CABLE - CERTIFICATE OF INSURANCE
... .' ....../'.. ... .... ... . . . :......: .............. . ...d~~T;~IC~TE. NUMBER.........
;MAIt$.A...U$A.tNC. ......;;.... ........;CERTIFi;ICATE .'OFINSURAN'CE
..,...., NYC-OO 1112057-02
......,... " "'~.,
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA (NEW YORK) NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
ATTN: JANET NORMAN POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
1166 AVENUE OF THE AMERICAS AFFORDED BY THE POLICIES DESCRIBED HEREIN.
NEW YORK, NEW YORK 10036-2774 COMPANIES AFFORDING COVERAGE
(212) 345-5029 COMPANY
1042 -all-all-Ol-02 MEDIA TX FL A AMERICAN HOME ASSURANCE CO
INSURED COMPANY
VERIZON AMERICAST B ILLINOIS NATIONAL INS CO
ATTN: WANDA KOTERBA, MC: HQK02B75
6665 N MAC ARTHUR BLVD. COMPANY
IRVING, TX 75039 C NATIONAL UNION FIRE OF LOUISIANA
COMPANY
WANDA K D AI SOUTH INSURANCE CO
C()M~R~~E.S .t6i~<:Etijltl~esupersedesand replaces any previously issuedcertifjcateforthep()ncy:periQ!'ll"1cltEKjfj~!oW;.....'. (:1
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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MM/DDIYYI
A GENERAL LIABILITY RMGL 6124591 07/01/01 06/30/02 GENERAL AGGREGATE $ 10,000,000
-
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ INCLUDED
;...... 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) $ 50,000
MED EXP (Anyone person) $ 10,000
A AUTOMOBILE LIABILITY RMCA 5348555 (AOS) 07/01/01 06/30/02 $ 1,000,000
- COMBINED SINGLE LIMIT
A X ANY AUTO RMCA 5348556 (TEXAS) 07/01/01 06/30/02
-
X ALL OWNED AUTOS BODILY INJURY $
-
SCHEDULED AUTOS (Per person)
-
X HIRED AUTOS BODILY INJURY $
- (Per accident)
X NON-OWNED AUTOS
-
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
-
- ANY AUTO OTHER THAN AUTO ONLY: ........:....... ...
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
=j UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
..... fl\- . WORKERS COMPENSlmON,AN!l ........ RMWG-5276858 (AOS) . o. '.. ~ 06130/02 . . - -Xl r~~~ItJNsl iUl~ "
EMPLOYERS' LIABILITY
A RMWC 5276859 (CA) 07/01/01 06/30/02 EL EACH ACCIDENT $ 500,000
B THE PROPRIETOR! ~INCL RMWC 5276860 (IL) 07/01/01 06/30/02 EL DISEASE-POLICY LIMIT $ 500,000
C PARTNER&EXECUTNE RMWC 5276861 (LA) 06/30/02 EL DISEASE-EACH EMPLOYEE $ 500,000
OFFICERS ARE: EXCL 07/01/01
D OTHt:K RMWC 5276862 (GA) 07/01/01 06/30/02
B RMWC 5276863 (NY, WI) 07/01/01 06/30/02 WORKERS COMP & EMPLOYERS L1AB.
E RMWC 5276864 (NV, OR) 07/01/01 06/30/02 SEE ABOVE LIMITS
F RMWC 5276865 (AR,FL,MA,TN,VA 07/01/01 06/30/02
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/SPECIAL ITEMS ILIMITS MAY BE SUBJECT TO DEDUCTlBLES OR RETENTIONS)
CERTIFICATE HOLDER IS ADDITIONAL INSURED (EXCEPT ON WORK COMP) AS RESPECTS OPERATIONS OF THE NAMED INSURED TO THE
EXTENT AND LIMITS REQUIRED BY CONTRACT.
CERTIFICATE HOLDER .... ...... ;';)";:,,:.:.:: '.. ...,.'C ... .. ...,.)., ,.'....':....'.'......,.,.
,.. ...'.......,..."....,,,.....'..... ,....'......,.
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
CITY OF CLEARWATER, FLORIDA CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAil. SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
ATTN: PAM AKIN, CITY ATTORNEY
112 S. OSCEOLA AVENUE LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES.
CLEARWATER, FL 34618-4748
MARSH USA INC.
BY: Maryann Brainard ~~~
.,' ,C ....... ........,......:...' ...........:...,...< ..',:. .. ..1(9199) VAUDASOJ;:06I29IOl
PRODUCER
... .. . .i ... . ..................... DATE (MM/DDNY)
NYC-001112057~02 06/29/01..
COMPANIES AFFORDING COVERAGE
. AS:"rIOfJAtlN.FO'R'MATION.t
MARSH USA (NEW YORK)
ATTN: JANET NORMAN
1166 AVENUE OF THE AMERICAS
NEW YORK, NEW YORK 10036-2774
(212) 345-5029
01042 -all-all-01-02
COMPANY
E NATIONAL UNION FIRE INS. CO.
COMPANY
F INS CO STATE OF PENN (AIG) A++ XV BEST RATING
MEDIA
TX
FL
INSURED
VERIZON AMERICAST
ATTN: WANDA KOTERBA, MC: HQK02B75
6665 NMAC ARTHUR BLVD.
IRVING, TX 75039
COMPANY
G N/A
COMPANY
H
WANDA K
TEXT
WORKERS COMP POLICY (EXCESS OF SIR) FOR THE STATE OF OHIO ONLY:
CARRIER (E) - NAtiONAL UNION FIRE INS. CO.
POLICY NUMBER: RMWC 5276866 (OH)
EFFECTIVE DATE: 07/01/2001
EXPIRATION DATE: 06/30/2002
CERTIF'CAliE' H()\,;DER
CITY OF CLEARWATER, FLORIDA
ATTN: PAM AKIN, CITY ATTORNEY
112 S. OSCEOLA AVENUE
CLEARWATER, FL 34618-4748
INCLUDES COPYRIGHTED MATERIAL OF ACORD CORPORATION WITH ITS PERMISSION.