CERTIFICATE OF INSURANCE (051)
Suncoast Insurance Associates, Inc.
1408 N. Westshore Blvd., Suite #1008
Tampa, Florida 33607
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.
INSURED
COMPANIES AFFORDING COVERAGE
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 INDICA TED.
NOTWITHSTANDING ANY REQUIREMENT, 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 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS,.ANDCONDI.
TIONSOFSUCHPOLICIES.- - -.. ... ...-- ....__m. .... ..... -. .-... - -
TYPE OF INSURANCE
GENERAL LIABILITY
COMPREHENSIVE FORM
PREMISES/OPERATIONS
UNDERGROUND
XXfXI)S){J~O(X;~~ HAZARD
PRODUCTS/COMPLETED OPERATIONS
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (PRIV_ PASS.)
ALL OWNED AUTOS (OTHER THAN)
PRIV. PASS.
HIRED AUTOS
NON-OWNED AUTOS
GARAGE L1ABI L1TY
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
OTHER
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/OOIYY)
POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS
DATE (MM/OOIYY) EACH
OCCURRENCE
BODILY
3/31/86 INJURY $ $
PROPERTY
DAMAGE $ $
BI & PD $ 500 $ 500
COMBINED
MP 161O~~1
VED
3/31/85
APR 8
1985
BAP 066482625
PERSONAL INJURY $500
BODILY
INJURY $
(PER PERSON)
BODILY
INJURY $
(PER ACCIDENT)
PROPERTY
DAMAGE $
BI & PD
COMBINED $
BI & PD $1;000
COMBiNED
3/13/85
3/31/86
EXC102584
3/31/85 --
3/31/66
7904939851
(EACH ACCIDENT)
(DISEASE-POLICY LIMIT)
(DISEASE-EACH EMPLOYEE
3/31/85
3/31/86
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLESISPECIAL ITEMS
City of Clearwater
P. O. Box 4748
Clearwater, Florida 33518