CERTIFICATE OF INSURANCE (7)
PRODUCER
MARSH USA, INC.
1166 AVENUE OF THE AMERICAS
NEW YORK, NY 10036
CERTIFICATE NUMBER
NYC-000588652-00
THIS CERTIFICATE IS ISSUED P.....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,
COMPANIES AFFORDING COVERAGE
ELL -PRIME-180-2002
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 N/A
COMPANY
D N/A
~iMZiiI;
'~::~-
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED 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, LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDNY) DATE (MM/DDNY)
LIMITS
A GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 0 OCCUR
OWNER'S & CONTRACTOR'S PROT
RMGL 612-45-92
07/01/01
06/30/02
GENERAL AGGREGATE
PRODUCTS. COMP/OP AGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
COMBINED SINGLE LIMIT
$ 2.000,000
$ INCL.
$ 2,000,000
$ 2,000,000
$ 500,000
$ 10,000
$
$
$
$
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
THE PROPRIETOR!
PARTNERSIEXECUTIVE
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 UMBRELLAfORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
EL DISEASE-POLICY LIMIT
EL DISEASE.EACH EMPLOYEE $
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTlBLES OR RETENTIONS)
THE CERTIFICATE HOLDER IS ADDED AS AN ADDITIONAL 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
@ PRIMECOCOMMUNICATIONS L.P., FAX (813) 615-4902
CITY OF CLEARWATER
ATTN: SUSAN STEPHENSON. CITY CLERK
P.O, BOX 34618
CLEARWATER, FL 34618
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL ---3D 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,
MARSH USA INC.
BY: Maryann Brainard
~~~
VI'"
PRODUCER
MARSH USA, INC.
1166 AVENUE OF THE AMERICAS
NEW YORK. NY 10036
CERTIFICATE NUMBER
NYC-000590712-00
THIS CERTIFICATE IS ISSUED .,.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,
COMPANIES AFFORDING COVERAGE
ELL -PRIME-180-2002
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 N/A
COMPANY
D N/A
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, LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MM/DDIYY)
LIMITS
. - - '.'. - -.
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [K] OCCUR
OWNER'S & CONTRACTOR'S PROT
RMGL 612-45-92
. 07/01/01 d
06/30/02
GENERAL AGGREGATE
PRODUCTS-COM~OPAGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
,.
A
COMBINED SINGLE LIMIT
$ 2,000,000
$ INCL.
$ 2,000,000
$ 2,000,000
$ 500.000
$ 10,000
$
$
$
$
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
THE PROPRIETOR!
PARTNERSIEXECUTIVE
OFFICERS ARE:
THER
INCL
EXCL
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
AGGREGATE
EACH OCCURRENCE
AGGREGATE
UMBRELLA FORM
OIHERTHAN,UMBREllA$ORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
EL DISEASE-POLICY LIMIT
EL DISEASE-EACH EMPLOYEE $
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS)
THE CERTIFICATE HOLDER IS ADDED AS AN ADDITIONAL 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
@ PRIMECO COMMUNICATIONS L.P.. FAX (813) 615-4902
CITY OF CLEARWATER
ATTN: SUSAN STEPHENSON, CITY CLERK
P.O, BOX 34618
CLEARWATER, FL 34618
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL ~ 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,
MARSH USA INC,
BY: Maryann Brainard
~~~
!!.