CERTIFICATE OF INSURANCE (082)
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.
Florida Suncoast Insurance Agency,
Inc.
121 No. Osceola Ave., Suite 304
Clearwater, FL 33515-6895
COMPANIES AFFORDING COVERAGE
INSURED
Lambaton, Inc. d/b/a The New
Tansey Co.
P. O. Box 807
Tarpon Springs, FL 33589
COMPANY A
LETTER
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
E
Travelers
Associated Industries of Florida
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TYPE OF INSURANCE POLICY NUMBER POliCY EFFECTIVE
DATE (MWOOIYY)
GENERAL LIABILITY
X COMPREHENSIVE FORM
PREMISEs/OPERA nONS PROPERTY $ $
UNDERGROUND DAMAGE
EXPLOSiON & COLLAPSE HAZARD 650-934F063-5-COF-86 3/1/86 3/1/87
PRODUCTSICOMPLETED OPERATIONS
BI & PD $1,000
CONTRACTUAL COMBINED
INDEPENDENT CONTRACTORS
X BROAD FORM PROPERTY DAMAGE
X PERSONAL INJURY PERSONAL INJURY
AUTOMOBILE L1AB!LITY IlOOIlY $
INJURY
ANY AUTO (PER PE~
X ALL OWNED AUTOS (PRIV, PASS,) ImLY
INJURY $
X ALL OWNED AUTOS (OTHER THAN) 650-934F063-5-COF-86 3/1/86 3/1/87 (PER AOOOENT)
PRIV, PASS,
X HIRED AUTOS PROPERTY $
X NON.QWNED AUTOS DAMAGE
GARAGE LIABILITY BI & PD $
COMBINED
B! &. Po $
CUMBINED
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION $ , 1l()_.J..~CH ACCIDENl!
ANU
EMPLOYERS' LIABILITY 830-2841 3/1/86 3/1/87 (DISEASE-POliCY LIMIT)
(DISEASE-EACH EMPLOYE
OTHER
DESCRIPTION OF OPERATlONSlLOCATlONSNEHICLESlSPECIAL ITEMS
6-1-174B6
Clearwater Marina
24 Causeway Blvd.
Clearwater, Florida
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S'-::.;.'~,~ AIJY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX-
PI'" '.'J DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
p.;!~ 1 O__DAYS 'WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LF '~".rLURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
" UPON THE COMPANY, AGENTS OR REPRESENTATIVES.
--PRESE
"
City of Clearwater
P. O. Box 4748
Clearwater, FL 33518
.-t/
RICHARD
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. I. ~.;~}ht,