CERTIFICATE OF INSURANCE (22)
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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
PRODUCER
J&H MARSH & MCLENNAN INC
1601 ELM STREET
2100 THANKSGIVING TOWER
DALLAS TX 75201
(214) 765-8521 CONTACT:JAINA HAMILTON
01042-9900 GAWC 6340
COMPANY
A
AMERICAN HOME ASSURANCE
INSURED
GTE MOBILNET OF TEXAS
GTE CORPORATION
1255 CORPORATE DRIVE
IRVING TX 75038
COMPANY
B
COMPANY
C
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING 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 LIMITS
DATE (MM/DD/YV) DATE (MM/DD/YV)
GENERAL AGGREGATE $ 10,000,000
PRODUCTS - COMP/OP AGG $ INCL
07101/99 07101/00 PERSONAL & ADV INJURY $ 1,000,000
EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 50,000
MED EXP (Anyone person) $ 10,000
COMBINED SINGLE LIMIT $
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTYDAMAGE $
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
$
STATUTORY LIMITS
EACH ACCIDENT $
DISEASE - POLICY LIMIT $
DISEASE - EACH EMPLOYEE $
GENERAL LIABILITY
A X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [3 OCCUR
OWNER'S.& CONTRACTOR'S PROT
RMGL 612.27-39
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
-a1F'tOYERS--LIABIJ.]1Y
THE PROPRIETOR! INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
OTHER
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/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.
P~tfij!flP4t~HP@!~'
CITY OF CLEARWATER
P.O. BOX 4748
CLEARWATER, FL 34618-4748
A TTN: CITY MANAGER
........................................... ..... ..............................................
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JUN 1 5 19~~
RISK MANAGEM
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
AGENTS OR REPRESENTATIVES.
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