COJ Certificate of Insurance 10-19-05 v Certificate of Insurance
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Date: October 19, 2005 A/
Named Insured: City of Jacksonville OFFic / 2005
Company: U.S. Specialty Insurance Co SOFT NEC' 'CLE
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Policy Number: AS000150771-001
Effective Date: 12:01 AM 11/02/2005
Expiration Date: 12:01 AM 11/0712005
Coverages Limits of Liability
A A-Bodily Injury Liability, $ each occurrence
Excluding Passengers $ each occurrence
R
C B - Passenger Bodily Injury Liability each person*
R
A C- Property Damage Liability $ each occurrence
F
T D -Single Limit Bodily Injury and
Property Damage Liability $ each occurrence
including passengers
H F-All Risks While Not in Motion $ $ deductible
U
L G -All Risks While in Motion $ $ deductible
L
Loss,If any, under Coverages F and G Is payable as interest may appear to the Named Insured and
(Absence of an entry means"no exception")
AIRMEET LIABILITY:
Single Limit Bodily Injury and Property Damage Liability: $5,000,000. Per Occurrence
Additional Insured as Respects this Event: City of Atlantic Beach
with whom we agree,if possible,to notify 30 days before date of cancellation if policy should
be cancelled,but the Company shall not be liable in any way for .ilur'e to give such no i?e.
U.S. Specialty Insurance Company
16415 Addison Road, 9th Floorrc.�-
Addison, TX 75001 Represents i e