INSURANCE CERTIFICATE (2)
PRODUCER
TIUS CERTIFICATE IS ISSUED AS A MAT .~ORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. Tins CERTmCA TE
DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BEWW
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INQUIRIES: 813-796-6666
Acordia of Central Florida
ISSUE DATE (MMIDDIYY)
2/23/95
Tampa, FL 33631-3666
COMPANY
LETTER A Philadelphia Ins Compan
COMPANIES AFFORDING COVERAGE
P.O. Box 31666
INSURED
COMPANY B
LETTER
COMPANY C
LETTER
Pinellas Opportunity Council
3443 1st Ave., North
St. Petersburg FL. 33733
COMPANY
LETTER D Riscorp Insurance Compa
COMPANY E
LETTER
TIDS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WIDCH TIDS
CERTIF1CATE MA~ BE ISSUED OR MAY PERTAIN, THE INSURANCE AFSOIWED BY THE l'OJ.!C~DESCR!llED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDmONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP.
TR DATE (MMIDDIYY) DATE (MMIDDIYY)
A GENERAL LIABILITY
COMM. GENERAL LIABILITY
CLAIMS MADE [iJOCC.
PHPG I 00669
6/24/94 6/24/95 GENERAL AGGREGATE
PROD-COMP/OP AGG.
PERS. & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE(One Fire)
MED. EXP. (One Per)
COMBINED SINGLE
LIMIT
BODILY INJURY
(Per person)
BODILY INJURY
(Per ac:cldent)
PROPERTY DAMAGE
EACH OCCURRENCE
AGGREGATE
10/13/94 10/13/95
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
LIMITS
200??oo
1000000
1000000
1000000
50 00
5000
D
03464
WORKERS' COMPENSATION
AND
EMPLOYER'S LIABILITY
EACH ACCIDENT
DISEASE-POLICY LIMIT
DISEASE-EACH EMP.
OTHER
DESCRIYrION OF OPERATIONSILOCATIONSIVEIDCLES/SPECIAL ITEMS
WORKERS COMPENSATION-FLORIDA OPERATIONS ONLY
100000
500000
1??oo0
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIKA TION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
.. MAIL ..1ll- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFf, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
... LIABILITY OF ANY KIND UPON THE COMP ITS AGENTS OR REPRESENTATIVES.
"
..
CITY OF CLEARWATER
P.O. BOX 4748
CLEARWATER FL 34618-4748
AUTHORIZED REPRESENTATIVE
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