CERTIFICATE OF INSURANCE (086)
PRODUCER
Suncoast Insurance Associates,
P. O. Box 22668
Tampa, Florida 33622-2668
Inc.
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,
COMPANIES AFFORDING COVERAGE
INSURED
COMPANY A
LETTER
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
Miller Brothers of Florida, Inc.
P. O. Box 1098
Riverview, Florida 33569
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
- .. NOTWITHSl"ANDING ANYREGUIREMENT i. TERM OR CONDIl"ION OF ANY CONTRACT OR OTHER DOCUMEN1' WITH RESPECT TGWHICH THIS GER'fIFICATE ~A Y
BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI-
TIONS OF SUCH POLICIES,
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
OATE (MM/DDIYY)
POLICY EXPIRATION
DATE (MM/DDIYY)
LIABILITY LIMITS IN THOUSANDS
EACH
OCCURRENCE
GENERAL LIABILITY
x COMPREHENSIVE FORM
x PREMISES/OPERATIONS
x~~~~~xx
X PRODUCTS/COMPLETED OPERATIONS
X CONTRACTUAL
X INDEPENDENT CONTRACTORS
x BROAD FORM PROPERTY DAMAGE
X PERSONAL INJURY
lCC 085192460
3/31/86
3/31/87
BODILY
INJURY
$
$
PROPERTY
DAMAGE
$
$
BI & PD
COMBINED
$ 1,000$
PERSONAL INJURY
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS (PRIV PASS.)
ALL OWNED AUTOS (OTHER THAN)
PRIV. PASS,
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
BAP 066484980
3/31/86
BODilY
3/31/87 INJURY $
(PER PERSON)
BODilY
INJURY $
(PER ACCIDENT)
PROPERTY
DAMAGE $
BI & PD
COMBINED $
BI & PD $
COMBINED
STATUTORY
$ (EACH ACCIDENT)
$ (DISEASE-POLICY LIMIT)
$ (DISEASE-EACH EMPLOYEE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
City of Clearwater
P. O. Box 4748
Clearwater, Fla. 33518