CERTIFICATE OF LIABILITY INSURANCE (43)
lHE POlICIES OF INSUAANCS LISTED BeLOW HAVlIEiN I88UED TO THe INSURED NAMED MOve FOR THE POLICY PERIOD INOlCATED. NOIWITHSTANDING
ANY ReQUIREMENT. TERM OR CONDITION OF AtfYCOHT'RACTOR OlHER DOCUIENTWJTloI ~TO WHQf THJS CERnACATE MAY BE ISSUED OR ;
MAY PERTAIN. THE INSURANCe AFFOADED BY THE; POUCIES DE6CRfBE;O IENIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH
POLICIes. AGGREGATE UMITS SHOWN MAY HAVE Ifl!N REDUCED BY PAlDQ.AMS. =t' ~
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PERSONAL 8..\OV II\lJURY $1 ..l
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PRODUCI'8 - COMPIQP AGG . ~ 000
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DAfI!1'IlERl8OF. 1M! __-.J. BUIlFAWR TO 11M. --30..., DAYS ~ I :,
MRTC& '10 'I1lI! CIR'IIIIl:AlE MOLDER lUllED TOnE LEJIT. BU1'Fq,u..~ Do......, I.., I,
lMP08INO:1IOII OItUA8lUn'OF MY KIND UPON mE 1NIUReA. r~3A' ~ "',: ~i:jil
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VLS .ACORD~~1",.
JAN 12 ' 06 16: 35 FR WAUSAU INSURANCE
715 838 0220 TO 917274626989
P.02/03
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, WAUSAU SIGNATURE AGENCY
3430 0Ak\'V00D MALL DR - 8TE 300
E4U CLAIRE. WI 54701
71S 835-8174
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AYReS ASSOcIATES lNe
ATTN: TOM STUMM
PO BOX 1S90
EAU CLAIRE, WI 54702-1590
INSURER D:
INSURER E:
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~ OF OIlBtAnbNs, LOC:A1IONS IWIEUlII EXCwtIIOlISAIIGED BY ~r IE EIIT' 8I'EI:IAL PIICMSIOIIS
PROJECT: CITY OF CLEARWATER, 2003 ENGINEER OF RECORD CONTACT.
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CITY OF CLEARWATER IS INCWDeo AS ADDmONAL INSURED UNDER THE GENERAl.
~ILnY POUCY PER GL0S66 AND AS UIIf1'&D INSURED WIDER THE AUTO PER
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emrm:ICATE HOLDER
CITY OF CLEARWATER
PO BOX 4748
CLEARWATER, FL 33758~748
AcORD 2S (2001108) 1 of 2
#386618
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, JRN 12 '06 16:36 FR WRUSAU INSURRNCE
715 838 0220 TO 917274626989
P.03/03
IMPORTANT
If the c:ertIfk:ate holder is an ADDlnONAl INSURED. the poIicy(teS) must be endorsed. A statement
on this certificate does not eonfer rights to the oertifioste holder in lieu of such endor8ement(B).
DISCLAIMER
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If SUBROGATION IS WANED, subjeet to the terms and condilians of the policy. oer1ain policies may
~uire an endorsement. A statement on this certific:8te does not CXX1fer rights to the certiticate
holder in lieu of such endorsement(s).
The Certiflcal8 of Insurance on the reverse side of !hi$ form does not constitute a contract between
the issuing insurer(s), auttlorimd representative or producer. and the certificate holder, nor ~ It
affinnatlvely or negatively amend. extend or alter the couenIge afforded by the policies Nsted thereon.
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