CERTIFICATE OF INSURANCE (119)
2 -24-87
DAN TOWNSEND & ASSOCIATES, INC.
Post Office Box 157
Haines City, Florida 33844
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
B & M CONSTRUCTION COM., INC.
Post Office Box 5468
Lakeland, Florida 33803
COMPANY A
LETTER
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
WESTFIELD INSURANCE COMPANY
ROCKWOOD INSURANCE COMPANY
INSURED
THIS IS TO CERTIFY THAT 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 CONDI-
TIONS OF SUCH POLICIES.
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS
OATE (MM/OOIYY) DATE (MM/DDIYY) EACH
OCCURRENCE
BODILY
INJURY $ $
PROPERTY
DAMAGE $
BI & PO
COMBINED
12/31/86 12/31/87
COMPREHENSIVE FORM
PREMISES/OPERATIONS
UNOERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTS/COMPLETED OPERATIONS
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
BFCGL
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (PRIV. PASS.)
ALL OWNED AUTOS (~~~JRpl~~N)
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
CCP3113639M
CCP3113639M
12/31/86
12/31/87
BODILY
INJURY
(PER PERSON) $
BODILY
INJURY
(PER ACCIDENT) $
PROPERTY
DAMAGE
BI & PO
COMBINED
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
~~t~~ED $
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
WC0278621
12/31/86
8T A TUTORY F LA
12/31/87 $100 (EACH ACCIDENT)
$ 500 (DISEASE-POLICY LIMIT)
$100 (DISEASE-EACH EMPLOYE )
OTHER
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHI
--CITy-nF" GI,EARWA TER
POST OFFICE BOX 4748
CLEARWATER, FLORIDA 3351