CERTIFICATE OF INSURANCE (2)
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~~~~~.;;........~~......t~....................~....g]%B~.~~.~..;~~~';...~:!:H:!~~!U!"~...~I). # 3 5 4 2 4
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY
---.JlEJ~~UEDg8J\I1~Y!,_ERJ'~t'LI!:tE;J~~1JRBNc::~ t.fJ:QRDED BY THE POLICIES L1STED-1:tEREINJS~llB..JEUIQALLIHE TERMS CONDITIONS
OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POUCY EFFECTIVE
DATE (MM/DDfYV)
10/15/98
PRllDUCER
J&H Marsh & McLennan,
191 Peachtree Street,
Suite 3400
Atlanta, GA 30303
TIllS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON TIlE CERTIFICATE HOLDER OTIlER TIlAN THOSE PROVIDED IN
TIlE POLIcY. TIllS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER TIlE
COVERAGE AFFORDED BY TIlE POLICIES LISTED HEREIN.
Inc.
N.E.
INSURED
COMPANIES AFFORDING COVERAGE
COMPANY A HARTFORD FIRE INSURANCE CO
lETTER
COMPANY B TWIN CITY FIRE INSURANCE CO
lETTER
COMPANY C HARTFORD CASUALTY INS CO
lETTER
COMPANY D
lETTER
BELLSOUTH CORPORATION INCL.
BELLSOUTH MOBILITY INC
ROOM 15A01
1155 PEACHTREE STREET, NE
ATLANTA, GA 30309-3610
TYPE OF INSURANCE
POllCY EXPIRATION
DATE (MM DDfYV)
10/15/99
POUCY NUMBER
UMITS
20 CSE J42031
GENERAL AGGREGATE $
PRODUCTS-COMP lOP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED, EXPENSE (Anyone person) $
X COMMERCIAL GENERAL LIABILITY
DCLAIMS MADE~OCCUR.
OWNER'S CONTRACTOR'S PROTo
AUTOMOBILE UABIL TY
X ANY AUTO
All. OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
20CSEJ42032
COMBINED SINGLE LIMIT
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
GARAGE UABIUTY
ANY AUTO
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY
EACH ACCIDENT
EXCESS UABIUTY
-UMBREUAFORM
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION AND
C EMPLOYERS UABIUlY
AGGREGATE
EACH OCCURRENCE
AGGREGATE
20 WBRP37910
20WNJ42030
10/15/98 10/15/99 STATUTORY LIMITS X
10/15/98 10/15/99 EACH ACCIDENT
DISEASE - POLICY LIMIT
DISEASE - EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSjVEHICLES/SPECIAL ITEMS
(SEE REVERSE AND/OR ATTACHED)
CERTIFICATE HOLDER
3000000
1000000
1000000
1000000
1000000
10000
$
2000000
$
$
$
1000000
1000000
1000000
CITY OF CLEARWATER
ATTN: FRED BELZEL-CITY MGR.
P.O. BOX 4748
CLEARWATER, FL 33758-4748
CANCELLATION
SHOULD ANY OF THE POLICIES LISTED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE
THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE
SHALL IMPO E NO OBLIGATION OR L1ABILI;pr' OF ANY KIND UPON THE INSURER AFFORDING
COVERA, A NT. R REPR ENTA-nVES, OR THE ISSUER OF THIS CERTIFICATE.
J&H MARS
BY:
9/29/98
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DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
INSURED
HOLDER
CERTIFICATE #35424
BELLSOUTH CORPORATION INCL.
CITY OF CLEARWATER
ATTN: FRED BELZEL-CITY MGR.
P.O. BOX 4748
CLEARWATER, FL 33758-4748
(CONTINUED)
ADW
RE: SITE ADDRESS - 440-062.1
CITY OF CLEARWATER
3290 S.R. 580 @ McMULLEN BOOTH ROAD
PINELLAS COUNTY, FL
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