SILVER DOLLAR RANCH & TRAP CLUB
Y E R T .~~~J~ 9..:U -~__QE__I-'~~!.!R~ N~J;__ ----- ------T'--..,.,~t'-~ ........,...,.'..,.-.T Tt'''n'' r- Tt'-, _,....,. ,._" .._.. ",. ""l7n"I"r:-,.,.,Q~ / "~}.1" /",~ ;t---,
,,.RODU\.t~ I I :~.;....) :",ti'\:1r~...,~:~ 1..: ..v~.d,)tll ~,...., H ..:'lllj t-:_ '...1" 1Nrl.!~,J'IHIJ,.I..'~ L'N~ ~1h; LU~rtf",~'
" MOORE & MOORE INSURANCE AGCY. ; ~G,SI,~HTS UP~\THE}f~~tfl~e~\"~~"Z '" !~;~ ~~R!!:;~A:f ,~OtS NOT AMFND,
I . , t\ tNLi OR A.,F~ TH. l,u\.KA"t Fr:u,",,'_ .,l ,H, f'.."".~, b"u~ ,
' P. 0 _ BOX 1025 '-hhh______._____._n___h.__.h_.. --..uh_____Uh_h__.__u_hun____
: PALMETTO, FL
: 34220-1025 COMPANIES AFFORDING COVERAGE
: PHONE813-722-3238
-INS~RED---------------------------------------------!-CO~PANy-LETTER-~---~;1E-~][(;-~~--S-T~T-E;3--i-N;3Li~;i(;-E--C'c;-:.---!
!----------.----------------------------------------.-------------_._-------:
I S:!lv~r Dollar Ranch & Trap Clbi COMPANI LETTER B i
: ~m~:~a ~te ~s~~ r ~~~ J acobse n : :~~;p;;;:i,;;,;:~:::: ::: ::::::::::::::::::::::REC:EIVE D:.
I 33556 I COMPAH LETTER D .
!, COVERAGES """""""""""""""""""",1:ii':AN':'Ei;E':~:::::::::::::::::::::::::::::::::J'f~~::::i:l~iI::::::j
: THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INS0RED NAMED AAn~,~O~ T~ DO~ItY :
: PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DO~E.,r ~k/:JlRl-'tcID[lp1 '
: WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO (
i ALL TERMS. EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. __ I
1-------------------------------------------------____________________________________________________________________________ __I
: CO: TYPE OF INSURANCE ; POLICY NUMBER ; POLICY EFF ; POLICY EXP; ALL LIMITS IN THOUSANDS :
:,LTR:, I I DATE \ DATE I _ ____:,
,!---!-(i-EiiE:Rl~~--L-I~B-I~i-T~--!----------------------------:--------------!--------------!~~~~~~~;~~~~~~~~~~~~~;~~~_<?~____)
I A\ [X) COMMERCIAL GEN LIABILITY :01-CC-635794-3 f1/19/93 111/19/94 :-~~~~~=~~~~~~~~-~~~:.:~_?_<?~n_.:
I [l [J CLAIMS MADE Xl OCC. I !:! PERS. & ADVG. INJURY: 1000 ,;
[ ) OWNER'S & CONTRACTORS 1:: -EACH-OCCURRENCE--n-!lo-oo--n:
PROTECTIVE 'I I-FIRE-DAMAGE-----n--; -----...---/
[ ) I I (ANY ONE FIRE) I 50 I
1 1_____________________1___________1
, 1 [J I : I I MEDICAL EXPENSE I I
I I I I I I (ANY ONE PERSON) I 5 I
\___1______--------------------______1______----------____________1______________1______________1_____________________1___________1
I ! AUTOMOBILE LIAB I I I I CSL ! !
' I I I 1_____________________ ___________,
! [j ANY AUTO \ \ I I BODILY INJURY I \
\ / ~~~E~~~~~ ~~~~~ ( (( I-~~~~_~~~~~~~nnn__: _n__n____ (
, HIRED AUTOS I I I I BODILY INJURY I I
\ \ NON-OWNED AUTOS \ \ \ I (PER ACCIDENT)) )
\ \ t 1 GARAGE LIABILITY! (1; -PROPERTyn-nn-n--! n---nn--1
'___'______--------------------------'----------------------______1______-------- ______________ _________________________________,
\ l EXCESS LIABILITY I \ \ ! 1 EACH occ, AGGREGATE :
I I, [] UMBRELLA FORM I I I ,I I ,
\ \ [] OTHER THAN UMBRELLA FORM ! \ I I! ! ,!
'---'--------------------------------,-------------___------______1______--______1______--______1______-----______________________
': \ I I 1 \ STATUTORY \
: WORKERS' COMP I I EACH ACC I
:! AND I I I I DISEASE-POLICY LIMIT !
,: ! EMPLOYERS' LIAB i !) I DISEASE-EACH EMPL~~~~,!
\---\-CiT-HEiFi----------------------i----------------------------\--------------1--------------1----------------------------- \
" I I I I I I
" , \ \ I I \
" 1 I '" I
)-DEscRIPTION-OF-OPERATIONsiLOCATIONs/~EHlcLEsisPEciAL-ITE~s----------------------------------------------------------------------)
, Certificate holder is also additional insured as it pertains to: I
; Part of the Southeast 1/4 of Section 19, Township 27 South, Range 17 East, i
" Hillsborough County, Florida. I
\) CERTIFICATE HOLDER (------------------.------------) CANCELLATION (--.---------------.___..__.______.__._______._.__...__..___.\
' ------------------------------- -------------------------.----------------.-.--.------------/
' : SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX-
! City of Clearwater : PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 \
: Attn: Ms. Betty Deputla : DAYS WRITTEN NOTICE TO THE CERTIFICATE HO DE NAMED TO THE ,UT I
I P- O. 80x 4748 : FAILURE TO MAIL SUC' TICE SHALL IMPOSE O' TION OR L BILE OF I
iA=~~:::: r ; 3 ::8) tAc;;oi;;;D~i;~~1~1~~;:~::- -~::~:~_::: :~~lf!#!~j
/ /) ~n,'.' i,',
..1.., v U.~.,,
\
{f\'
)
I
CITY OF CLEARWATER
Interdepartmental Correspondence Sheet
TO":
Cynthia E. Goudeau, city Clerk
M. A. Galbraith, Jr., City Attorney Y
Exchange of land between City of Clearwater and
Windward Reflections, Inc. for future development
FROM:
RE:
DATE:
July 2, 1991
As a follow-up to my memo of June 12, 1991, enclosed are the
following documents:
Original warranty deed (Windward Reflections to City for
Island Estates property)
Title Policy for Island Estates property
Copy of recorded warranty deed (City to Jacobsen for
Hil!sborough County property)
Seller's closing statement for Hillsborough County property.
MAG: jmp
Enclosures
1\ttE1vtn
JUl 0 2 \99\
cr1'( Cli:RK
'.~
..I ~ ..
1_~
! I . .l ~' ,
I'
I
I
CITY OF CLEARWATER
Interdepartmental correspondence Sheet
TO:
cynthia E. Goudeau, city Clerk
M. A. Galbraith, Jr., city Attorney ~
Exchange of land between city of Clearwater and
Windward Reflections, Inc. for future development
}'ROM:
RE:
DATE:
June 12, 1991
The subject exchange of land has been completed, and enclosed are
the following documents:
Contract for exchange of property for both properties
Copy of Assignment of Contract and option Agreement for both
properties
For Hillsborouqh County property:
Copy of Buyer's (Jacobsen) closing statement
Copy of Seller's (City) closing statem~nt
Copy of warranty deed (City to Jacobsen)
Copy of Seller's (City) affidavit (lIgap")
Copy of Seller's (City) no-lien affidavit
Copy of Florida Dept. of Revenue Transfers of Interest filing
form
For Island Estates property:
closing statement for Island Estates property
Copy of warranty deed (Windward Reflections to city)
Title Commitment # C-1518023 issued by Attorney's Title
Insurance Fund, Inc. for Island Estates property
Survey of Island Estates Property
Copy of tax proration agreement for Island Estates property
Copy of compliance agreement for Island Estates property
I will forward the original warranty deed to the City and the title
policies to you when I receive them.
RECEIVED
JUN 1 4 1991
~d~ ~ 17::! t::~ ~ CLERK
'~ CUlL vt-v 7f< - tJ I :L~. 0
t'!
~,~,;',;,1,"',~c",
~,1
',..',.,...,;..~,..'. '
-~ . ,,:j~!
:::}1',
~ 'I,: -r,~
y~
- . ;~t:
','~..
MAG: jmp
Enclosures
:;~~ "
"~f.:j~
~}i:,'
I;
,~tf,
,.I
: ,~,- ':;'-~
::,:t
, "~t~
\,
'"",