INSURANCE CERTIFICATES FOR 1996 & 97
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09/12/96 THU 17:06 FAX 804 59215036
GENERAL ACCOUNTING
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TEL:214-952-8775
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P. 002
SEP"tl' 96(THUI 15:07
ERICSSON RISK/TAX
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JOHNSON & HIGGINS OF TEXAS INC
1801 ELM ST. 8TE 21Da
DAUAS TX 75201
(214) 953-3200 CONTACT: DEBBIE BROWN
CJ692S..ON'eO .GAXJNC EU8
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ERICSSON INC.
ATTN:BA.ABA.RA CAVIN
1.40 E CAMPBELL RD
RICHARDSON, TX. 1SOe1
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. ST. PAUL MERCURY
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C ST. PAUl- FIRE AND MARINE INSUFtANCE COMPNN
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CfTY OF Cl...&ARWATER
crTY HALL
122 S OSCEOLA AVENUE
CLEARWATER FL 3461t-4718
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CCC9ig9 CtSXVd LO:60 NOli 96/91/60
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CITY tF CLEARWATER
Interdepartment Correspondence Sheet
TO: Cyndie Goudeau, City Clerk
FROM: Dewey Williams, Deputy Chief - Services
COPIES: File
SUBJECT: Attachments to Ericsson, Inc. Contract
DATE: February 7, 1996
Please attach the enclosed certificate of insurance (original copy) to the original contract with
Ericsson, Incorporated on file in your office. This contract was awarded by the City
Commission on December 7, 1995.
DMW/nc
Attachment
r [)tJ-:J:33- ro
RECEIVED
FEB 0 9 199&
CITY CLERK DEPT.
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERC; NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTlL!CATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
PRODUCER
JOHNSON & HIGGINS OF TEXAS INC
1601 ELM ST. STE 2100
DALLAS TX 75201
(214) 953-3200 CONTACT: DEBBIE BROWN
06925-00000 GAW
COMPANY
A ST. PAUL GUARDIAN
INSURED
ERICSSON INC.
A TIN LIZ ANDERSON
MOUNTAINVIEW ROAD
LYNCHBURG VA 24502
COMPANY
B ST. PAUL MERCURY
COMPANY
C ST. PAUL FIRE & MARINE INSURANCE COMPANY
COMPANY
o ST. PAUL INSURANCE COMPANY
THIS IS TO CERTIFY THAT THE 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURAIIICE
POUCY HUMBER
POUCY EFFECTIVE POUCY EXPIRATION UMITS
DATE (MMIDD/YY) DATE (MMIDD/YY)
GENERAL AGGREGATE $ 1,000,000
PRODUCTS - COMPIOP AGG $ 1,000,000
04/01/95 04/01/96 PERSONAL & ADV INJURY $ 1,000,000
EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 1,000,000
MED EXP (Any on8 person) S 5,000
04/01/95 04/01/96 COMBINED SINGLE UMIT S 1,000,000
04/01/95 04/01/96 BOOIL Y INJURY S
(per person)
04/01/95 04/01/96 BOOIL Y INJURY S
(per accident)
PROPERTY DAMAGE S
AUTO ONLY. EA ACCIDENT S
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
$
X STATUTORY UMITS
04/01195 04/01/96 EACH ACCIDENT $ 1,000,000
DISEASE - POUCY UMIT $ 1,000,000
DISEASE - EACH EMPLOYEE $ 1,000,000
GENERAL UABIUTY
X COMMERCIAL GENERAL UABIUTY
A CLAIMSMAOE [El OCCUR TE091 00317-3
OWNER'S & CONlWlCTOR'S POOT
B AUTOMOBILE UABIUTY
TE091 00317-2 (TX)
c
X ANY AUTO
ALL OWNED AUTOS
SCHEDUlEO AUTOS
HIRED AUTOS
NON-owNED AUTOS
TE091 00317 (AOS)
c X
X
060 MA 3179 (MA)
GARAGE UABIUTY
ANY AUTO
EXCESS UABIUTY
UMBREUA FORM
OTHER THAN UMBREUA FORM
C WORKERS COMPENSATION AND
C EMPLOYERS' UABIUTY
o THE PROPRIETOR!
PARTNERS/EXECUTIVE INCL
OFFICERS ARE: EXCL
OTHER
WVA91 04193 (AOS)
WVA91 04192 (NJ)
WVA91 04193 (lX)
DESCRIPTION OF OPERATlONSILOCATlONSNEHICLES/sPECIAL ITEMS (UMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTlBLES OR RETENTIONS)
Pl;RI!ftPiJi.=)HRttm6:):::):j:j::::I))):::i:::::::::::I):):::iIi)I=j=:Ii::):i:'I:::):):j:j:==jjj:::::i::I:I:::i):)III=::):::::::::j:::j:::jj:::i::ff::i:ff:ifffI)}i)1A1.9ggat!9.ft:::i)i)I:::)i):)i:=:::::~i:f)j:I:::):I:ii)ij:j:::):):f)=:======:fi:f::::::::::::::i:::::)=j=:':=::f:::::i:::f):):)=[==::=:==:::f:::
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City of Clearwater
Ci ty Hall
112 S. Osceola Ave.
Clearwater, FL 34618-4718
Attn: Dewey Williams, Deputy Chief
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELlED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATlON OR LIABILITY
ESENTATlVES.
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I
Ericsson, Inc.
I
ERICSSON ~
5130 Eisenhower Blvd., Suite 246
Tampa, FL 33634
FAX
Date: September 16, 1996
Reference: TPA/CM/HK W 96-215
Number of pages including cover sheet: 2
To: DEWEY WILLIAMS
From: HOLLY WALKER
Co./Organiz City ofClw., Deputy Chief
Co.lOrganiz.
Phone:
Ericsson Contract Management
Phone: (813) 462-6282
Fax phone: (813) 4()2-6044
cc:
Fax phone:
(813) 885-4499
(813) 882-6333
cc:
J.Marano
REMARKS:
o Urgent
~ For your review 12] Reply ASAP
o Please comment
SUBJECT:
REFERENCE:
UPDATED CERTIFICATE OF INSURANCE
YOUR FAX DATED 12 SEPTEMBER 1996
Dewey:
I contacted our corporate office to research your above referenced request and they advised
that the attached updated Certificate of Insurance was automatically mailed to the City of
Clearwater in April of 1996. It was not addressed to anyone specifically and therefore was
probably not forwarded to your attention. I will request that any future updates be addressed to
your attention.
\ will also mail you a copy of the updated Certificate as faxed. Please let me know if you are
unable to locate the original and need another copy of the original. Also be advised that John
Marano and I would like to speak you regarding contract payment terms. We will try to contact
you later today.
B~ljj~
TOO~
NOSS:JHI3
CCC9 Z88 CT8 XVd90: 60 NOW 96/91/60
.~
CHUBB ~ROUP OF INSURANC\"':OMPANIES
CHUBB
15 Mountain View Road, P. O. Box 1615, Warren, New Jersey 07061-1615
FEDERAL INSURANCE COMPANY
PERFORMANCE BOND
Bond No. 81433670
Amount $ 913.393.00
Know All Men By These Presents,
That we,
Ericsson Inc.
740 East Campbell Road
Richardson. Texas 75081
(hereinafter called the Principal),
as Principal, and the FEDERAL INSURANCE COMPANY, Warren, New Jersey, a corporation duly organized under
the laws of the State of Indiana, (hereinafter called the Surety), as Surety, are held and firmly bound unto
City of Clearwater
City Hall. Osceola Avenue
Clearwater. Florida 34618 (hereinafter called the Obligee),
in the sum of
Nine-llundred Thirteen-Thousand. Three Hundred-Ninety-Three & No/lOO----- Dollars
($ 913 .393 .OO':~-:_---- ), for the payment of which we, the said Principal and the said Surety, bind ourselves,
our heirs, execlito~,-~dministrators, successors and assigns, jointly and severally, firmly by these presents.
Sealed with our seaf& and dated this
14th
day of December
19 95.
. --, .-
WHEREAS,fhe Principal entered into a certain Contract with the Obligee, dated December 14th
for
,1995 ,
Provide and install clearwater system upgrade
in accordance with the terms and conditions of said Contract, which is hereby referred to and made a part hereof
as if fully set forth herein.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the above bounden Principal shall
well and truly keep, do and perform each and every, all and singular, the matters and things in said Contract set
forth and specified to be by said Principal kept, done and performed, at the times and in the manner in said Con-
tract specified, or shall pay over, make good and reimburse to the above named Obligee, all loss and damage
which said Obligee may sustain by reason of failure or default on the part of said Principal so to do, then this obligation
shall be null and void; otherwise shall remain in full force and effect, subject, however, to the following conditions:
Form 15-02-0001 (Rev. 4-90)
(over)
PRINTED
IN
U.S.A.