CERTIFICATE OF INSURANCE (20)
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PRODUCER
J&H MARSH & MCLENNAN INC.
FOUR STAMFORD PLAZA
107 ELM STREET, 6TH FLOOR
STAMFORD, CT 06902-3851
A TTN: LISA NEWMAN
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
INSURED
GTE MOBILNET OF TAMPA INCORPORATED
GTE CORPORATION
ONE STAMFORD FORUM
STAMFORD, CT 06904
COMPANY A
LETTER
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
NATIONAL UNION FIRE INSURANCE COMPANY CO. OF PA
N/A
RECEIVED
JUl 0 6 1998
NIA
N/A
RISK MANAGE
N/A
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOlWlTHSTANDING 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 INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MM/DD/YY)
LIMITS
A GENERAL LIABILITY RMGL 113-50.91
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ~ OCCUR.
OWNER'S & CONTRACTOR'S PROTo
07101/98
07/01/99
GENERAL AGGREGATE $
PRODUCTS-COMP/OP AGG. $
PERSONAL & ADV. INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED.EXPENSE(Anyoneperson) $
5,000,000
5,000,000
5,000,000
5,000,000
50,000
10,000
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
COMBINED SINGLE $
LIMIT
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
EACH OCCURRENCE $
AGGREGATE $
EACH ACCIDENT $
DISEASE--POLlCY LIMIT $
DISEASE--EACH EMPLOYEE $
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
OTHER
DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO RETENTIONS)
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED WHERE REQUIRED BY CONTRACT'S
INDEMNITY PROVISIONS. AS RESPECTS COUNTRYSIDE CELL SITE.
CITY OF CLEARWATER
P.O. BOX 4748
CLEARWATER, FL 34618-4748
ATTN: CI=-< "At '" €lJi~
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 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 OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
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