INSURANCE AFFIDAVIT t { y „ia 9tt�ir x�
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Human Resources Department (727)567.6716
Susan Binz, Drector (727)567-6706.
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CITY OF LARGO, FLORIDA
INSURANCE AFFIDAVIT
Mary Bossone, frisk Manager, for the City of Largo, Florida, affirms under oath pursuant to Florida Statute that:
The City of Large, Florida, is self-insured for general liability and fleet liability. The limits of liability are
set forth in Florida Statute 768,28,
The City does not waive its sovereign immunity as set forth in Florida Statute 768.28.
The City of largo. Florida,. is self-Insured for workers' compensation up to the Florida statutory limits,
Johns Eastern Company, hic. is the City's Third Party Administrator,
The City of Largo, Florida protects its buildings, structures, contents, and equipment with a program
provided through Wallace, Welch & Willingham, Inc.
This Affidavit will certify that the programs of insurance listed above are in force at this time for the policy
period from April 1 e 2018 m.. March 31, 2019.
f
Mary BossontY [,ate ..
Risk Manager
STATE OF FLORIDA
COUNTY OF PINEL.1 A
The foregoing instrument was acknowledged before ate on this 29th day of March, 2018 by Mary Bossone, who
is personally known to rue.
74-�ANN _GULLIVE�
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pires May 1t,2035
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