CERTIFICATE OF INSURANCE (2)
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CERTIFICATE NUMBER
NYC-000989907-01
THIS CERTIFICATE IS ISSUED AS 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.
PRODUCER
MARSH USA, INC.
1255 23RD STREET N.W.
SUITE 400
WASHINGTON D,C.20037
Attn: KATHY CORRELL - 202-263-7610
COMPANIES AFFORDING COVERAGE
15780---2001-2
FL1485 DT
COMPANY
A NIA
INSURED
NEXTEL COMMUNICATIONS, INC,
2001 EDMUND HALLEY DRIVE
RESTON, VA 20191-3421
COMPANY
B NIA
COMPANY
C STEADFAST INSURANCE COMPANY
COMPANY
D
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. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MMIDDIYY)
LIMITS
C
C
GENERAL LIABILITY
X COMMERCIAL GENERAL 'LIABILITY
CLAIMS MADE [8] OCCUR
OWNER'S & CONTRACTOR'S PROT
GLO 2984461-00
'2984462~OO
04/01/03
O~701703'-
04/01/04
04/01/04
AUTOMOBILE LIABILITY
GENERAL AGGREGATE $
PRODUCTS, COMP/OP AGG $'
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
$
$
COMBINED SINGLE LIMIT $
2,000,000
2,000,000'
1,000,000
1,000,000
250,000
10,000
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON,OWNED AUTOS
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE $
THE PROPRIETOR!
,PARTNERS/EXECUTiVE
OFFICERS ARE:
OTHER
INCL
EXCL
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
EL DISEASE-POLICY LIMIT
EL [lISEASE-EACH EMPLOYEE $'
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/SPECIAL ITEMS
EXCEPT FOR WORKERS COMPENSATION, THE CERTIFICATE HOLDER NAMED BELOW IS INCLUDED AS AN ADDITIONAL INSURED IF REQUIRED
BY LEASE OR CONTRACTUAL AGREEMENT, SITE#/NAME: FL 1485B 1 SUNSET POINT
CITY OF CLEARWATER
ATTN: CITY MANAGER
PO BOX 4748
CLEARWATER, FL 33758-4748
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, OR THE
ISSUER OF THIS CERTIFICATE,
MARSH USA INC.
BY: Anita Delarue
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