CERTIFICATE OF INSURANCE (5)
,,','" "~ER T I Fie A,1i~Er'O FI~,~':.~R A NGEti < l , , .i.,.:,'.,
tt A.~..III." DATE (MMIDDIYY)
12/01/99
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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 COVE RAG E
COMPANY
J 0 60 3 7'00002.L IAB-2000 405 A RELIANCE NATIONAL INDEMNITY
INSURED COMPANY
PRIM ECQ PERSONAL COM MUN ICA TIONS, B N/A ,
L,P, '
AIRTOUCH,COMMUNICATIONS,INC, COMPP,NY
ATTN: BRUCE A, ARMS .Risk Manager C
ONE CALIFORNIA STREET
SAN FRANCISCO, CA 94111 COMPANY
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""', Tblll, certlfi!lllle"~lJpers~~~~i~~r,.p~ce$any,,'pre,v,ibtlsly,,,IS$~!S,~.~~r!iilq~IEl.. '",i.'" ,',' "..r,r<
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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 TYPEOFINSlIRANCF. ?OLlCY NUMBER POLICY EFFECTIVE P~~I~! ~XP~R_A,T,~Ot I , L1M ITS I
. LTR u;fi e {i-..iil./Ou/'(fj LJkl t: \ iViii.JuJl r
GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000
- 12/01/98 f--
A X COMM ERCIAL G EN ERAL LIABILITY NGB012807803 12/01/01 PRODUCTS. COMP/OP AGG $ 1,000,000
,',",',,', I CLAIMS MADE [K] OCCUR PERSONAL & ADV INJURY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
-
FIRE DAMAGE (Anyone fire) $ 1,000,000
---
M ED EXP (Anyone person) $ 5,000
- -.---
AUTOMOBILE LIABILITY
-'-- COMBINED SINGLE LIMIT $
-'-- ~,NY AUTO -- I--'
ALL OWNED AUTOS BODILY INJURY $
- (Per person)
~- SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY $
- (Per accidenl)
NON.OWNED AUTOS
e-- r--
f--- PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
f--
ANY AUTO OTHER THAN AUTO ONLY: Ii"",',","" ""<',
f--,
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
==l UMBRELLA FORM AGGREGATE $
OTHERTHAN UMBRELLA FORM $
, ,--, ~H:;-~j,;N:",i''il1W'A1rtl ' - ---- -.-. - "-....,.,--=-=-~ -"I ST~TUTORY LIMIT-S
EMPLOYERS'LIABILITY I~ECE' VED
EACH ACCID ENT $
THE PROPRIETOR/ RINCL DISEASE. POLICY LIMIT $
PARTN ERS/EXECUTlVE $
OFFICERS ARE: EXCL nl"T 1 ~ DISEASE. EACH EMPLOYEE
OTHER UUI ,.L ,..~
C lTY CLERK DE PARTMENT
DESCRIPTION OF OPERATlONS/LOCATlONSIVEHICLES/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 L,P" FAX (813) 615.4902
C.'~,R,'TIF IC ATe HOlioEiR ,,'" , CANCELLATION , ,'" ",,',',',,',',",,' '" " , "i
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF CLEARWATER EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
ATTN: SUSAN STEPHENSON, CITY CLERK 3_Q____ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
P,O, BOX 34618 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
CLEARWATER, FL 34618
ANY KIND UPON THE COMPANY, ITS AGENTS OR R EP R ES ENT ATlVES,
AUTHORIZED REPRESENTATIVE ,~ ~
",.'," 'ii, "'" Martha Scholl
AC 0 R D.. 2~i"g,::iI13'j9~1:ii ,ii..'. ,'ii" "::' ,.,'<< ,ii,.,',,'.,..,',':.<:. '" AC 0 R DCQ::R:P.ORATJONt993