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INSURANCE CERTIFICATE
IIATE Acordia or Orlando. Inc. P.O. Box 940%7 Maitland, FL 32794-0967 TillS n:llT"'I("An: IS ISSlIlm AS A MATTEII INFOIIMATlON ONLY ANII CONFERS NO 1I1l;JITS III'ON TilE n:JlTII'ICATE 1I01.IIEII. TillS CEllTl....CATE 1I0ES NOT MIENII. EXTENIl 011 ALTElI TilE CO\'EIIAGE Al'FOIllIElllIY TilE l'OLlCIES II~:LOW. (,/20197 COMPANIE..<i AFFORDING COVERAGE INSUREIl COMrANY A Philadelphia Insurance COMl'ANY Pine lias Opportunity Council 3443 I st A venue North SI. Petersburg FL 33733 B AUTO OWNERS INSURANCE COMPANY COMrANY c Bridgefield Ins.Co , '..--.....-...."....-.. ............................. i:gQyt'^&~ COMrANY D OLD REPUBLIC INS.CO TillS IS TO CERTIFY TIIAT TilE rOLlcms OF INSlIRANCE LlSTEIl RI(1.0W IIA VE IIEEN ISSlIEIl TO TilE INSIJIllm NAMEIl AIIOVE "011 TilE l'OI.lCY l'ERIOl) INIlICATEIl, NOTWITIISTANIlIN(; ANY RI(QIIIREMENT, TER~I OR CONIlITlON OF ANY CONTRACT 011 OTIIEIIIlOClIMENT WITIIIIESI'ECT TO \1'11I1'11 TillS CERTIFICATE MA Y liE ISSUED OR MA Y rERTAIN, TilE INSUIIANCI( A "FOIllIEIlIll' TilE rOLlcms IlESClIIIIEIl IIEIIEIN IS SIJlI.JECT TO ALL TilE TEIUIS. EXCI.IISIONS ANI) CONI)ITIONS OJ' SlICII rOI.lClEs. I.I~"TS SIIO\l'N MA Y IIA VI( IIEEN IIEIIUCEI) Ill' I'AIIl CI.AI~IS, ..._-, ,.-.-....... ---" ,".. ....-...................-........ ......-..............,........................................ ....-........................... .................... ..... ..... .... .~......-............................ .................-.....................................-................. ......-....-......................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '. ...-..... ..... ... ,... ...... ............ ...................................................... ..............-........,.................................. .... ........ -...... -..... ,....... -.............. .... .. ............. ........... .......................... ..... .. ~.... . .. "". ....-..... ..... .................. . ........ ......................-.................................................................................................................................... . '. .. ........... ...-...... ..... ..... ,.... . .::::::::::::::::::::::::::::::::.:::::::::::::::::::::::::::.:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.:::::::::::::::::: ............................................................. ........... ........ .".................. ................................ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................. . . . . . . .. ........................ . .. . . . .. .... ... .... ................... ....................................... ................... .................... ................... .................... ..................... CII 1.1'11 TYI'I<; OF INSUIIANCE l'OI.lCY NUMIII(R l'OLl('\' EF". IIATI( (MWIIII/Y\'I l'OLlCY EXI', IlATE fMM/I)/)/Y\'I I.IMITS A (;J(NlmAL L1AIlIt.rI'Y cml~1. GENERAL LlARlLlTl' CLAIMS MAilE [KJ OCCUR OWNER'S & CONTRACT'S rROT PIIPGII2735 fi124/97 fil24/9H (;ENERAL A(;(;!!I(GATlc I'IIOIJ-COMI'/Ol' AG(;. 5000 AUTOMOBILE LIABILITY B X ANY AUTO 20292232 AI.L OWNED AUTOS SClllmUl.ED AUTOS X IIIRED AUTOS X NON-OWNED AUTOS I'EIIS. & AIlV.INJUIIY EACII OCCURRENCI( 1'1111( IJAMAGE(One l"lre) MED EXI'(Any nne per,nn) 3122/97 3122/98 COMRlNED SINGLE LIMIT 1I0DILY INJURY (l'l"r IJCrsoll) 100000 1I0lJlLY INJURY (Pcr nccidcnt) 300000 I'ROrERTY IJAMAGE 100000 GARAGE LlABIUTY ANY AUTO AlITO ONLY-EA ACCIDENT OTlllm TIIAN AUTO ONLY: EACII ACCIIJENT AGGREGATE I(XCESS L1ARlLlTY UMBRELLA FORM OTIIER TIIAN UMBRELLA FORM WORKI(RS COMrENSATION AND EMrl.OYERS' UAIIII.ITY EACII OCCURRI(NCE AGGREGAn; C X STATUTORY LIMITS 100000 500()OO I 00000 I %-052() 10/13/% 101/3/97 EACII ACCIIJENT Tim I'ROI'RmTOR/ l'ARTNERS/EXI(ClFflVI( OFFICERS ARE: INCL I(XCL IJISI(ASI(-I'OLlCY LIMIT IJISEASE.EACII EMrL. OTlllm o BBS316026 1/(JI/97 I to 1/98 Business Service Bond $25,000 DESCRlrnON OF orERA TIONS/LOCA TIONS/VEIIICLES/srECIAI. ITEMS CITY OF CLEARWATER ExrrRATION IIATI( TIII(I!E()fi. TilE ISSIJIN(; COMI'AN\' WILL ENIIEA V 011 TO MAli. 30 IIAYS II'ltlTTEN NOTICE TO TilE U(llTII'ICATE II01.IIER NAME/) TO TilE LE!'T, IIUT FAILURE TO MAIL SHCII N(rnn; SIIALL IMI'OSE NO 011 LIGATION OR I.IAIIII.ITY OF ANY KINIIIII'ON TilE ('OMI'ANY, ITS AW.:NTS OIlIlEI'IIESENTATIVI~~. AUTIIORIZlm RErR~~~EN. TlVE P.O, BOX 4748 CLEARWATER, rL 34fi1H-474H