CERTIFICATE OF INSURANCE (5)
ARSH
CERTIFICATE OF INSURANCE
CERTIFICATE NUMBER
ATL-000357591-12
THIS CERTIFICATE IS ISSUED AS 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.
j PRODUCER
i MARSH USA INC.
3475 PIEDMONT ROAD NE
SUITE 1200
ATLANTA, GA 30305
COMPANIES AFFORDING COVERAGE
FPL FIBERNET, LLC
ATTN: CRISTINA VALDES
9250 W FLAGLER STREET
MIAMI, FL 33174
COMPANY
A Federal Insurance Company
COMPANY
B National Union Fire Ins Co Pittsburgh PA
13170-GROUP-CAS-08-09
INSURED
COMPANY
C Insurance Company Of The State Of PA
COMPANY
o
COVERAGt::'$ This certificate supersedes andropl13ces any previously issued certificate for the policy period noted below,
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. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER I POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR , DATE (MMIDDIVY) DATE (MMIDDIVY)
A GENERAL LIABILITY 3711-09-31 09/15/08 09/15/09 GENERAlAGGREGAfE- $ 2,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMPIOP AGG $ 1 ,000,000
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
$ 10,000
A AUTOMOBILE LIABILITY 7352-37-44 09/15/09 $ 1,000,000
COMBINED SINGLE LIMIT
X ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
NON..QWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY $
UMBRELLA FORM $
OTHER THAN UMBRELLA FORM $
B WORKERS COMPENSATION AND WC 7207708 (AOS) 09/15/08 09/15/09 X
EMPLOYERS' LIABILITY
B WC 7207709 (CA) 09/15/08 09/15/09 1,000,000
B THE PROPRIETOR! INCL WC 7209331 (FL) 09/15/08 09/15/09 EL DISEASE-POLICY LIMIT 1,000,000
.IC-- PARTNERs/EXECUTIVE EXCL we 7209332 (OR.,TX) 0-,,; 15/09 ELDISEASE-EACA EMPLOYEE $ 1,000,000
OFFICERS ARE: 09n5/08
B OTHER WC 1591038 (WI) 09/15/08 09/15/09
DESCRIPTION OF OPERATIONSILOCATIONSlVEHICLESISPECIAL ITEMS
CITY OF CLEARWATER IS NAMED AS ADDITIONAL INSURED AS RESPECTS GENERAL
LIABILITY.
I
CERTIRCATE HOLDER
CANCELlATION
CITY OF CLEARWATER FLORIDA
CITY HALL
112 SOUTH OSCEOLA AVENUE
CLEARWATER, FL 33756
SHOULD IWY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL ~ DAYS WRrrTEN 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, OR THE
ISSUER OF THIS CERTIFICATE.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
BY: Ted L. Young
UL %-;.,~
MM1(3J02)
VAUD AS OF:09/11/08
- ~ ------ - --- ------------- - -- - ~----------- ---- --- --~-- -- - - - ------- . -~-
" < " ~ "\' >1 ' ~ t, '~, "" ~ n _ ,j <
PRODUCER
MARSH USA INC.
3475 PIEDMONT ROAD NE
SUITE 1200
ATLANTA, GA 30305
CERTIFICATE NUMBER
ATL-000357591-15
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POUCY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
FPL FIBERNET, LLC
ATTN: CRISTINA VALDES
9250 W FLAGLER STREET
MIAMI, FL 33174
COMPANY
A Federal Insurance Company
COMPANY
B National Union Fire Ins Co Pittsburgh PA
COMPANY
C Insurance Company Of The Slate Of PA
COMPANY
o
13170-GROUP-CAS-08-09
INSURED
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
N01WlTHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT V\IITH RESPECT TO 'MilCH 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. AGGREGATE
L1MrrS SHO\Mol MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POUCY NUMBER
POUCY EFFECTNE POUCY EXPIRATION
DATE (MMIDD/YV) DATE (MMIDDIYYI
UMITS
LtGSLA1Wi: SRVe.. mJ:
PROPERTY DAMAGE
$ 2,000,000
$ 1,000,000
$ 1,000,000
$ 1,000,000
$ 1,000,000
$ 10,000
$ 1,000,000
$
$
$
A GENERAL UABIUTY 3711-09-31
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [8] OCCUR
OWNER'S & CONTRACTOR'S PROT
09115/08
09/15/09
GENERAL AGGREGATE
PRODUCTS-COM~OPAGG
A
AUTOMOBIUE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEOULEO AUTDS
HIRED AUTOS
NON-OWNED AUTOS
7352-37-44
~eEIV ~
,,-.'" ()') 20 8
f-..t ",J
15/09
COMBINED SINGLE LIMIT
BODILY INJURY
(p,.. person)
ji.,L!-.:fCOkl ,~,
BODILY INJURY
(Per accident)
-.~i .
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' UABILlTY
09/15/08
09/15/08
09/15/08
09/15/08
09/15/08
09/15/09
09/15/09
09/15/09
09/15/09
09/15/09
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
GARAGE UABILlTY
ANY AUTO
EXCESS LlABIUTY
B
B
B
C
B
THE PROPRIETORl
PARTNERs/EXECUTIVE
OFFICERS ARE:
WC 7207708 (AOS)
WC 7207709 (CA)
INCL WC 7209331 (FL)
EXCL WC 7209332 (OR,TX)
WC 1591038 (WI)
X
DESCRIPTION OF OPERATIONSILOCATIONSNEHICUESISPECIAL ITEMS
CITY OF CLEARWATER IS NAMED AS ADDITIONAL INSURED AS RESPECTS GENERAL
LIABILITY.
CITY OF CLEARWATER FLORIDA
CITY HALL
112 SOUTH OSCEOLA AVENUE
CLEARWATER, FL 33756
SHOUlD A>N OF THe POUCIES DESCRIBED HEREIN BE CANCEllED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE Will ENDEAVOR TO MAil --3.0 DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN, BUT FAJLURE TO MAIL SUCH NOTICE SHALl IMPOSE NO OBUGATION OR
UABlUTY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
ISSUER OF THIS CERTIRCATE.
AUTHO"Iz&D "IP"E8ENTATIVI
of Minh USA Ino.
BY: Ted L. Young
7dL.~
VALID AS OF;09/15/08