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CERTIFICATE OF LIABILITY INSURANCE (92)s'rC°& CERTIFICATE OF LIABILITY INSURANCE M/DD/YYYY) DATE (M L? 1 1110/ 11 /10/2009 PRODUCER THIS CERTIFICATION IS ISSUED-'KS A MATTER OF INFORMATION Marsh Risk & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1732 North First Street, Suite 400 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CA License No. 0437153 S J CA 95112 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. an ose, 696515---2009 INSURERS AFFORDING COVERAGE NAIC # INSURED NextG Networks Inc . INSURER A: Zurich American Insurance Company .. 16535 , NextG Networks of NY, Inc, dba NextG Net orks East ,?. INSURER B: Travelers Casualty Company Of Connecticut 36170 w 2216 O'Toole Avenue INSURER C: San Jose, CA 95131 INSURER D: INSURER E- V V V Grmurt 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. M NS LTR ADD' INSR TYPE OF INSURANCE POLICY NUMBER POUCYEFFECTNE POLICY EMIRATION LIMITS DATEIMMMD/YYn') DATE(MNIDDffM) A X GENERAL LIABILITY CPO 6549078-00 08/02/2009 08/02/2010 EACH OCCURRENCE 1 O O O )( COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 000 000 1 $ _: -- -- ... _ .. ... _ . .. - .. .. .... _.. p M16ES Ea occurrence , , _ .. _ . CLAIMS MADE Y OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1 000 000 , , GENERAL AGGREGATE $ 2 000 000 GEN ERAL AGGREG T M , , A PI ITAPPJES PRO_ ER PRODUCTS - COMP/OP AG $ 2,000,000 POLICY X JECT LOC A AUT OMOBILE LIABILITY CPO 6549078-00 2 9 0 0 COMBINED SINGLE LIMIT 000 000 $ 1 X ANY AUTO (Ea accident) , , ALL OWNED AUTOS BODILY INJURY SCHEDULEDAUTOS k N r? `? 4WVW 0 4= 028 Per parson) X HIRED AUTOS J ' BODILY INJURY $ NON-OWNED AUTOS (Per accident) X C?Ded: $1,000 LEGIS AL R T DAMAGE cc d n X Coll Ded: 1 000 IVE SRVC DEPT (Pera i e t $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHERTHAN EAACC $ AUTO ONLY: $ AGG EXCESS / UMBRELLA LIABILITY - EACH OCCURRENCE $ OCCUR F 1 CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND HTUB5403L51909 08101/2009 08/01/2010 WCSTATU- OTH- EMPLOYERS' LIABILnY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N L. EACH ACCIDENT $ 1,00 0,000 . _ .. OFFICERIMEMBER EXCLUDED? .-.... : •-_'--- . -.. - -- - - . .. .... .:. . ... .. _ . - .. - ..- ... -.. .. ... - - - - : _ _.... .L DISEASE - EA EMPLOYE S - 1 ,000 000 (Mandatory in NH) SPECIAL PROVIS ONS ? bedescribe low under .L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS(LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The City of Clearwater, FL is named as an additional insured per form U-GL-1175 B Ow (3/2007) under the named insured liability policies with respect to the operations of NextG Networks of NY, Inc., dba NextG Networks East under the registration with the City as a telecommunications service provider. CERTIFICATE HOLDER SEA-001442156-04 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Clearwater EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 112 S. Osceola Avenue 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT Post Office BOX , Clearwater, FL 33756 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND T H E INSURER, ITS AGENTS OR REPRESENTATIVES. UPPON T1 R E IEp oUf Mars $ 8 I?uranc?e Services , r Jordan Behemdt AN'Pabak ru.vra.r ca (cwa/U-I) ©1998-2009 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a. contract between the. issuing insurer(s),-authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. :.ae?uoa:: rn'a.,a a.gs?xrmZ.;: ?q a `srq? uc no :rrt p? noad'aa sut ' PS) . ?fQ ::M: . 79 xNo ?.t:.p?a:'7e?p uopszcos uodfoj" dap, due ? rpm. C4.? s7 IMTRWOM, %' f. -e : ara: mi saad pcxmsm;.? .P.p o? ?prn?:;?j' {tae. aye naC; a?o? ,rapes &M.-It.t ;.. '4 acor?zp? aa'?asxa? p?isice ?A? ? u?;?in,d5:a?uie?isuor ?cwaS tea jors?aa?ss?:aa?a?e .1n :s rssr=jo.::JI 7. "JL: Wwd .W:"ptcn paprnosd axwum! say, C?x?; w `M 40 P 'taP' d?I lPniplPP . ? :paln?u? paute? ' Z T S' C"Yd TrIOa sab TiHa Immlva Oa STRL: c Q !?rI '1RPV 013 &-may, D?3 ?.: ^?7s HDixn jo saassarj- aimp aijvuo ny -- paInsuI i oillp . 0 rpzRa .. 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