CERTIFICATE OF INSURANCE
Hyden. Ins. Agency
3118 Gulf to Bay Blvd. Suite 130
Clearwater Fla.33519
COMPANIES AFFORDING COVERAGES
pinellas County School Board
1960 East Druid Road
Clearwater Pine11as Co.F1a.33518
COMPANY A
LETIER
COMPANY B
LETTER
COMPANY C
LETIER
COMPANY 0
LETTER
COMPANY E
LETTER
The American Druggist Ins.co.
f..\;. C to ~ " /:.})
NAME AND ADDRESS OF INSURED
1979
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.
Limits of Liability in Thousands (
OCC~~~~NCE AGGREGATE
TYPE OF INSURANCE
POLICY NUMBER
PO L1CY
EXPIRATION DATE
COMPANY
LETTER
GENERAL LIABILITY
BODILY INjU~Y
$100,
100,
[}COMPREHENSIVE FORM
o PREMISES-OPERATIONS
o EXPLOSION AND COLLAPSE
HAZARD
o UNDERGROUND HAZARD
o PRODUCTS/COMPLETED
OPERATIONS HAZARD
o CONTRACTUAL INSURANCE
o BROAD FORM PROPERTY
DAMAGE
o INDEPENDENT CONTRACTORS
~ PERSONAL INJURY
PP 90
08
94
1/1/81
PROPERTY DAMAGE
$100
$100
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
$
PERSONAL INJURY
$
AUTOMOBILE LIABILITY
o COMPREHENSIVE FORM
DOWNED
o HIRED
o NON-OWNED'
BODILY INJURY
(EACH PERSON)
BODILY INJURY
(EACH ACCIDENT)
PROPERTY DAMAGE
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
$
$
EXCESS LIABILITY
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
$
o UMBRELLA FORM
o OTHER THAN UMBRELLA
FORM
WORKERS' COMPENSATION
and
EMPLOYERS' LIABILITY
'OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES
Th. Pinell.~ Voc.tion.l Technic.l In~titute, to uee the City of Cle.rwater fire training
facility located at 1700 Belcher Ro.d Cl..rwater,florid.,for the purpo~. .nd no other of
making av.il.bl. cour~e in~truction in firefighting
Cancellation: Should any of the above described pOlicies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail _ 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 AND ADDRESS OF CERTIFICATE HOLDER'
CITY Of CLEARWATER
P.D.BOX 4748
CLEARWATER fL.33518
Additiond
Insured
u