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CERTIFICATE OF INSURANCE (3 PAGES) Fisher-Brown, P, 0, Box 711 Pensacola. FL ADM: dd 904-432-7474 INSURED .111l111.11I!.I~I...I..IIIIIIIII'.'III'."'."'..""'.'.......II;...;D;;~~~~iYh........ 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 I nc. t ACt.ll!t. ..':;:pj:t'tfoti:a...'.:.;........ 32593-0711 COMPANY A USF8lG CO (PFJ Biltmore Construction Co, Inc. 1055 Ponce DeLeon Blvd, Bel I e air. FL 346 16 COMPANY Bus FIRE INSURANCE CO COMPANY C USF8lG CO THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED,NOTWITHST ANDING ANY REQUIREMENT, TERMOR CONDITION OF ANY CONTRA CTOR OTHER DOCUMENT WITH RESPECTTO WHICHTHIS CERTIFICA TE MA Y 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. POLICY EFFECTIVE POLICY EXPIRATION DATE CMMlDDIVY) DATE (MM/DDIVY) co LTR TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABLITY GENERAL AGGREGATE $ 2000000 A X COMMERCIAL GENERAL LIABILITY 1MP30096805203 1/01/97 1/01/98 PRODUCTS.COMP lOP AGG $ 2000000 CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1000000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Anyone lire) $ 50000 MED EXP (Anyone person) $ 5000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ C X ANY AUTO 1AB30072127802 1/01t97 1/01/98 1000000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON.OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABrLlTY AUTO ONLY. EA. ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABIL.ITY EACH OCCURRENCE $ 10000000 B X UMBRELLA FORM 553045609 1/01/97 1/01/98 AGGREGATE $ 20000000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND STATUTORY LIMITS EMPL.OYERS'LlABILITY EACH ACCIDENT THE PROPRIETOR/ INCL DISEASE - POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE $ OTHER \~ ~ ~ ~ ~ W ~ I I DESCRIPTION OF OPERATIONSIL.OCATIONSNEHIa..ESISPECIAL. ITEMS ~ )1 Project: Renovation/Remodel ing of the Old Maas Brothers Property (Harborview Center) Insured: Cit of Clearwater 064701000 City of Clearwater PO BOX 4748 SHOULD ANV OF THE ABOVE DESCRIBEO POL.ICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAn.. 30 DAVS WRmEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Clearwater. FL 34618 BUT FALURE TO MAR.. SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABlL.ITY OF NY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. R REPRESENTATIVE 064701000 I AC..IID. :':':'~~BiiUt~fr:':""'" . I...............eN.I...........m.............I.....e..........,....i.rfm............I.......iHI....'E.........I...I..I....II.....S....tl'...........................'.S.Ah.:J .. ," ...... ... . ....... ",". ....... .., ,...... ',' . ~ < N....., ......... J:::(:::::::;::;::;,;:~:::::::;;;:::):::;;~::L:::i::/::::}i:::::b::;:;;:;l:::t;:::I::):::...;;;;;:@~:jI:::::;::;:;~:h:/::::::::::::::::::::::::J:::::::~:::;;:::)~:;;::::::;::;:!::::;~~;::::::\:::::A:::::/:::::~;::;:~:::::;::j)!];i:l Fisher-Brown, p, 0, Box 711 Pensaco I a I FL ADM: dd 904-432-7474 INSURED I nc . ,. ... ... ..<':... .....,. ... ... ......,...,. .... .... ....".. .. .....b'ATf(MMlDiilYv}....... :::\:~:)\::}{~::{:::::::?:::::::::{:?::?:::::{:)::::)t:::::,,:::::::: ","_",'_, :.".:-:.:.:.:.:.:.:.:.;.:.:.:-:-:.:.;.:.'.:.:.:.:.:.:...:.:.:...:.:-:.;<-:.:........ 12/27/96 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 32593-0711 Biltmore Construction Co, Inc. 1055 Ponce DeLeon Blvd, Be II ea i r, FL 34616 COMPANY A USFIlG CO (PFl COMPANY B U S FIRE INSURANCE CO CO~PANY C USFIlG CO COUPANY THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED,NOTWITHST ANDING ANY REQUIREMENT, TERMOR CONDITION OF ANY CONTRACT OROTHERDOCUMENTWITHRESPECTTO WHICHTHIS CERTIFICATE MAYBE ISSUED OR MA Y 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. co LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMlDD1YY) DATE (MMIDD1YY) LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [K] OCCUR OWNER'S &. CONTRACTOR'S PROT lMP30096805203 1/01/97 GENERAL AGGREGATE 1/ 0 1/98 PRODUCTS.COMP lOP AGO PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ 2000000 2000000 1000000 1000000 50000 5000 AUTOMOBILE LIABILITY C X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS COMBINED SINGLE LIMIT $ lAB30072127802 1/01/97 ltOl/98 1000000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ B X UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 553045609 1/01/97 AUTO ONLY. EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ 1/01/98 AGGREGATE $ $ 10000000 20000000 GARAGE LIABILITY ANY AUTO EXCESS LIABILITY THE PROPRI ETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL ! STATUTORY LIMITS EACH ACCIDENT $ DISEASE - POLICY LIMIT $ DISEASE - EACH EMPLOYEE! $ .J/ rE (iiJ rE n ~r jP I' \1 [f;lL!J lI;;U ':::J lS, DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESlSPECIAL ITEMS / ;i Project: Renovation/Remodel ing of the Old M... Brother. Property (Harborview Center) Insured: Cit of Clearwater 064701000 City of Clearwater PO BOX 4748 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEU.ED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY Will. ENDEAVOR TO MAn. 30 DAYS WRrrTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, . BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY NY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. REPRESENTATIVE 064701000 Clearwater. FL 34618 Fisher-Brown, P, 0, Box 71 1 Pensaco I a, FL adml dd 904-432-7474 INSURED I nc, ... ":<;:':':~':':':':'~ .:.:.:_:.:.:.:::.:.:. '"-'"j)"ATifcMMlDlilYif" .... :::~:::::::::~}t::;::.:::::~.:.:.:.:,:..... 12 /27 /96 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 t AC..ltit. :.:,:.PR:(fj)OCEir:-...... . 11111:11..I,Illlillll......lllliilllllllilllllllllll'llII 32593-0711 COMPANY A U S FIRE INSURANCE CO Biltmore Construction Co, Inc. 1055 Ponce DeLeon Blvd, Bellesi, FL34616 COMPANY B COMPANY C THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED,NOTWITHST ANDINGANYREOUIREMENT, TERMOR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICHTHIS CERTIFICATE MAYBE ISSUED OR MA Y 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. co TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POLICY EXPIRATION LTR DATE (MMlDDlYY) DATE (MM/DDlYY) LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE $ PAODUCTS.COMP/OP AGG S PERSONAL & ADV INJURY $ $ $ $ GENERAL LIABILITY EACH OCCURRENCE FIRE DAMAGE (Anyone lire) MED EXP (Anyone person) AUTOMOBILE LlABLITV ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS COMBINED SINGLE LIMIT S BODILY INJURY (Per person) s BODILY INJURY (Per accident) s PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY. EA ACCIDENT I $ OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S EACH OCCURRENCE S AGGREGATE $ S EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE; OTHER Builder's Risk tNCL EXCL ST A. TUTORY LIMITS EACH ACCIDENT $ DISEASE. POLICY LIMIT S DISEASE. EACH EMPLOYEE S A 9~ ~~ ~i~"~ $10,000,000 L P r P.:r .eet DESCRIPTION OF OPERATIONSILOCATIONSlVEHIa..ES/SPECIAL ITEMS I ~ , 3210705063 , /01 197 1I~ II U' 't Project: Renovation/Remodel ing of the Old Maas Brothers Property (HBrborview Center) Additional Insured: Cit of Clearwater Clearwater, FL 34618 EXPIRATION DATE THEREOF, THE ISSUING COMPANY Will. ENDEAVOR TO MAL 30 DAYS WRrrTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAD..URE TO MAIL. SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. o REPRESENTATIVE 064701000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 064701000 City of Clearwater PO BOX 4748