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CERTIFICATE OF INSURANCE (13) JOHNSON & HIGGINS OF CONNECTICUT TWO STAMFORD PLAZA 281 TRESSER 8LVD. STAMFORD. CT 06904.2006 ISSUE DAn; (MMIOOIYY) ~~. ~:, 08/11/95 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CI:RTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 6ELOW, COMPANIES AFFORDING COVERAGE INSURI!D GTE MOBILNET OF TAMPA INCORPORATeD GTE CORPORATION 600 N. WESTSHORE BOULEVARD TAMPA, FL 33609 ATTN: 80B KERSTEEN COMpANY A umER LUMBERMENS MUTUAL CASUALTY COMPANY =~ B N/A COMPANY C lSTIliR NI A COMPANY 0 L..EllE'I Nt A COMPANY E umER N/A ::.,rs: !";li!:!~:a:.~~~.::e.~~t:"I,..; ~~t!f <-!;t.~. ~~I'>~~'ti I;{~*>-:~;S:i': ~ ")oI'0:4.s.*!>(~ t ~', ;~:~ j~~$..l!~~~:!ti~.e<<>'~j('i:;f::..:~:""i':.:; : :(;a~1:f;:~>>~'i"~ ;=o:""~:~&: ~'~f!i'~:~ ~~,:~~~~~. ...~!I'C' ~<<.,.*~' ; <>>>X~ ;':'\OI~~~: ':.l.~<.:<~.:-;(o,~ ~~:'*>;"~:' '0',):' :>!t!t~" .~~!t.:~~~~~~;~~9~: ~i~~!;'~~~~~~~itS~=~~~;~;~~,~~~~~1i~~~~.:.;~~~~;~~i~~;~;,~~~i~:ff~~~~iw~~;lli;~~~~~~~~J:~~~ii;~"M~i!t~uw~~~~~. ~~~J.~~i~i~~~~~~~~~~~$!;~~t.!;~f]~~~; THIS IS TO CERTlrt THAT THE POLICIES OF INSURANCE LISTED. BELOW HAVE BeEN ISSUED TO THE JNSURED NAMED ABOVE FOR THe POLICY PERIOD INDICATED. NOTW'JTHSTANDIN() ANY REQUIREMENT, TERM 01=1 CONDITION Of' ANY CONTRACT O~ OTHER OOCUMENT WITH RESPECT TO WHicH THIS CERTIFICATE MAYsE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POL.ICIES DESCRISED HEREIN IS SUBJECT TO AI.L THE TERMS, EXCLUSIONS ANO CONortloNS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN F1IWUCEO BY PAID CLAIMS. CD LTIl lVPE OF INSURANCl! POLICY NUMBE;R POUCY EffECTIVl! POUCY E)(PlRATION UMITS DA tt (MWtJO/VYl DAn (MMIOOIYY) 07/01/95 UNTIL GENERALAGGREOATe . 1,000,000 CANCELED PROOUCT9-COMPIOP AGO. $ 1,000,000 PERSoNALlIo AOV. INJURY $ 1,000,000 I!ACH OCCURFlENC& . 1,000,000 F.I~ DAMAGE '" Villi "111) $ .. 50,000 MEO.IOO'ENSC IAnyont Iltl'*On S 10,000 COMIIINED SINGle . UMIT 1I00lL Y INJUFIY S (Ptll*tCn) 00011. Y INJURY . (P&' *<:Qld.nI) PFlOPliRlV DAMM~ S EACH OCCVRReNCE $ AllaR;/JATi $ STAWTOflY UMI1'S .~ ACClOENT s OISEAse~POuCY UUIT s DISEASE-EACH ItMPLOYEE S A OENERAI.UA81UTV 3Yl945140.01 X COMMERCIAL QIONERAL UA8IUTY CLAIMS MADE [!] OCCUR. OWNEA'S & CONTRACTOR'S PROT. X CONTRACTUAL L1ABILllY AUTOMOIllILE LIARIUN IWY AUTO AU.. OWNED Autos SCHEOUI.CO AUTOS HIREO AUTOS NON-OWNED AUT09 GARAGE l.IA8lUTY El(C!8$ UADIUrv UMBREllA FORM OlJolER THAN UMBR&LLA FOAM WORKIJ'I'$ COMPENSAnON ANIl EMPLOYERS"UA8IUTY OTHER {ll!$CRlpnON DF OPI!IlATION$lLOCATIONSNIlHICLUl&....CIAL ITEMS ecRTI f I CAT I! HOLDER I S NAMED AS AOO I fI ONAL INSURED WIlERE aEOUI RED BY CONTRACT IS INDEMNITV PROVISIONS. AS RESPECTS C~TRYSIDE CELL SITE. ::O:Emit!iQA~::~'jb:';;t.'t~t:f~~~~>:;~, I,! "';~~~;;:.;~a~ij;:*~:;:~~ ;:4t:~*" ,r::c:.. ;~~r.~~ ;~),:J::::;~;~~;$~fi~~:~~:;h::j~~it .~~[;: :/ ":~A...ilSf(;~ ;. f.~r.~:~ii..' :j ,y;~~~~;~>>~~~~c;!~l),::S<<)e. ~: l ~ t 1~!~\:t:X~:e:~~~~;:~~~~~t, ;e;~<< :.~;~~j:.::~;~:;-:~.;:;. ;....,. ,.....;..~..;,..r~.~....,....:..Gf.;.~:;rt 1.;~~..~.~:J;~~~;~~~:c::~~~:~~~l:C~~:~i!i!e~;~.!:.::;;:!.!:~~*~~~~JlS~~~~:~e!~~:~~~i~~j~;~ j'!;.~... .'. .;,~:}-M!:l:~:~~~~~w'f.:~ ~~8:~~~~~~~:~~~~~1f~~yf~ ;.~~~~~~~:~:tf~~~~*~lf;j:(~~j!~;~~~m:~~:~~;; !~;~ SHOULD AtoN OF THE AElOVE DESCRIBED POLICIES BE CANCI!'UeO BEFORE THE !~!I EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO ~J. MAIL ~ DAYS WJ:\ITTEN NOTICE TO THI:: CERTIFICATE HOLDER NAMED TO THE !~ LEFT. BUT FAILURE TO MAIL. SUCH NOTICe SHALL IMPOSE NO OBLIGATION OR ~t LIABILITY OF AN NO UPON THE COMPANY, Irs AGENTS OR REPRESENTAlIVES. ~i AUTHOJ'llZED REPRE ~T1VE ~~ ~:~ ~ ,.:~ ....J:'::<:l'^rnI".;:.,^.^~;w.^ . ",." ,,,...~,.,....w.~y,~~.~~~m"""""'~~,':t,_-~mmw..:u.'fl'fl~l<'w.*~,_r.^:.;;;,."'ilm.,~~~~*.~ ...><...;......^:.~.m.'~...:t"'~I<I*'*~.~"....<^^.~~:~~,~... ,. ...l'l~~';jo(H'l"'l'f.'""'''''l "'.....:.. A~Of.:'lU: ~E5~~.. . ~ ~~~:~~:~,~:;~~~~ ~*~~;~:~~:~~~2~~~;~~ ~~::;~~~~:~l..,.~~~!~:c:,."!~:e~l~~~~::.~j~, ~~);;;~~;~i?::~~:~~~-=:"~:J,~~~~>c:~... y .~~~~~ ~~;~~l, ;.~~~,.~~~~ . ~,~~<~'!t:.1~~r.:~~.~~~..fI "'\J;ur,tQ~~\W n~.vf':1M.t,JV:n"~1990 CITY OF CLEARWATER P.O. BQX4746 CLEARWATER. FL 348184748 A TTN: CITY MANAGER