CERTIFICATE OF INSURANCE - ALL RISK $15000000 LIMIT PER PROJECT
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~(::r:::}:t( {::}}\:j:;:):::::::/:;::::)\:;t\J()::::=Y ISSUE DATE (MM/DD/YY)
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORM A TION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW,
Fisher-Brewn, Inc,
P, O. Bex 711
Pensacela, FL 32593-0711
adm/lb
904-432-7474
COMPANIES AFFORDING COVERAGE
FL
34616
COMPANY A
LETTER
COMPANY B
LETTER
COMPANY C
LETTEA
COMPANY D
LETTER
COMPANY E
LETTER
U. S. FIRE INS, CO,
INSURED
Biltmore Construction Co, Inc.
1055 Pence DeLeen Blvd,
Be II ea i r
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY PERIOD
INDICA TED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MA V 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.
ce
LTO
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YYl DATE (MM/DD/YY)
L.IMITS
GENERAL. L.IABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR,
OWNER'S & CONTRACTOR'S PROTo
GENERAL AGGREGATE I
PRODUCTS-COMP/OP AGG, I
PERSONAL & ADV. INJURY I
EACH OCCURRENCE I
FIRE DAMAGE (Anyone fire) I
MED. EXPENSE (An '"' orson I
COMBINED SINGLE I
LIMIT
BODiLY INJURY
(Per person)
BODILY INJURY I
(Per accident)
PROPERTY DAMAGE I
EACH OCCURRENCE ,
AGGREGATE ,
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EMPLOYERS' LIABILITY
STATUTORY LIMITS
EACH ACCIDENT
DISEASE-POLICY LIMIT
DISEASE-EACH EMPLOYEE
,
$
,
WORKER'S COMPENSATION
----AND
OTHER
A Bu i [de r . sRi s k
3210705063
1/01/95
1/01/96
"All R i skU
$15,000,000 Limit
Per Pro 'ect
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESJSPECIAL ITEMS
Project: Renovation/Remodeling of the Old Maas Brothers Property
(Harborview Center)
Insured: Cit of Clearwater
City of Clearwater
ATTN: Bi I I Baker
Asst, City Manager
P 0 Bex 474B
L
RECEIVED
MAR 0 1 1995
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 THECERTIFICA TE 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 REPRESENT A TIVES.
CITY CLERK DEPT.
064701000