CERTIFICATE OF INSURANCE (2)
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Fisher-Brown,
P. 0, Box 711
Pensacola, FL
adm/lb
904-432-7474
I nc .
32593-0711
INSURED
Biltmore Construction Co, Inc.
1055 Ponce Deleon Blvd,
Be II ea i r
Fl
34616
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THIS CERTIFICATE IS ISSUEO AS A MAHER OF INFORMATION ONLY ANO
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
COMPANY A
LETTER USF&G CO (PF)
COMPANY B
LETTER U S FIRE INSURANCE CO
COMPANY C
LETTER RISCORP P & C
COMPANY D
LETTER
COMPANY E
LETTER
THIS IS TO CERTIFY THA T THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICA TED, 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. .
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LTR
TYPE OF INSURANCE
POl.ICY NUMBER
GENERAL l.IABIl.ITY
A X COMMERCIAL GENERAL LIABILITY 1MP30096805200
CLAIMS MADE [=:E] OCCUR.
OWNER'S & CONTRACTOR'S PROT,
AUTOMOBIl.E L1ABIl.ITY
A X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
GARAGE LIABILITY
1MP300968052DO
EXCESS UABILITY
B X UMBRELLA FORM
OTHER THAN UMBRELLA FORM
5530209849
WORKER'S COMPENSATION
C
______AN~~~___
EMPl.OYERS'l.IABIl.ITY
60921
OTHER
City of Clearwater
Attn: Bill Baker
Asst. City Manager
p, O. Box 4748
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CiTY CLERK O~
POl.ICY EFFECTIVE POl.ICY EXPIRATION
DATE (MMlDD/YY) DATE (MMlDD/YY)
l.IMITS
1/01/95
GENERAL AGGREGATE $
1/01/96 PROOUCTS-COMP/OP AGG. $
PERSONAL & AOV. INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone lire) $
MEO. EXPENSE (An one erson $
1/01/95
l:OMBINED SINGLE
LIMIT
1/01/96
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
1101195
EACH OCCURRENCE
AGGREGATE
1ID1/96
1/01/95
1/01/96 EACH ACCIDENT
DISEASE-POLICY LIMIT
DISEASE-EACH EMPLOYEE
2000000
2DOOOOO
1000000
1000000
50000
10000
$
1000000
$
$
$
$
10000000
20000000
$
$
$
100000
500000
100000
064701000
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