CERTIFICATE OF INSURANCE (093)
Rice Insurance Services, Inc.
P.O. Box 1320
Tampa, FL 33601
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
Acree Air Conditioning, Inc.
6209 Anderson Road
Tampa, FL 33614
f~~~Y AAetna Casualty & Surety Company
COMPANY B
LEITER Cincinnati Insurance Company
COMPANY C
LETTER
INSURED
COMPANY D
LETTER
COMPANY E
LEITER
. ,
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE 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.
TYPE OF INSURANCE
POLICY EFFECTIVE POLICY EXPIRA nON LIABILITY LIMITS IN THOUSANDS
POLICY NUMBER OA TE (MM/OOIYY) OA TE (MM/OOIYY) EACH
OCCURRENCE AGGREGATE
BODILY
INJURY $ $
PROPERTY
To be determi.ned 7-1-86 7-1-87 DAMAGE $ $
GENERAL LIABILITY
X COMPREHENSIVE FORM
X PREMISES/OPERATIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
X PRODUCTS/COMPLETED OPERATIONS
X CONTRACTUAL
INDEPENDENT CONTRACTORS
X BROAD FORM PROPERTY DAMAGE
X PERSONAL INJURY
X
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (PRIV PASS)
ALL OWNED AUTOS (OTHER THAN)
PRIV, PASS,
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
To be determined
7-1-86
7-1-87
BI & PD $ 500, $:1.,000,
COMBINED PERSONAL INJURY $ 500,
BOOIL Y
INJURY $
(PER PERSON)
BODILY
INJURY $
(PER ACCIDENT)
PROPERTY
DAMAGE $
BI & PD
COMBINED $ 500,
BI & PD $ $
COMBINED 1,000, 1,000,
STATUTORY
$ (EACH ACCIDENn
$ (DISEASE.POLlCY LIMIT)
$ (DISEASE.EACH EMPLOYEE)
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
CCC 2502690
7-1-86
7-1-87
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
RECEIVE
OTHER
_ 1 \. l(
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLESJSPECIAL ITEMS
City of Clearwater
Attn: Building Department
10 S. Missouri
Clearwater, FL