CERTIFICATE OF INSURANCE
PRODUCER
MARSH USA, INC.
1166 AVENUE OF THE AMERICAS
NEW YORK, NY 10036
.' DA TE(I"'M/DDIYY)
12/08/00
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
;.fAi~iil'il.~ ieER TI'~!
,-"-""(:~'<<I:i!::'C
405
COMPANY
A AMERICAN HOME ASSURANCE CO
INSURED
PRIMECO PERSONAL COMMUNICATIONS, LP
DBA VERIZON WIRELESS
180 WASHINGTON VALLEY ROAD
BEDMINSTER, NJ 07921
COMPANY
B N/A
COMPANY
C
~.~lt~~GES
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.
COMPANY
D
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MM/DDIYY)
L1M ITS
A . ..GENERALUABIlJTY. .
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [8] OCCUR
OWNER'S & CONTRACTOR'S PROT
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS, COMP/OP AGG $
$
$
$
$
m;uoo,ooo
INCL.
2,000,000
2,000,000
500,000
10,000
EACH OCCURRENCE
AUTOMOBILE LIABILITY
FIRE DAMAGE (Anyone fire)
MED EXP (An one person)
ANY AUTO
ALL OWNED AUTOS
COMBINED SINGLE LIMIT $
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
ANY AUTO
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TH.E PBOPRIETQRL ,,'
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
'INeL"
EXCL
STATUTORY LIMITS
EACH ACCIDENT $
'mSEAsE---POL1CY L1MIT-$
DISEASE, EACH EMPLOYEE $
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTIBLES OR RETENTIONS.
HE CERTIFICATE HOLDER IS ADDED AS AN ADDITIONAL INSURED AS RESPECT TO THEIR INTEREST IN THE INSURED'S TWO (2) EXISTING RADIO
OMMUNICATIONS TOWERS AT THE CITY'S N.E. WATER POLLUTION CONTROL PLANT, 3290 S.R. 580 AND McMULLEN BOOTH RD AND 1400
OUNG STREET, AND ONE (1) WATER TANK LOCATED AT KINGS HWY RECREATION CENTER, 1751 KINGS HWY (#085109-2) cc: GIGI PLATT @
RIMECO COMMUNICATIONS LP., FAX (813) 615-4902
~~~1'f~f!A'rEH~J..l)ER .t~~4~~*~4..oo;' {'ii ,: ;',CANCElLATION!
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF CLEARWATER
ATTN: SUSAN STEPHENSON, CITY CLERK
P.O. BOX 34618
CLEARWATER, FL 34618
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
3~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
liACORD,.2S.S 3193
ANY KIND UPON THE
AIIXMllBlJlllD(~
Maryann Brainard
COMPANY, ITS AGENTS OR REPRESENTATIVES.
MARS~ ~~
ACORD CORPORATION ,199