CERTIFICATE OF INSURANCE (4)
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PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
J&H MARSH & MCLENNAN, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P. O. BOX 193880 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
SAN FRANCISCO, CA. 941 19-3880 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A RELIANCE NATIONAL INDEMNITY
INSURED COMPANY
PRIMECO PERSONAL COMMUNICATIONS, B N/A
L.P.
AIRTOUCH COMMUNICATIONS, INC. COMPANY
ATTN: BRUCE A. ARMS -Risk Manager C
ONE CALIFORNIA STREET COMPANY
SAN FRA~CISCO CA 941 1 1 0
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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 TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POLICY EXPIRATION LIMITS
:om DATE ,:'::J/CC/V"i, ;;;':'iC ir.:~;~r,~.;
GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000
A -'Xl COMMERCIAL GENERAL LIABILITY NGB012807803 12/01/98 12/01/01 PRODUCTS. COMP/OP AGG $ 1,000,000
II I CLAlMS MADE ~ OCCUR PERSONAL & AnV INJURY $ 1.000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
-
- FIRE DAMAGE (Anyone fire) $ 1.000,000
MED EXP (Any one person) $ 5,000
~TOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
- ANY AUTO
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
~RAGE LIABILITY AUTO ONLY. EA ACCIDENT $
- ANY AUTO OTHER THAN AUTO ONLY:
- EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
l UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSAtiON AND - '" ------ ',-" .. ---".. - - .-- - - " ., i STATU10RYLlMITS
EMPLOYERS' LIABILITY EACH ACCIDENT $
THE PROPRIETQFV RINCL DISEASE. POLICY LIMIT $
PARTNERS/EXECUTNE
OFFICERS ARE: EXCL DISEASE. EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERATlONs/LOCATlONSNEHICLESISPECIAL ITEMS (LIMITS MAY BE SUBJECT TO RETENTIONS)
THE CERTI FICATE HOLDER IS ADDED AS AN ADD IT IONAL INSURED AS RESPECT TO THEIR INTEREST IN THE INSURED 'S TWO (2) EXISTING RADIO
COMMUNICATIONS TOWERS AT THE CITY'S N.E. WATER POLLUTION CONTROL PLANT, 3290 S.R. 580 AND McMULLEN BOOTH RD AND 1400 YOUNG STREET,
AND ONE (1 ) WATER TANK LOCATED AT KINGS HWY RECREATION CENTER, 1751 KINGS HWY (#085109-2)
cc: GIGI PLATT lil PRIMECO COMMUNICATIONS L.P. , FAX (813) 615-4902
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SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCEUED BEFORE THE
CITY OF CLEARWATER EXPIRATION DATE THEREOF, THE ISSUING COMPANY WIU ENDEAVOR TO MAIL
ATTN: SUSAN STEPHENSON, CITY CLERK
P.O. BOX 34618 ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
CLEARWATER, FL 34618 BUT FAILURE TO ~ AIL SUCH N:'l~ SHA I\IMPOSE NO OBUOATION OR LIABILITY
OF ANY KIND !lopN THE CO PANY, Its ~EJf(S OR REPRESENTATIVES.
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