CERTIFICATE OF INSURANCE (153)
SUNCOAST INS ASBOC IHe
P.O. BOX 22668
TAMPA FL 33622-2668
INSURED
MILLER BROTHERS OF
FLORIDA INC.
P.O. BOX 1098
RIVERVIEW, FL 33~69
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
COMPANY A ATLANTIC UND. NO AM. INC
LETTER
COMPANY B QULF INS GROUP
LETTER
COMPANY C AM. CASUAL TV CO OF READINQ, PA.
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
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, AND CONDI.
TIONS OF SUCH POLICIES.
TYPE OF INSURANCE
GENERAL LIABILITY
X COMPREHENSIVE FORM
PREMISES/OPERATIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTS/COMPLETED OPERATIONS
CONTRACTUAL
X INDEPENDENT CONTRACTORS
X BROAD FORM PROPERTY DAMAGE
X PERSONAL INJURY
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS (PRIV PPSS,)
ALL OWNED AUTOS (~~~SRpl~~N)
X HIRED AUTOS
X NON-OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
OTHER
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMlDDNY)
LIABILITY LIMITS IN THOUSANDS
OCCQ~~NCE AGGREGATE
POLICY EXPIRATION
DATE (MM/DDNY)
TO BE ASSIQNED
04/07/88 04/07/89 BODILY
INJURY $ $
PROPERTY
DAMAGE $ $
BI & PO $
COMBINED
PERSONAL INJURY
TO BE ASSIGNED
03/31/88 03/31/89
BODilY
INJURY
(PER PERSON) $
BODilY
INJURY
(PER ACClDENn $
PROPERTY
DAMAGE $
BI & PO
COMBINED $
TO BE ASS I QNED
04/07/88 04/07/89
~6t~~ED $
ARX~183404
04/04/88 04/04/89
100(EACH ACCIDENT)
5O()(DISEASE,POLlCY LIMIT)
l00iDISEASE-EACH EMPLOYE )
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
Citv of Cl..~wat.~
P. O. Box 4748
Cl..~wat.~, FL 33~18