CERTIFICATE OF INSURANCE (09)
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.
Camtercial Risk Services, Inc.
3101 N. Federal Hwy. #.506
Ft. Lauderdale, FL 33-306
COMPANIES AFFORDING COVERAGE
INSURED
Mr. Kelly I s- Lirro
12596 Semirole Boulevard #f201
Largo, FL 33544.
COMPANY A
LETTER Tra
COMPANY 8
LETTER
COMPANY C
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 INDICATED.
NOTWITHST AHDfNG ANY ~EQUlAEMEN'f-;-TERM{)R-eeNDITION OF ANY eoHfftACT OR OT HfR ooctIMENTwmtRESPECTTtTWRICRTHIS 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
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS
DATE (MMlDDIYV) DATE (MMlDDIYV) EACH AGGREGATE
OCCURRENCE
BODILY
INJURY $ $
PROPERTY
DAMAGE $ $
BI & PO $ $
COMBINED
PERSONAL INJURY $
IIOllILY
INJURY
(PER PERSON)
IlOOIL Y
INJURY $300
IPER ACCIDENT)
PROPERTY 50
DAMAGE $
BI & PO
12-31-8G 12-31-87 COMBINED $
BI & PO $ $
COMBINED
STATUTORY
$ (EACH ACCIDENT)
$ (DISEASE, POLICY LIMIT)
$ (DISEASE,EACH EMPLOYEE)
GENERAL LIABILITY
COMPREHENSIVE FORM
PREMISEs/OPERATIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTs/COMPLETED OPERATIONS
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (PRIV PASS)
ALL OWNED AUTOS (~WJRp1~~N)
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
A X Scheduled Autos 0 y
EXCESS..L1ABILlTY.
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERA TlONSlLOCA TIONSNEHICLESlSPECIAL ITEMS
Sche:lule of vehicles on file with a:mpany
City of Clearwater
Occupational J:Bpartrrent
P.O. Box- 4748
Cle.arvvater, FL 33518