CERTIFICATE OF INSURANCE (186)
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CERTIFICA ti OF INSURANCE
ISSUE DATE (MMIDDIVY)
FRANK B. HALL & CO. OF
POST OFFICE BOX 23545
TAMPA, FL. 33623-3545
PHONE: (813) 884-8470
FLORIDA
I
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
4-10-89
Be
PRODUCER
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER
TRAVELERS
f{EC~JVED
CODE
SUB-CODE
INSURED
COMPANY B
LETTER
MILLER BROTHERS OF FL., INC.
POST OFFICE BOX 1098
RIVERVIEW, FL. 33569
COMPANY C
LETTER
APR 1 :i 1989
COMPANY D
LETTER
COMPANY E
LETTER
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, tmrNITHSTANDING 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 AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
l~
r GENERAL LIABILITY
IA
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIVY) DATE (MM/DDIVY)
ALL LIMITS IN THOUSANDS
I
I
I
I
I
CLAIMS MADE X OCCUR.
UJ-660835G671
ITL-89
3-31-89
3-31-90
GENERAL AGGREGATE $2,000,
PRODUCTS-COMP/OPS AGGREGATE $1,000,
PERSONAL & ADVERTISING INJURY $1,000,
EACH OCCURRENCE $1 ,000,
FIRE DAMAGE (Anyone fire) $ 50 ,
MEDICAL EXPENSE (Any one person) $ 5 ,
COMMERCIAL GENERAL LIABILITY
OWNER'S & CONTRACTOR'S PROT,
AUTOMOBILE LIABILITY
X ANY AUTO
X ALL OWNED AUTOS
A X SCHEDULED AUTOS
X HIRED AUTOS
X NON.QWNED AUTOS
GARAGE LIABILITY
UJ-660835G671
ITL-89
3-31-89
3-31-90
COMBINED
SINGLE $
LIMIT 500,000.
BODILY
INJURY $
(Per person)
BODILY
INJURY $
(Per eccident)
~~:~~TY $
EXCESS LIABILITY
EACH AGGREGATE
OCCURRENCE
$ $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
STATUTORY
$
$
$
(EACH ACCIDENT)
(DISEASE-POLICY LIMIT)
(DISEASE-EACH EMPLOYE
OTHER
DESCRIPTION OF OPERA TIONS/LOCA TIONSIVEHICLES/RESTRICTIONS/SPECIAL ITEMS
CERTIFICATE HOLDER
City of Clearwater
P. o. Box 4748
Clearwater, FL 33518
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHA IMPOSE NO OBLI ATION OR !
LIABILITY OF ANY KIND UPO HE COMPANY, IT AGENTS R R ES TATIVES,
noN 1988