CERTIFICATE OF INSURANCE (044)
1"',
F]orlda Suncoalt Insurance Agency,
Inc.
1345 South HI..ourf Avenue
Clearwater, fL 33516.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOHMAnON ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AfFORDED BY THE POUClES BEl-OW.
COMPANIES AFFORDING COVERAGE
INSURED
La.baton. Inc. d/b/a
he New Tansey Co.
. O. Box 801
arpo" SprIng., FL 33589
COMPANY A
lETTER
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
E
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIOO/YY) DATE (MMIDOIVY)
GENERAL LIABILITY
COMPREHENSIVE FORM
PREMISEs/OPERATIONS
UNOERGROUND
EXPLOSION & COLlAPSE HAZARD
PAODUCTSlCOMPLETED OPERATIONS
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
50-93It'0631!j;. Gt~I,V E
$
FEe 20 1985
~t:~ED $ SOO
$ 500
CJTY CL
PERSONAL INJURY
$ 500
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (PRIV, PASS,)
ALL OW. NED AUTOS (OTHER THAN)
PRIV, PASS,
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
50-93It,063-5-IND-84
2/%8/84
IlOCll.Y
ItUJRY $
(PER PfR&lN)
BOOIl.Y
3/01 /85 ~%mn $
~~~~TY $
BI & PO
COMBINED $ 500
UMBRELLA FORM
~t:~ED $
Ai..D
EE-U9-9!4F064-7-8~
2/28/8" '/01/85
EMPLOYERS' UABILITY
OTHER
DESCRIPTION OF OPERA TIONSlLOCA TIONSNEHICLESlSPECIAL ITEMS
Jack Russell Stadium and Waste Treatment
Clearwater
Finance Dept.
P. O. Box 4748
Clearwater, FL 33418