CERTIFICATE OF INSURANCE CONTRACT 88-13
PRODUCER
o
Crowder ....cobs Fendi 9
P. O. Box 19107
Tampa#FL 33679
913'-B7-'..,-2021
Ins.
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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
COMPANY A
LETTER
Continental Casualty Co.
INSURED
Ov.rsiT..t Pavinq Co.any
1390 DOn89an Road
Lar9o,
FL 34641
COMPANY B
LETTER
Va LL.)' Forge I"n5urance Co'.
COMPANY C
LETTER
COMPANY D
LETTER
E
THIS ISTO CERTIFY THAT POLICIES OF INSURANCE LISTEDBEI.OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED,
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 CONDI-
TIONS OF SUCH POLICIES.
TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
OA TE (MM/OOIYY) DATE (MMIOOIYY)
GENERAL LIABILITY GENERAL AGGREGATE $
A X COMMERCIAL GENERAL LIABILITY OL30 1 073091 2/05/89 2/05/90 PRODUCTS,COMP/OPS AGGREGATE $
00 OCCL!RRE',CE PERSONAL & AOVERTISING INJURY $
OWNERS & CONTRACTORS PROTECTIVE EACH OCCURRENCE $
FIRE DAMAGE (ANY ONE FIRE) $
MEDICAL EXPENSE IANY ONE PERSON) $
501071586 2/05/99 2/05/90 CSL $ 1 #000
BODIL Y
INJURY
(PER $
PERSON
BODilY
INJURY
tJC~DENT) $
PROPERTY
DAMAGE $
EACH AGGREGA TE
UHB303071597 2/05/99 2/05/90 OCCU~EN~
$ # 00$
OTHER THAN UMBRELLA FORM
STATUTORY
-" ---WORKERS',COMPENSATION $ (EACH ACCIDENT)
AND
$ (OISEASE,POLlCY LIMIT)
EMPLOYERS' LIABILITY
$
OTHER
B CONTRACTORS EQUIP 701071585 2/05/99' 2/05/90 ALL RISK
SEE BELOW
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / RESTRICTIONS/ SPECIAL ITEMS
REt Contract 98-13'
CITY OF CLEARWATER
P.O. BOX 4749
Cl..rNater# FL 34618
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX.
PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL HAYS 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.
AUTHORIZED REPRESENTATIVE 64097500