CERTIFICATE OF INSURANCE (3)
. .
. MARSH OE:IRTIF10AIE:CJF IISUAAIC E CERTIFICATE NUMBER
A TL -000357591-09
PRODUCER THIS CERTIFICATE IS ISSUED J;S A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA, INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE e
3475 PIEDMONT ROAD, N.E., SUITE 1200 POUCY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POUCIES DESCRIBED HEREIN.
ATLANTA, GA 30305 COMPANIES AFFORDING COVERAGE
COMPANY
1713170--CAS- A FEDERAL INSURANCE CO
--~--- ....
INSURED COMPANY
FPL FIBERNET, LLC B AMERICAN HOME ASSURANCE COMPANY
ATTN: CAROLYN SMITH -
9250 W FLAGLER STREET COMPANY
MIAMI, FL 33174 C
COMPANY
0
COVERAGES
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED
N01WITHSTANDING 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 HERE!N 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 POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRATION UMITS
LTR DATE (MMIDDNY) DATE (MM/DDNY)
A GENERAL UABlUTY 3711-09-31 09/15/06 09/15/07 GENERAL AGGREGATE $ 2,000,000
-
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 2,000,000
.--
I 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
MED EXP (Anv one person) $ 10,000
A AUTOMOBILE UABlUTY 7352-37-44 09/15/06 09/15/07 $ 1,000,000
- COMBINED SINGLE LIMIT
X ANY AUTO
- - --- . . -- .....
- ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
- ---------_.------ .
- HIRED AUTOS BODILY INJURY $
(Per accident)
- NON-OWNED AUTOS -.
I--- PROPERTY DAMAGE $
GARAGE UABlUTY AUTO ONLY - EA ACCIDENT $
f--
I--- ANY AUTO OTHER THAN AUTO ONLY: ~--------
EACH ACCIDENT $
f--
AGGREGATE $
EXCESS UABlUTY EACH OCCURRENCE $
==1 UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
B WORKERS COMPENSATION AND WC 7207708 AOS 09/15/06 09/15/07 I T~~ItJI~s I 1OJ~
EMPLOYERS' UABlUTY
B WC 7207709 CA 09/15/06 09/15/07 EL EACH ACCIDENT $ 1,000,000
B THE PROPRIETOR! RINCL WC 7209331 FL 09/15/06 09/15/07 EL DISEASE-POLICY LIMIT $ 1,000,000
PARTNERS/EXECUTIVE EL DISEASE-EACH EMPLOYEE $
OFFICERS ARE: EXCL 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
CITY OF CLEARWATER IS NAMED AS ADDITIONAL INSURED AS RESPECTS GENERAL
LIABILITY.
CERTIFICATE HOLDER CANCELLATioN
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
CITY OF CLEARWATER FLORIDA CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
CITY HALL
112 SOUTH OSCEOLA AVENUE LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES. OR THE
CLEARWATER, FL 33756 ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: Ronald A. Santaniello ,APAUJI A--<J~
l\I!M1 (3/(l2) VALID AS OF: 09/19/06