CERTIFICATE OF INSURANCE (193)
/}A
/\6C,/
c= "
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW
SUNCOAST
P.O. BOX
TAMPA FL
INS ASSOC INC
22668
33622-2668
COMPANIES AFFORDING COVERAGE
CODE
SUB-CODE
COMPANY A
LETTER
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
SECURITY INS CO OF HARTFORD
INSURED
BRILEY, WILD &
ASSOCIATES, INC.
P.O. BOX 607
ORMAND BEACH, FL 32074
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INsUR'riti Mr'ME""'I~THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTH~UMEN'1:.w. CTTO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE1NSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJ 0 ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
TYPE OF INSURANCE POLICY NUMBER
TR
GENERAL LIABILIlY
COMMERCIAL GENERAL L1ABILI
CLAIMS MADDOCCUR.
OWNER'S & CONTRACTOR'S PROT
AUTOMOBILE LIABILITY
ANY AUTO
ALLWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
OTHER THAN UMBRELLA FORM
WORKER'SCOMI'E."lSATION _
AND
EMPLOYERS' LIABILIlY
PMI' . LIAB. PL445448
ALL LIMITS IN THOUSANDS
DATE (MM/DD
GENERAL AGGREGATE $
PRODUCTS-COMP/OPS AGGR $
PERSONAL &ADVERTISING INJUR $
$
$
$
EACH OCCURRENCE
FIRE DAMAGE (Any one fire)
MEDICAL EXPENSE (Any one person
COMBINED
SINGLE
LIMIT
$
.::::::~::::::::::::::::::::::::::::::::;::: ';:
~:~: ~:~:~:;:i:~:~:;:~:~:;:~:~:;:1:;:::: :::::: ~
:;:~:~: 1~ :;:1:1:;:~:~ :~:~:~:; :~:~:~ .
I;
liiilililiiililililil:lililiiil:liliiililil:i::iiil
BODILY
INJURY $
(Per person)
BODILY
INJURY $
(Per ace)
PROPERTY
DAMAGE $
~~mr~mrfI~[~ll~~;~~1i EA C H
::::::::::::::::::::::::::::::::::::::::::: OCCUR.
:::::::::::::::::::!:::::::::::::::::::::: $ $
::::~:~:~:~:~:~:~:~~~~:~:~~ORY ~::::::::::I:::::::::::::::::::::~:::::::::::::::::::::::::::::::::::::::::::::ml1I I:
AGGREGATE
$-
$
$
(EACH ACCIDENT)
(DISEASE-POLICY LIMIT)
(DISEASE-EACH EMPLOY E)
1,000 AGGREGATE
04/19/89 04/19/90
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESJRESTRICTJONS/8PEClAL ITEMS
"FOR PROFESSIONAL LIABILITY COVERAGE, THE AGGREGATE LIMIT IS THE TOTAL
INSURANCE AVAILABLE FOR ALL COVERED CLAIMS PRESENTED WITHIN THE POLICY PERIOD.
THE LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE."
~:_nm;+'11:MgMIltt::tt::::::t:;III:l:tlmmltti:f:lllHmltttMWtd;iiMl~nfftl:tImlI;:tdlff:lf:Mltlt:::::t~::::tmt::::::::::ttt:::::f:::::::t::t::::~t::::::::t~:::::lff:l:tt:@H::m::W::ld:
]:~~ SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
~~::::
m~~ EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
III MAIL 3D- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE
::~::::
llll LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
t:~: LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
Uf
j
CITY OF CLEARWATER
POBOX 4748
CLEARWATER, FL 34618