CERTIFICATE OF INSURANCE (4)
ML RODGERS & CUMMINGS INSURANCE
, ,
Post Office Box 6600
Clearwater, FL 33518
AFFORDING COVERAGES
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COMPANY
LETTER
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B
C
D
E
First Union Fire Insurance Co.
19
Mead Reinsurance Cor oration
COMPANY
LETTER
tiAME AND ADDRESS OF INS-URED
Yinellas County Board
315 Haven Street
Clearwater, FL 33516
of County, co~
COMPANY
ETTER
Insurance Com an
COMPANY
lETTER
COMPANY
LETTER
This is to'certify that policies of insurance listed below have been issued to the insured named above and are:r. f:m::e at this tTn.e. Notwithstanding ariy requirement, terrn or condition
of any contract or other document with rE!spect to which this certificate may be issued or may pertain, th€ InSlJran:::e ",'1orc.led by the po!icies described herem IS subject to all the
terms, exclusions and conditions of such policies.
TYPE OF INSURANC[ POLICY NUMBER
POLICY
EXPIRATION :),;TE
Limits of Liability in Thousands (000)
I EACH 'GGR'G'TE
__rOCCURRENCE ' l ,.
80[11LY I"lJIJRY
GENERAL LIABILITY
COMPREHENSIVE FORM GLA i 330
_ PREMiSESmOPERATIONS
o EXI'LQSION AND COLLAPSE
HAZARD .
o UNDERGROUND HAZARD
o F'RODUCTS/COMPLETED
OPERATIONS HAZARD
o CONTRACTUAL -INSURANCE
o BRoAD FORM PROP!:Fny
DAMAGE
D iNDEPENDENT CONTRACTORS
[J PERSONAL INJURY
10/1 /82
n:OFHF", c)AMAGE
,
,
BODILY INJURY IIND
PROPFRTY DAMAGE
COMOINED
,
500,
~~~~ss of 50
PERSONAL INJURY
AUTOMOBILE LIABILITY
D COMPREHENSIVE FORM
DOWNED
o HIRE~
o NON.OWNED
EXCESS LIABILITY
BODILY INJURY
(EACH PERSON)
BODILY INJURY
(EACH ACCIDENT)
PROPEr-/1YD,'.MAGE i $
BODILY INJURY AND I
PROPERTY O/IMAGE $
COMBiNED
o UMBRELLA FORM
o OTHER THAN UMBRELLA
FORM
1st layer
UMB 1288
BOC)IL Y INJURY AND
10/1/82
PROPERTY DAM/\GE
COMBINED
,
4,500
WORKERS' COMPENSATION
and
EMPLOYERS' LIABILITY
OTHER
9601007
XL3000622
DESCRIPTION OF QPERATlONS/LOCATIONSNEHIClES
Artificial Reef Staging Area
Clearwater, Florida
SE Section 9-29-15
854 1'icrco, 11.0.L.
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof. the issuing com-
pany will endeavor to mail -.3.U... 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.
NAME ANC ADDRESS OF CERTIFICATE HOLDER
City of Clearwater
112 S. Osceola Avenue
Clearwater, Florida 33516
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