CERTIFICATE OF LIABILITY INSURANCE (4)
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ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
Rebsamen Insurance/LRK
1500 Riverfront Orive
P. O. Box 3198
Little Rock, AR 72203-3198
15011 661-4829
INSURED
COMPANY
A
Cincinnati Insurance Compan
ALL TEL Wireless Holdings, LLC
d/b/a ALLTEL Corporation
P. O. Box 2177
Little Rock, AR 72203
COMPANY
B
COMPANY
C
THIS IS TO CERTIFY THA T THE POLICIES OF INSURANCE LISTED BELOW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICA TED,NOTWITHST ANDING ANY REQUIREMENT, TERMOR CONDITION OF ANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS
CERTIFICA TE MA Y BE ISSUED OR MA Y 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE IMMIDD/YY) DATE IMM/DDIYY)
A GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE W OCCUR
OWNER'S & CONTRACTOR'S PROT
COP0686800
1/01/00
1/01/01
A AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON.OWNED AUTOS
COP0686800
1/01/00
1/01/01
GARAGE LIABILITY
ANY AUTO
A EXCESS LIABLITY CCC44287000
X UMBRELLA FORM
OTHER THAN UMBRELLA FORM
A WORKERS COMPENSATION AND WCC19092000
EMPL.OY_~RS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
OTHER
A Commercial Property COP0686800
Coverage Including EOP
1/01/00
1/01/01
1/01/00
1/01/01
1/01/00
1/01/01
DESCRIPTION OF OPERATIONSA.OCATIONSNEHICLESISPECIAL ITEMS
LIMITS
.GENERAL AGGREGATE ~
PRODUCTS.COMP/OP AGG $ 2,000.000
PERSONAL & ADV INJURY $ 1,000,000
EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Any cine fire) $ 1,000,000
MED EXP (Anyone person) $ 5,000
COMBINED SINGLE LIMIT $
1,000,000
BODIL Y INJURY $
(Per person)
BODIL Y INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY. EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGA TE
EACH OCCURRENCE
AGGREGATE
5,000,000
- $-
EL D I SEASE.POLl CY LI M I T $
EL DISEASE.EA EMPLOYEE $
1011;000
500.000
100,000
All Risk Replacement Value
Re: McMullen Booth IFL01821 City's "Del Oro Park leter Tenk." Certificate Holder Is included as Additional Insured ATlMA.
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City of Clearwater
Attn: Earl Barrett,
Real Estete Services Manager
P. O. Box 4748
Clearweter, FL 33758-4748
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. -- _._.~HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
W' [I; . l' "EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAL
1!J S ,I,
Ii' . 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
U T FA LURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
ANY KIND UPO E COMPANY, m&! AGENTS OR REPRESENTATIVES.
AU RIZED REPRESENT TIVE f'
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CERTIFICATE: 002/001/ 00656