE (MM/DDiYY)
4/01/92
CGL5407421
POLICY EXPIRATION
DATE (MM/DD/YY)
4I01}9:3
TYPE OF INSURANCE
POLICY NUMBER
ALL LIMITS IN THOUSANDS
COMMERCIAL GENERAL LIABILITY
, CLAIMS MADE X OCCUR,
OWNER'S & CONTRACTOR'S PROT.
GENERAL AGGREGATE 2 ? 000
PRODUCTS, COMP/OPS AGGREGATE 1 , 000
PERSONAL & ADVERTISING INJURY 1,000
EACH OCCURRENCE 1 ,000
FIRE DAMAGE (Anyone fire) ~:;O
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(DISEASE - EACH EMPLOYEE)I ~
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AUTOMOBILE LIABILITY
X
BA5412978
MED, EXPENSE (Anyone person)
COMBINED
SINGLE 1 non
LIMIT ,--
BODILY
INJURY
(Per person)
BODILY
INJURY
(Per accident)
PROPERTY
DAMAGE
4/01/92
4/0119:3;
ANY AUTO
x
X
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON,OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
CU5326009
EACH
OCCURRENCE
1 ,000
4/01/92
4/01/9:3
X
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
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L\ APR 8 1992
STATUTORY
AND
EMPLOYER'S LIABILITY
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES,'SPECIAL ITEMS
MGT.
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CERTIFICATE HOLDER
CANCELLATION
1,000
CITY OF CLEARWATER
Y--'A~rTORNEY' ~
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 10 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.
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CLEARWATER FL.
AUTHORIZED REPRESENTATIVE
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ROBERT L STAHL
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