CERTIFICATE OF INSURANCE (12)I•WR 01 '91 10: 451:111
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PRODUCER
Logan Ifni. Agency, Inc.
3801 N. 9th Ave.
Pensacola, Fla. 32503
be# •AH s AT
ISSUE DATE IMM!DDP, vl
filar. 1 . 1991
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
INSURED
:Jcs t. Coast Sailing Center, Inc.
3025 tlaveriord Dr.
Clearwater, Fla. 34621
.CO RAGES
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THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW 1 AVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS. AND CONDI•
TIONS OF SUCH POLICIES.
CO
LTR
TYPE OF INSURANCE
GENERAL LIABILITY
COMPHLHLNSIVE FORM
FREMISES/OPERATION$
UNDERGROUND
EXPLOSION L COLLAPSE HAZARD
PRODUCTS/COMPLETED OPERATIONS
CONI RAL' T UAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
POLICY NUMBER
M., 255265
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1
AC
AUTOMOBILE LIABILITY
ANY AUTO
AlL OWNED AUTOS (PRIV PASS )
AiI MED AUTOS (UIUIPASSR IHAIJI
PRIV.. ,
HIRED AUTOS
NUN -OWNED AUTOS
IiAHAGL LIABILITY
EXCESS LIABILITY
UMBRELLA IOW
x OTHER THAN UMBRELLA FORM
XXL 013358
Excess
F111 ICY FETFCTIVF
LATE (MM,iOf )
P01111Y EXPIRATION
DATE (MM,QQNYI
LIABILITY LIMITS IN THOUSANDS
EACH
OCCURRENCE
Afif:RE(jA fE
BODILY
INJURY
6-11-91
PROPERTY
DAMAGE
BI & PD
COMBINED
500
500
PERSONAL INJURY
tIODLY
l? JURv
PER PER:iA,
MILV
IlaRY
(PER ACOUNT,
PROPERTY
DAMAUF
BIA,PD
COM!IINED
6-11-90
ii
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
A
.s.
_A
ima
I
OTHER
6-11-91
BI L PD
COMyiNLD
5;TATI (TORY
DESCRIPTION OF OPERATIONS/LOCATIONS/vEHICLES/SPECIAL ITEMSEn
er
CERTIF ICAT.6 HOLDER IS ADDI'1IONALLY
■11City of Clearwater (the city) A
OI:•lunicipal Corp.
1113. 0. Box 4748
Clearwater, kla. 34618
(EACH ACCIULNII
(DISEASE POLICY LIMIT)
(DISFASF•FACH EMPLOYEE)
dorsement adding waverunner and chaseboat is
fective 2-27-91.
INSURED.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX-
PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 1 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE HALL IMPOSE NO OB ': ATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, IT /• GENTS OR REFIRE ifTATIVES.
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