CERTIFICATE OF INSURANCE (6)
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< At~t.III.~ CER T I F leA r~ .91....jiil.:N~;iI;JR~NC~.. ,.,."..'..",,'.,..' ..,<..,.. '.,," ;,','",' DATE (MM/DD/YY)
"..,.... 12/01/99 ,,'...
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MARSH RISK& INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
ONE CALIFORNIA STREET - 5TH FLOOR HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
SAN FRANCISCO. CA 94111 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
J06037 -00002-L1AB.2000 405 A RELIANCE NATIONALIND.EMNITY
INSURED COM PANY
PRIM ECOPERSONAL COM M UN ICA TIONS, B N/A
L.P.
AIRTOUCH COMMUNICATIONS, INC. COMPANY
ATTN: BRUCE A. ARMS .Risk Manager C
ONE CALIFORNIA STREET
SAN FRANCISCO, CA 94111 COMPANY
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"~.., ...,'~ '.W ,.', .'...."j..bla.certifjc..~~..supers~d~~ilnd replal1tl~any pre vlously issu~d;certifiCii~l... .".',.., < ",,' ..." '."',t,:. ,4f,.',',...,...,'
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.
.C_~ 1 TYPE OF INSURANCE .POllCY NUMBER __ POLICY EFFECTIVE POLICY EXPIRATION LIMITS
Lln' llkTE iMMfOD/Y'i) DATi.: \itiMiuur'--t) :
GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000
'--
A X COMMERCIAL GENERAL LIABILITY NG B012807803 12/01/98 12/01/01 PRODUCTS. COMP/OP AGG $ 1,000,000
, I CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1,000,000
'-- OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 1,000,000
MED EXP (Anyone person) $ 5,000
AUTOMOBILE LIABILITY
- COMBINED SINGLE LIMIT $
- ANY AUTO
e-- ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
'--
e-- HIRED AUTOS BODIL Y INJURY $
NON.OWNED AUTOS (Per accident)
!--
PROPERTY DAMAG E $
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
'--
I " <'.'
e-- ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
l UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
-WlTRlmlSCOMPENSA110N ;iri~~ .- --0- -.- . .. ----.- - ... , I STATUTORY LIMITS
EMPLOYERS' LIABILITY ~.", L....' .":',.. .<L
EACH ACCIDENT $
TH E PROPRIETOR/ RINCL DISEASE. POLICY LIMIT $
PARTN ERS/EXEC UTIVE $
OFFICERS ARE: EXCL DISEASE. EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/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
CERTIFICATE HOLDER . ',.'.,......' CANCELLATlO'N " " ",' . .,.,.:"."..,"'",,'
-----..... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
~ VI l,;LEARWATER ~ EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
( ATTN: SUSAN STEPHENSON, CITY CLERK 3_Qnn DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
PO.BOX34618 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
'" 1:1 ,rL "40 I tl
ANY KIND UPON THE COMPANY, ITS AGENTS OR R E PRESE NT ATIV ES.
AUTHORIZED REPRESENTATIVE ~ ~
Martha Scholl
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ACORD,)J;"C:1'l1Q!~ ",.,'..' , " ... AC 0 RD, C"O.R PORATIO N 199;3