CERTIFICATE OF INSURANCE (192)
PRODUCER
Bro~l & Brown, Inc.
P.O. Drawer 1712
Daytona Beach, Fl 32015
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
COMPANY A
LETTER
The Hartford Insurance Company
INSURED
COMPANY B
LETTER
Cincinnati Insurance Company
Briley Wild & Associates
P.O. Box 607
Ormond Beach, Fl 32074
COMPANY C
LETTER
COMPANY D
LETTER
THIS IS TO CERTIFY THAT 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 CONDI-
TIONS OF SUCH POLICIES,
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
OATE (MM/DDIYY)
POLICY EXPIRATION
DATE (MM/DDIYY)
ALL LIMITS IN THOUSANDS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [i] OCCURRENCE
OWNER'S & CONTRACTORS PROTECTIVE
21 SBKCF7174
7-1-88
7-1-89
GENERAL AGGREGATE
PRODUCTS-CDMP/OPS AGGREGATE
PERSONAL & ADVERTISING INJURY
EACH OCCURRENCE
FIRE DAMAGE (ANY ONE FIRE)
MEDICAL EXPENSE (ANY ONE PERSON)
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
Umbrella
OTHER THAN UMBRELLA FORM
CCC 2533067
7-1-88
7-1-89
CSL $
500,
BODILY
INJURY
(PER PERSON) $
BODILY
INJURY
fJC~DENT) $
PROPERTY
DAMAGE $
EACH
OCCURRENCE
$ 2,000,
STATUTORY
$
$
$
21 UENKW3173
7-1-88
7-1-89
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/RESTRICTIONS/SPECIAL ITEMS
*10 days notice of cancellation if due to non-payment of premium.
City of Clearwater
P.O. Box 4748
Clearwater, Fl 34618
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX,
PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL *45 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,
AUTHORIZED REPRESENTATIVE