CERTIFICATE OF INSURANCE (181)
~ "'Ai~.tltl.@
CERTIFICAm.OFINSURANCE.'
PRODUCER
MICHAEL L. GREGORIUS (314) 241-7811
WELSCH, FLATNESS, & LUTZ, INC.
P.O. BOX 57910
ST.LOUIS, MO. 63157
~
.~
I.
ISSUE DATE (MMIDD/YY)
3/23/89
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
f~T~~~NY A
TRAVELERS INSURANCE COMPANY
CODE
SUB-CODE
INSURED
f~T~~~NY B
SEE ATTACHED
MCCARTHY BROTHERS CO. DBA MCCARTHY
EASTERN CONSTRUCTION COMPANY
1341 NORTH ROCK HILL ROAD
ST.LOUIS, MISSOURI 63124
f~T~~~NY E
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUlr~EMENT, 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,
CO
TR
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDD/YY) DATE (MMIDD/YY)
TYPE OF INSURANCE
POLICY NUMBER
GENERAL LIABILITY
A
4/1/90
CLAIMSMADEX OCCUR. TRLJNSS196T659-7-89
& CONTRACTOR'S PROT,
4/1/89
TRJCAP201T487-3-89 4/1/89 4/1/90
ALL OWNED AUTOS (NJ,VT,VA,KS,HI)
A
TRLJNSS196T659-7-89 4/1/89 4/1/90
(ALL OTHER STATES)
GARAGE LIABILITY
EXCESS LIABILITY
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
SEE ATTACHED
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
A CELLA TlON
ALL LIMITS IN THOUSANDS
$2.000
$2.000
$ 000
$ t, 000
$ 50
PERSONAL & ADVERTISING INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MEDICAL EXPENSE (Anyone person)
, COMBINED
. SINGLE
LIMIT
BODILY
INJURY $
. (Per person)
L,OOO
BODILY
INJURY $
(Per accident)
PROPERTY
DAMAGE
$
EACH
OCCURRENCE
$ $
(EACH ACCIDENT)
(DISEASE-POLICY LIMIT)
(DISEASE-EACH EMPLOYE )
S-12
CITY OF CLEARWATER
P.O. BOX 4748
CLEARWATER, FLORIDA 34618-4748
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 3D- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NO C SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF KIND UPON THE CO ANY, ITS AGENTS OR REPRESENTATIVES,
A~ORD25.S (3188)
~TATE
FLORIDA
VIRGINIA
N. CAROLINA
.-
WORKERS COMPENSATION POLICIES
POLICY # AND
COMPANY
EXPIRATION
DATE
WC1351462565018 6-1-89
LIBERTY MUTUAL
094JC0915049880 6-1-89
AETNA C Ii S
MASSACHUSETTS 6UB629J53528B
T RA VEL E R S
MISSOURI.
GEORGIA.
KENTUCKY
MICIIIGAN
TEXA~
-'
W I S CO N SIN
.(
\
4-1-90
WC1341089875018 6-1-89
LIBERTY MUTUAL
WC1341089608018
LIBERTY MUTUAL
6EEUB424J4958
TRAVELERS
6UB370J925888
TRAVELERS
6~1-8Q
6~1-89
6-1-89
i
EMPLOYER'S LIABILITY
LIMIT
EACR ACCIDENT ~ $1.000,000.
DISEASE POLICY
LIMIT $1,000,000.
DISEASE EACH
EMPLOYEE $1.000,000.
EACH ACCIDENT - $1,000.000.
DIS6ASE POLICY
LIMiT $1.000.000.
DISEASE EACH
EMP~OYEE $1.000.000.
EACH ACCIDENT -
DISEIASE POLICY
L I M liT
DI SE'ASE EACH
EM PL,OYE E
500.000.
500.000.
^
~ .,
500.000.
EACH ACCIDENT ~ $1.000,000.
DISEI^.SE POLICY
LIMI[ $1.000.000.
DISEASE EACIl
EMPLOYEE $1.000.000.
EAC~ ACCIDENT - $
AGGREGATE ~ $
500.000.
500.000.
,
EACH ACCIDENT
DISEiASE POLICY
LI MI"T - $
DISEiASE EACH
EM PL\oYF: E
500,000.
500,000.
500,000.
EACH' ACCIDENT ~ $1.000.000.
DISE'[ASE POLl CY
LIMI~ ~ $1.000.000.
D I SE,ASE EACIl
EMPLDYEE - $1.000.000.
\\
STATE
MARYLAND
NEW JERSEY
POL ICY' , AND
COMPAN;Y
IlXPIRATION
DATE
8-1352:-6 CONTINUOUS
STATE ,FUND
WC133t430180018 6-1-89
D.C., WC1332430237018 6~1-89
NEW HAMPSHIRE. LIBERTY MUTUAL
VERMONT,
CONNECTI CUT
MINNESOTA
MAINF.
031900099996
WAUSAU
6-1-89
28C8718853 6-1-89
FIDEL~TY & CASUALTY
EMPLOYERS LIABILITY
LIMIT
EACH ACCIDENT - $1,000,000.
DISEASE POLICY
LIMIT - $1.000,000.
DISEASE EACH
EMPLOYEE - $1,000,000,
EACH ACCIDENT ~ $1.000,000.
DISEASE POLICY
LIMIT - $1,000,000.
DISEASE EACH
EMPLOYEE ~ $1.000.000.
EACH ACCIDENT ~ $1.000,000.
DISEASE POLICY
LIMIT ~ $1,000.000.
DISEASE EACIl
EMPLOYEE - $1,000.000,
EACH ACCIDENT - $1.000.000.
DISEASE POLICY
LIMIT - $1.000.000.
DISEASE EACH
EMPLOYEE - $1,000,000.
EACH ACCIDENT - $1.000,000.
DISEASE POLlCY
LIMIT - $1,000.000.
DISEASE EACH
F.MPLOYEE - $1,000.000.