CERTIFICATE OF INSURANCE (230)
PRODUCER
Serial # 3490
DATE (MMIDDNY)
06/01/2003
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
AON RISK SERVICES, INC. OF ILLINOIS
1000 N. MILWAUKEE AVENUE
GLENVIEW, IL 60025
PHONE -1-866-283-7122
FAX - 847-953-5390
COMPANY CONTINENTAL CASUALTY COMPANY
A
AON CORPORATION AND
AON CONSULTING
200 EASTRANDOLPH
CHICAGO, IL 60601
COM;ANY TRANSPORTATION INSURANCE COMPANY
COM~ANY AMERICAN CASUALTY COMPANY OF READING, PA
COMPANY
D
THIS IS TO CERTIFY THAT THE 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
l POLICY EFFECTIVE nr-;OLICY EXPIRATI. ON
TYPE OF INSURANCE POLICY NUMBER DATE (MMlDDIYY) DATE (MMlDDIYY)
LIMITS
CO
LTR
A GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [8] OCCUR
OWNER'S & CONTRACTOR'S PROT
GL268255672
06/01/2003
06/01/2006
GENERAL AGGREGATE $ 2,000,000
PRODUCTS - COMP/OP AGG $ 1,000,000
PERSONAL & ADV INJURY $ 1,000-,-000
EACH OCCURRENCE $ 1,OQ9-,-000
FIRE DAMAGE (Anyone fire) $ 1 ,.9_qp~QO~
MED EXP (Anyone person) $ 10,000
COMBINED SINGLE LIMIT 1,000,000
_._~-------
BODILY INJURY $
(Per person)
------~--
BODILY INJURY $
(Per accident)
-------"---~--
PROPERTY DAMAGE $
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
A AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEpULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
BUA2068255705
06/01/2003
06/01/2006
tJ. GARAGE. L1ABIL.ITY
R ^"Y AUTO
EXCESS LIABILITY
UMBRELLA FORM
EACH ACCIDENT $
AGGREGATE $
$
$
$
I I I I X ,we STATU. 1 IOTH'I
WC268255624(AZ,CO,NV,OR,WI, WY) 06/01/2003 06/01/2006 ~~LlMITS__ ____~_I .'. .________=
') AI \----n--1'-----~--T-------- EU:ACHACClDl:Nf-~-- r- --moumro
WC268255641 (CA) --~-~ -----...!.------'----c-
~ INCL EL DISEASE - POLICY LIMIT $ 1,000,000
I I EXCL I : - EL DISEA~-~ EA EMPLOYEE $ 1,000,000
EACH OCCURRENCE
AGGREGATE
OTHER THAN UMBRELLA FORM
B WORKER'S COMPENSATION AND
EMPLOYERS" LIABILITY
C THE PROPRIETOR!
PARTNERSIEXEeUTIVE
OFFICERS ARE:
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESlSPECIAL ITEMS
CITY OF CLEARWATER
ATTN: CITY CLERK
P,O, BOX 4748
CLEARWATER, FL 33758-4748
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
A.UUTT~H~OR ,E ED REPRESENTATIVE
~-Cl_~
O:\FMPR01IAON\ 10224227 AON0003 25S_FP5
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