CERTIFICATE OF INSURANCE (2)
~aJ
CERTIFICAij:: OF INSURANCE \J
. .
PRODUCER
American Business Insurance
Southeast, Inc.
P.O. Box 31666
Tampa, FL 33631-3666
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
Westem World Insurance Canpany
INSURED
COMPANY B
LETTER
American Empire Surplus Lines Ins. Co.
Pinellas County Emergency Medical
Services, Etal
c/o Risk Management
400 S. Fort Harrison, 3rd Floor
Clearwater, FL 34616-5165
COMPANY C
LETTER
IVED
2 2 1992
COMPANY D
LETTER
E
.
THIS IS TO CERTIFY THA T 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"
POLICY NUMBER
?OLiCY EFFECTIVE
DATE (MMIDDIYY)
ALL LIMITS IN THOUSANDS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ~ OCCURRENCE
OWNER'S & CONTRACTORS PROTECTIVE
X Amht 11 rlnr.p nri vprl=:
SGL0003937
10-1-92
10-1-93
PERSONAL & ADVERTISING INJURY
EACH ~ Claim
FIRE DAMAGE (ANY ONE FIRE)
MEDICAL EXPENSE (ANY ONE PERSON)
ice 5 000 Ded. P
Claim
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABiLITY
CSL
$
BODILY
INJURY
(PER PERSON) $
BODILY
INJURY
i ~CEC~DENT) $
PROPERTY
DAMAGE
$
OTHER THAN UMBRELLA FORM
2CX06220
10-1-92
10-1-93
EACH
~
$ Claim $
500 000
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
STATUTORY
$
$
$
(EACH ACCIDENT)
(DISEASE-POLICY LIMIT)
(DISEASE-EACH EMPLOYEE)
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
.'