CERTIFICATE OF INSURANCE (205)
CROWDER JACOBS FENDIG INSURANCE
P.O. BOX 18107
TAMPA, FL 33679
ISSUE DATE (MM/DDNY)
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PRODUCER
3/1l90
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
CODE
COMPANY A
LETTER
CONTINENTAL CASUALTY INSURANCE CO.
RE11:fI(g~l '$'ED !PNSURERS FUND
SUB-CODE
INSURED
COMPANY B
LETTER
OVERSTREET PAVING COMPANY
1390 DONEGAN ROAD
LARGO, FL 34641
COMPANY C
LETTER
COMPANY D
LETTER
Wi 6 1990
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED S D ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, 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
LTR
TYPE OF INSURANCE
POLICY NUMBER
,..,-",:,."_.0,0,..._,..._,.,-.,.,...,.,,..,..,.,.,-,.,""""'-'-'-'-"'+-'-'-"""i
POLICY EFFECTIVE! POLICY EXPIRATION
DATE (MM/DDIYY)' DATE (MM/DDIYY) ,
ALL LIMITS IN THOUSANDS
AUTOMOBILE LIABILITY
.
A Xi ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X' HIRED AUTOS
X NON,OWNED AUTOS
GARAGE LIABILITY
501071586
2/5/90
2/5/91
EACH OCCURRENCE
FIRE DAMAGE (Anyone 'Ire)
MEDICAL EXPENSE (Anyon.
COMBINED
SINGLE
LIMIT
BODILY
INJURY $
(Per person)
$
A
GENERAL LIABILITY
X, COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR,
OWNER'S & CONTRACTOR'S PROT,
3701073081
2/5/90
2/5/91
GENERAL AGGREGATE
PRODUCTS,COMP/OPS
A: X
"; OTHER THAN UMBRELLA FORM
301071587
2/5/90
2/5/91
$
EXCESS LIABILITY
$ 3 , 000
WORKER'S COMPENSATION
STATUTORY
..'B
AND
8300392650
4/1/90
4/1/91
50b
(DISEASE-POLICY LIMIT)
(DISEASE-EACH EMPLOYE
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/RESTRICTIONSlSPEClAL ITEMS
RE: DREW STREET DITCH PIPING CONTRACT NO. 87-42
CITY OF CLEARWATER IS ADDED AS ADDITIONAL INSURED
CITY OF CLEARWATER
P.O. BOX 4748
CLEARWATER, FL 34618
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL --l...O- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.