CERTIFICATE OF INSURANCE #0220001-01292
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iil::ql:ll~il~I:III:iiil:li~iRIIII:
1::::'::: THIS CERTIFICATE IS ISSUE S A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN
THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN.
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(- CERTiFicATE- Nuniu3ER--)
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0240001-01052
PRODUCER
Marsh USA Inc.
3475 Piedmont Road N,E,
Atlanta. GA 30305
COMPANIES AFFORDING COVER
ANGELA D. WILLIAMS
404-995-2762
COMPANY
A HARTFORD FIRE INSURANCE CO
INSURED
BELLSOUTH CORPORATION INCL.
BELLSOUTH TECHNOLOGY SERVICES
ROOM 15A01
1155 PEACHTREE STREET, NE
ATLANTA, GA 30309-3610
COMPANY
B HARTFORD CASUALTY INS CO
COMPANY
C TWIN CITY FIRE INSURANCE CO
R1 S!(" ~.~ 1\ p.J-",~ r::' Ur-
.,.,.
COMPANY
o
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED 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
BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS
OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDIYYI DATE (MM/DDIYY) LIMITS
A GENERAL LIABILITY 20 CSE J42031 10/15/99 12/01100 GENERAL AGGREGATE 3, 000. 000.
COMMERCIAL GENERAL LIABILITY PRODUCTS. COM PlOP AGG 1.000.000
CLAIMS MADE WOCCUR PERSONAL & ADV INJURY 1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE 1,000,000
FIRE DAMAGE (Anyone fire) 1,000,000
MED EXP (Anyone person) 10,000
A AUTOMOBILE LIABILITY 20CSEJ42032 - AOS 10/15/99 12/01/00
COMBINED SINGLE LIMIT
X ANY AUTO 2.000,000
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS (Per person)
HIREO AUTOS
BODILY INJURY
NON-OWNEO AUTOS (Per accident)
PROPERTY DAMAGE
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIOENT
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
B WORKER'S COMPENSATION AND 20WNJ42030 - DED, (AOS) 10/15/99 12/01/00 X
C EMPLOYERS' LIABILITY 20WE3.RP:i79J~=8ETRQ(MI1)1I L .10IlN99. 12/01/0,0 $ _ . L Q.oQ"OOO
THE PROPRIETORI INCL EL DISEASE - POLICY LIMIT $ 1,000,000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE 1,000.000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS
CERTIFICATE HOLDER IS AN ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR.
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CITY OF CLEARWA TER
CITY MANAGER
P,O, BO X4748
CLEARWATER. FL 34618-4748
i..PANPMJ,A)lPNi/.':: H
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE
PI RATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR
T MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED
REIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS
iUUi, OR REPRESENTATIVES.
:: jl
Marsh USA Inc.
BY:
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de.' Rl Sl!., 66J- 5vcS; L~t:.-,
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