CERTIFICATE OF INSURANCE (15)
PRODUCER
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CERTIFICATE NUMBER
HOU-000044716-00
THIS CERTIFICATE IS ISSUED AS 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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.,i#l.!...;~.,.'.~.'.'MA8S~'.~.USA...IN C....
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MARSH USA INC.
1601 ELM STREET
2100 THANKSGIVING TOWER
DALLAS TX 75201
COMPANIES AFFORDING COVERAGE
214-765-8521
1042.-GAWC-00-01
CONTACT: JAINA HAMILTON
MOBIL TX VA
FL
COMPANY
A AMERICAN HOME ASSURANCE CO
INSURED
GTE MOBILNET OF TEXAS
GTE CORPORATION
ATTN: PAM ANDREWS
300 McLAWS CIRCLE, STE 201
WILLIAMSBURG, VA 23185-5648
COMPANY
B N/A
COMPANY
C N/A
COMPANY
D N/A
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,
THE PROPRIETOR!
PARTNERs/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS)
RE: COUNTRYSIDE CELL SITE,
CERTIFICATE HOLDER IS ADDITIONAL INSURED (EXCEPT ON WORK COMP) AS RESPECTS OPERATIONS OCl'flr &.eRK'IIt81:HiEB.;rQ~k'\i.
EXTENT AND LIMITS REQUIRED BY CONTRACT. ~Rf1 IMJ:r'l ,
!i)N () )
CITY OF CLEARWATER
P.O. BOX 4748
CLEARWATER, FL 34618-4748
ATTN: CITY MANAGER
SHOULD ANY OF THE POliCIES DESCRIBED 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 IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES,