CERTIFICATE OF INSURANCE (014)
JOSEPH U. MOORE, INC.
601 SWANN AVE
TAMPA, FL 33606
COMPANY A
lETTER
COMPANY B
lETTER
COMPANY C
lETTER
COMPANY 0
lETTER
COMPANY E
lETTER
1984
CIT_Y C~ERK
NAME AND ADDRES~; OF INSlIRED
APR 2
LINDY BOWEN CONSTRUCTION
COMPANY
3645 45TI-I AVE N
ST PETERSBURG FL
33714
This is to cerlify that policies of insurance listed below have been issued to the insured named above and are in force at this time, Notwithstanding any requiremenl,
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 desuib(cd
~rein is subie~! to all the terms exclusions and conditions of such policies,
TYPE OF INSURANCE
POLICY NUMBER
POLICY
EXPIRATION DATE
LIMITS OF LIABILITY IN THOUSANDS (OOll)
EACH I
OCCURRENCE AGGnr,(,.'Il,:
A
GENERAL LIABILITY
[!] COMPREHENSIVE FORM
[!J
o
[!]
[!]
[!]
~
[!]
~ PERSONAL INJURY
BODILY INJURY $
19179140
04/01/ 5
PROPERTY DAMAGE
PREMISES--OPERA TIONS
EXPLOSION AND
COLLAPSE HAZARD
UNDERGROUND HAZARD
PRODUCTS/COM PLETED
OPERATIONS HAZARD
CONTRACTUAL INSURANCE
BROAD FORM PROPERTY
D,AMAGE
INDEP. CONTRACTORS
BODilY INJURY AND
PROPERTY DAMAGE
COMBINED
I
I
-'-1---'--'-"-"-
I
PERSONAL INJURY
A
AUTOMOBILE LIABILITY
[&J COMPREHENSivE FORM
[ZJ OWNED
00 HIRED
[XJ NON-OWNED
BODilY INJURY
(EACH PERSON)
BODILY INJURY
(EACH ACCIDENT)
PROPERTY DAMAGE
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
19179140
04/01/ 5
EXCESS LIABILITY
BODILY INJURY AND
5 PROPERTY DAMAGE
COMBINED
$
c
[XJ
o
UM19392FL
04/0 j,/
UMBRELLA FORM
OTHER THAN UMBREllA
FORM
B
WORKERS' COMPENSATION
and
EMPLOYERS' liABiliTY
OTHER
718716
"ALL OPERATIONS"
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing company w'!!
endeavor to mail 30 days written notice to the below named certificate holder, but failure to mail such notice sflall im
pose no obiigation or liability of any kind upon the company,
~
.
NAME AND ADDRESS OF CERTIFICATE HOLDER
CITY OF CLEARWATER
ATT:CITY ATTORNEY
P.O. BOX 4748
CLEARWATER, FL
33518