CERTIFICATE OF INSURANCE (013)
THE VEGHTE AGENCY
P. O. BOX 1560
CLEARWATER, FL 33517
COMPANIES AFFORDING COVERAGES'
MCGILL PLUMBING INC.
III N. MISSOURI AVE.
LARGO, FL 33540
COMPANY A
LETTER ROYAL INSURANCE COMPANY
COMPANY B CANAL INSURANCE COMPANY
LETTER
COMPANY C AMERICAN GUARANTEE & LIAB. CO.
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 and are in force at this time. Notwithstanding any requirement, term or conditio
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 th
terms, exclusions and conditions of such policies.
Limits of Liabill in Thousan s
OCCt~i~~N€t ,AG.<>REGAT .
. ..:Pfpe~URANCt;-..
~lICY NUMBER
-'.-----_.,-
POLICY
..,EXPlPAIJONQ ~T.f.
A
GENERAL LIABILITY
~ COMPREHENSIVE FORM PYAB6 9 241
~ PREMISES-OPERATIONS
o EXPLOSION AND COLLAPSE
HAZARD
o UNDERGROUND HAZARD
IKJ PRODUCTS/COMPLETED
OPERATIONS HAZARD
lKJ CONTRACTUAL INSURANCE
lKJ BROAD FORM PROPERTY
DAMAGE
IKJ INDEPENDENT CONTRACTORS
IKJ PERSONAL INJURY
BODILY INJURY
$500,
$ 500,
3/3/85
PROPERTY DAMAGE
$ 100,
$ 10 0,
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
EXCESS LIABILITY
B g] UMBRELLA FORM
o OTHER THAN UMBRELLA
FORM
3/3/85
~
PERSONAL INJURY
$
$
A
AUTOMOBILE LIABILITY
KJ COMPREHENSIVE FORM
KJ OWNED
KJ HIRED
KJ NON-DWNED
PYAB69241
3/3/85
BODILY INJURY
(EACH PERSON)
BODILY INJURY
(EACH ACCIDENT)
PROPERTY DAMAGE
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
$ 250,
$ 500,
$ 100
$
XS008565
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
WORKERS' COMPENSATION
and . wC3lrr 3142 '.
EMPLOYERS' LIABILITY
OTHER
3 7371fS- n
(EKH AcelO NT
DESCRIPTION OF OPERATIONS/LOCATIONSNE~ICLES
* 10 Day Notice on General Liability, Auto
* 30 Day Notice on Worker's Compensation
Liability and Excess Liability
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail -!.....- 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 CERTIFICATE ~OLDER
DATE ISSUED:
CITY OF CLEARWATER
P.O. BOX 4748
CLEARWATER, FL 33518
RICE