CERTIFICATE OF INSURANCE (092)
Williamson & King Insurance, Inc
P.O. Box 10370 II E C 'F: I VEl>
St. Petersburg, FL:3!7~
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL V AND CONFERS
NO AlGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND.
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER
Auto Owners Insurance Company
JUL 2 lS86
COMPANV .
LETTER
Al Fernandez ,
F & R Mechanical,ClAd. CLERK
510 North Garden Avenue
Clearwater, FL 33517
~NYC
COMPANY D
LETTER
COMPANY E
LETTER
THIS IS TO CERTIFV THAT POLICIES Of INSUAAHCi USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCVPEAIOD INDICATED.
NOTWITHSTANDING ANY "QUIAE,!!~!.l. Y~!!t OR CONDfTION Of ANY CONTRACT OR OTHER DOCUMENT WITH HEIPICT TO WHICH THIS CIRTIFICATI MA v
8lliSUeD OR MAY PIATAIN" THI ~ AI'fIORDID IY THlItClUClU OIICA181D HaMIH 15 IUlJECT TO AU. THE TIRMI. EXCl.U8J0N8. AND C0NDI-
TIONS Of SUCH POUCIES,
TYPE OF INSURANCE POLICY NUMBER POlICY EFFECTM POlICY EXPIRATION
DA 11 llolWllOlVY) DA T[ (MM/OllIYY)
GENERAL UAlNUTV BOOIL Y
COMPREHENSIVE FORM 852312 20459357 7/5/86 7/5/87 INJURY
PREM,SESIOPERA nONS PROPERTY
UNDERGROUND DAMAGE
EXPlOSION & COLLAPSE HAZARa
PAOOUCTS/COMPI..ETED OPERATIONS
CONTRACTUAl. Bl & PD $ $
COMBINED
INDEPENDENT CONTRACTORS
BROAD fORM PROPERTY DAMAGE
PERSONAl INJURY PERSONAL INJURY $
AUTOMOBtLE LIABILITY IIOOllV
ANY AUTO IIWlV $
(PElI PEIISllHI
ALL OWNED AUTOS (PflIV PASS) mlV
All OWNED AUTOS (WER THAN) IlWlV $
V PASS, IPElI AOOIlENll
HIRED AUTOS
PROPERTY
NON'()wNED AUTOS DAMAGE $
GARAGE lIAS/lITY
81 & PO
COMBINED $
EXCESS LIABILITY
tlM8RElLA~fORM ---:...;..;....-- - "---. ,..~---- ------ -an PO $ ---.-"
COMBINED $
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION STATUTORY
AND $ (EACH ACCIDENT)
EMPLOVERS' LWNUTY $ (DISEASE-POlICY LIMIT)
$ (DISEASE-EACH EMPlOYE )
OTHER
ICliI~flON QIf' c:.IAATIONIIL.OCAT 1Ni)4ICLJIIIHCIAl., "'M.
City of Clearwater
License & Permit Department
10 South Missouri Avenue
Clearwater, Florida 33515