CERTIFICATE OF INSURANCE
Al
I
I
BOA.:R....,D OF COUNTY
COl\lIl\I1ISSIONE~S
PINELLAS COUNTY, FLORIDA
EMERGENCY MEDICAL SERVICES
2190 SO. BELCHER ROAD
LARGO. FL 34641
(813) 462-3825
,.
'j,i.' .~ ' . ~.; ~
COMMISSIONERS
-') ._~~ ('.'
JOHN CHESNUT, JR . CHAIRMAN
BRUCE TYNDALL . VICE CHAIRMAN
GEORGE GREER
CHARLES E_ RAINEY
BARBARA SHEEN TODD
OCT 20 lSct)
October 11, 1988
Chief Robert Davidson
City of Clearwater
600 Franklin Street
Clearwater, FL 34616
~
Dear-CIJ..Ll:fDav1dson:
Attached to this letter is a copy of the Certificate of
Insurance provided to your city by the Pinellas County
Emergency Medical Services Authority. The certificate was
effective on October 1, 1988 and the policy is effective
for one year.
If you have any questions about this certificate or I can
provide additional information, please call me.
Sincerely,
q~
'-/~ '
Stephen Dean, Director
Fire and EMS Administration
j1
Enclosure
_ .,'II!, '<Ut..:t'--..'-;"-
:: "'0-: 1..~ A~~~
PINELLAS COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER {( (( \ ( (. )
PRODUCER
~ & ~ INSUIWKE, me.
Post Office lbx 10000
Cleal:Water, FL 34617-8000
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICAiTE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
..
INSURED
Pint:> 11 ~~ Chunty EItErgency P.edi.cal
Services eta!
C/o Risk Managenent
315 Cburt. Street 6th Floor
Cleanvater, FL 34616
I COMPANY
LETTER A Planet Insurance O:arpany (Ieliance)
COMPANY B Tit...........~_ T'"'--ld
L E TTE R ,ve;:;, U::.l..H r /UJ..,
CO\'PANY C
LETTER A't'eri.can Firpi.re
COMPANY D
LETTER
E
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED 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 CONDI.
TIONS OF SUCH POLICIES.
CO
LTR
TYPE OF INSURANCE
"DUC'" NU~\BE;:;
::,.:.. i ~ '.....' [:,:-:. .... ,
r:'X '(1' EXP:RA ~~Ol~
:~~: ,.l.~MiOo."'y","1
B
I
I
COM',,'ERCIAL GENE~AL LIABILITY
('_:"!~,~S' ~.~~["t Q 'lrr' 'T'~' :';-
~ J ~ ,~....."r 1'_ ....~
':....\t= 3,~ CG';~;::',:'C~C:'S ~~'=.:~-'.:
,;,';ERAL ,\GGREGATE
ORnouC1S.COMP,OPS AGGMEGA TE
GENERAL LIABILITY
SGL 0001552
10/1/88
10/1/89
",RSO~;AL & AOVERTlSiNG I~J;URV
,.'0' ,OXXXXXX 500
$1,000 ded. per claim
; ~E C.MJAGE \.:..~~y IY~[ .,;2,~i is
.,';OICAL EXPE\SE ,A';V C~f -'ERSC'\ IS
I cs.
S 1 000
AUTOMOBILE LIABILITY
A Xi ANY AUTO
~LL C..:~EO AUTOS
EBI05 7717-01
10/1/88
10/1/89
SCHEDULED AUTOS
3DiJiLY
,~.JvRY
:PER PERSO~I S
~~~.;w..,-o7.'..-v~
HIRED AUTOS
~;O:-J.OWNED AUTOS
G;"R;"GE LIABILITY
5081L ~
~l,,;URY
IPE;;
~CC:DE~T\
s
?~OPE;:;i'{
D;'MAGE
s
EXCESS LIABILITY
:::;"Cr~
:JCC~;;;lRE'~CE
.:..::;:-:: _,.:.TE
c
xl O,'-!Erl THAN UMBR.ELLA FORM
8CX06082
lOflL8S
10/--.1, 89
. - . ,'.,~
,~:r~;j:-t.~-::~
500
S
500
ST A iUTORV
WORKERS' COMPENSA TION
AND
EMPLOYERS. LIABILITY
S
S
IS
-. - . - -,~-. -
I::-L~ -~"- _::: '
1= "Co: 0: _ :. _ ,-,,-
. .
._----~._--~_---....:......._-
!
i
I
I
,
L
.= ::;:.:.~:.:.::- :"';;~:}':~
OTHER
DESCRIPTION OF OPERATIONS / LOCA T!ONS, VE",:CLES: REST~.ICTIONS' 5"':::::'-' '- 'T:::,':3
City of Clearwater
Clearwater, Fl.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX.
PIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 10 DA VS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
~EFT. BUT FAI~URE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
lIABllI:Y OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
:',_ "'<>:':EJ ;:::::::O'1ES:::.,..,~".'E: J'Ar.'JES R. EA."RPER
~
'.."
t