CERTIFICATE OF INSURANCE (185)
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THIS CERTIFICATE IS I(UED 2!~!! !Fil~!M~!N 2!y I~!~R~! I;~~PON THE CERTIFICATE HOLDER
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW
COMPANIES AFFORDING COVERAGES
FXEClJTIVE RISK CONSUL.TANTSt INC.
PO }lOX 1.66007
ALTAMONTE SPRINGS FL 327:1.l)-OOOO
COMPANY A
LETTER
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY 0
LETTER
COMPANY E
LETTER
REC~IVED
NAME AND ADDRESS OF INSURED
MIKE: BAKER ELF.:CTRICt INC.
1.178:1. ,^IAL.SINGHAM RD
I..ARGOt FI... 33540
APR 14 1989
This is to certify that policies of insurence IiSled below have been issued 10 the onsured named aboYs tor the policy periOd indicated Nolwlthslandll)g ,,,v,ll;IIirem~'rtef"lpt,cp)'dltlonofany
contract or other document with respect to whIch this certificate may be issued or may pertain, the insurance afforded by the policies described her~'i Sl'l)'!ct tO~!S~Nluslons and
conditions C!' such policies,
COMPANY
I.RTTEll
A
TYPE OF INSUAANCl
POUCY
EFFECTIVE DATI
POUCY MUMMA
POLICY
EXPIRATION DATI
GENERAL LIABiliTY
eODIL Y INJURY
COMPREHENSIVE FORM
PREMISES/OPERATIONS
EXPLOSION AND COLLAPSE
H~ZARD
UNDERGROUND HAZARD
PRODUCTS/COMPLETED
OPERATIONS
CONTRACTUAL
BROAD FORM PROPERTY
DAMAGE
INDEPENDENT CONTRACTORS
PROPERTY DAMAGE
80DIl Y INJURY AND
PROPERTY DAMAGE
COMBINED
PERSONAL INJURY
PERSONAL ''''JURY
AUTOMOBILE LIABILITY
BOOll Y INJURY
IPER PERSON'
BOOIL Y INJURY
IPER ACCIDENT)
D" COMPREHENSIVE FORM
OWNED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
PROPERTY DAMAGE
BOOIL Y INJURY AND
PROPERTY DAMAGE
COMBINED
EXCESS LIABILITY
B UMBRELLA FORM
OTHER THAN UMBRELLA
FORM
BODll Y INJURY AND
PROPERTY DAMAGE
COMBINED
WORKER'S COMPENSATION
end
EMPLOYER'S LIABILITY
OTHER
060-05984
3/01/89
3/0:1./90
100
lEACH ACCIOE n
TATF. OF FLORI A/F1...0RIOt.\ F.MPL YEEG ONL
A"'-49139
DESCRIPTION OF OPERA TIONs/lOC... TIONSlVEHIClES/SPECIAlITEMS
C.nceU.Uon: Should any of the above described policies be cancelled before the expiration date thereof, the issuing company 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, its agents or representatives.
NAME AND ADDRESS OF CERTIFICATE HOLDER
ISSUE DATE 4/10/89
CITY OF CLEARt.JATER
P.O. BOX 4748
CLEARWATER
AUTHORIZED REPRESENTATIVE
~~~
FI.. 33518