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CERTIFICATE OF INSURANCE (050) THIS CERTIFICATE IS\. .... ;.'D~~~A~!!Ri~~~~M~'!N ~~~A~D~~~:~ GHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DO\,_T AMEND, EXTEND OR ALTER THE COVERAGE AFFORD~I"f' THE POLICIES LISTED BELOW. THE VEGHTE AGENCY P.O. BOX 1560 CLEARWATEI~} FL COMPANIES AFFORDING COVERAGES 3351? COMPANY A LETTER I;ETNA r & ~:) ~ COMPANY B LETTER UNITED STATES FII:;;E COMPANY C LETTER 3T ANDAFUi FIRE Im; CO COMPANY 0 LETTER COMPANY E LETTER q~' . '44?'-:HB3 NAME AND ADDRESS OF INSURED MCC,)ILL :1.1.1 N" LtlF<GO I FL PUJt1B I NG MISSOUHI INC. Al)E. & AI Wood 33540 This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time, Notwithstanding any requirement, term or con- dition 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, COMPANY LETTER TYPE OF INSURANCE POLICY NUMBER PO LJ C Y EXPIRATION DATE Limits 0 AGGREGATE GENERAL LIABILITY COMPREHENSIVE FORM --23C;O()46;,n :zetA 63,/03/B6 BODILY INJURY s Fi PREMISES-OPERATIONS EXPLOSION AND COLLAPSE HAZARD UNDERGROUND HAZARD PRODUCTS/COMPLETED OPERATIONS HAZARD CONTRACTUAL INSURANCE eROAD FORM PROPERTY DAMAGE INDEPENDENT CONTRACTORS RECEIVED PROPERTY DAMAGE s s APR 5 1985 BODI L Y INJURY AND PROPERTY DAMAGE CDMBINED s ~:;oo S lJOOO PERSONAL INJURY PERSONAL INJURY COMPREHENSIVE FORM CITY: CLERK 23FJ5?0612CCA 0:,:VO:3/86 BODILY INJURY I EACH PERSON I BODILY INJURY lEACH OCCURRENCE) s PROPERTY DAMAGE S NON.QWNED BODI L Y INJURY AND PROPERTY DAMAGE COM81NED EXCESS LIABILity UMBRELLA FORM OTHER THAN UMBRELLA FORM ~;23~5973643 03/03/86 BOol L Y INJURY AND PAOPERTY DAMAGE COMBINED WORKER'S COMPENSATION C Ind - ----EMflI.O.VER'SkIABILITY OTHER 23CY36336CPS 03/03/86 ESCAIPTION OF OPERATIONS/LOCATlONSIVEHICLES Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com- pany will endeavor to mail 30 days written notice to the below named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, NAME AND ADDRESS OF CERTI FICATE HOLDER DATE ISSUED: CITY OF CLEARWATER P.O. BOX 4748 CLEARWATER, FLORIDA 33~'jHl - ~ ..