INSURANCE CERTIFICATE
Hyden Insurance Agency
Causeway Office Center
3113 Gulf to Bay Blvd.
Clearwater, Fla. 33519
COMPANIES AFFORDING COVERAGES
COMPANY
LETTER
A
B
C
D
E
American Druggists' Insurance Co.
COMPANY
LETTER
NAME AND ADDRESS OF INSURED
Ris~ Management
Pinellas County School Board
P.O. Box 4688
Clearwater, Florida 33518
COMPANY
LETTER
COMPANY
LETTER
COMPANY
LETTER
This is to certify that policies of insurance listed below have been issued to the insured named above and are In force at this time. 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.
TYPE OF INSURANCE
POLICY NUMBER
~', (
r-
Limits of Liability in Thousands (000)
OcciJ~~~NCE AGGREGATE
f._'.<J)I H.l."] l-"~~
A
~ COMPREHENSIVE FORM
o PREMISES-OPERATIONS
o EXPLOSION AND COLLAPSE
H AZA I'D
o UNDERGROUND HAZARD
o PRODUCTS/COMPLETED
OPERATIONS HAZARD
~ CONTRACTUAL INSURANCE
o BROAD FORM PROPERTY
DAMAGE
o INDEPENDENT CONTRACTORS
[J PERSONAL INJURY
PP 90 08 94
7/1/81
I
T
BODILY INJURY
$100
$loa
GENERAL LIABILITY
PI'DeERTY DAMAGE
$100
$loa
BOD!!., INJUR, I,ND
PROPERTY DAMAGE $
COMBINEr>
f'ERSONAL INJURY
AUTOMOBILE LIABILITY
o COMPREHENSIVE FORM
DOWNED
o HIRED
o NON-OWNED
BODILY INJURY
< EACH PERSON)
BODILY INJURY
(EACH ACCIDENT)
$
EXCESS LIABILITY
PROPERTY DAMAGE
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
o UMBRELLA FORM
o OTHER THAN UMBRELLA
FORM
RODIL Y INJURY AND
PROPERTY DAMAGE
COMBINED
WORKERS' COMPENSATION
and
EMPLOYERS' L~~BllI!_Y_t
OTHER
REC'D. BY
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESThe City 0 learwater is included as an additional insured as respec
the Pinellas Vocational Technical Institute, use of City of Clearwater fire training facility
located at 1700 Belcher Road Clearwater, Florida, for the purpose and no other of making
available course instruction in firefighting. 'L()$ t/ARlov~ U 5E 1~1"fr./,/'rtlE s e()N Tl?.Ac., ~
Cancellation: Should any of the above descnbed policies be cancelled before tile expiration date thereof. the issuing com-
pany will endeavor to mall --.lQ days written notice to the below named certiflcdte holder. but failure to
mail such notice shall impose no obligation or liability of any kind upon the company_
NAME AND ADDRESS OF CERTIFICPf "OUlER-
City of Clearwater
P.O. Box 4748
Clearwater, Fl. 33518