CERTIFICATE OF INSURANCE (077)
Johnson & Higgins of Texas, Inc.
333 Clay, Suite 1400
Houston, TX 77002
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 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER
Maryland Casualty Company
INSURED
COMPANY B
LETTER
AIRTRON, INC.
Clearwater Division
15286 u.S. Hwy. 19 S
Clearwater, FL 33546
COMPANY C
LETTER
COMPANY D
LETTER
E
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 CONDITIONS OF SUCH POLICIES.
TYPE OF INSURANCE
POLICY NUMBER
----- -----~--
POLICY EFFECTIVE
OATE (MM/OO/YY)
BODILY $ $
2/21/86 2/21/87 INJURY
PROPERTY $ $
DAMAGE
BI & PO $ 1 , 000 $
COMBINED
PERSONAL INJURY $
fHlOllY $
INJURY
2/21/86 2/21/87 (PER PEASON)
2/21/86 2/21/87 ilOlJlLY $
!NJURY
'PER Af:CIDENT)
PROPERTY $
DAMAGE
BI & PO $1
COMBINED 000
BI & PO $
COMBINED
GENERAL L1ABI L1TY
COMPREHENSIVE FORM
PR EMISES/OPERA TIONS
UNOERGROUNO
EXPLOSION & COLLAPSE HAZARD
PRODUCTS/COMPLETED OPERATIONS
GR48319476
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
ALL OWNED AUTOS (PRIV. PASS.I
ALL OWNED AUTOS (OTHER THAN)
PRIV. PASS.
HIRED AUTOS
NON-OWNED AUTOS
GARAGE L1ABI L1TY
AR44566524
GR28319474
OTHER THAN UMBRELLA FORM
AND
EMPLOYERS' LIABILITY
TC7 22174981
2/21/86
2/21/87
(DISEASE-POLICY LIMITI
OTHER
D1l;SCRIPTION Of OPERATIONS/L.OCATIPNSlV,EH!CLES/SPECIAL ITEMS
.1 operations/locations/vehicles
olicies apply in all states permitting insurance by private carriers.
· City of Clearwater
Building Department
112 SOuth Osceola Avenue
Clearwater, FL 33,516