CERTIFICATE OF LIABILITY INSURANCE
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYY)
TM 8/3/2000
PRODUCER 841 i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH INC. I NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT
1166 Avenue ofthe Americas I AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
I
I
New York, NY 10036-2774 I
hNSURER A: INSURERS AFFORDING COVERAGE
-~ Time Warner Inc. & any Subsidiary Company Travelers Indemnity of Illinois
INSURED
--
TIME WARNER ENTERTAINMENT. INSURER B: National Union Fire Ins. Co. of Pittsburg PA
ADVANCE/NEWHOUSE PARTNERSHIP INSURER C: See Attached
ROADRUNNER, STE 650 -..-
3030 N.ROCKY POINTE DRIVE W INSURER D:
INSURER E: ~--
TAMPA FL 33607
COVERAGES
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.
-- POLICY EFFECTIVE ----
INSR TYPE OF INSURANCE POLICY NUMBER POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MM/DDIYY)
I GENERAL LIABILITY EACH OCCURRENCE $ 2000000
A I x I C~MMERCIAL GENNERAL UA_~L1TY ------
FIRE DAMAGE (Anyone fire) $ 1000000
I CLAIMS MADE I l O~CUR I TC2JGLSA260T3514TIL 6/1/2002 6/1/2003 MED EXP (Anyone parsen) $ 10000.__
. ~ ~1_...1 L.><J v e----~
I-B OWNER'S CONTRACTOR'S PROTo TC2SCPP231 07380 6/1/2002 6/1/2003 PERSONAL & ADV INJURY $ 2000000
X CONTRACTUAL
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6000Q9L
1--.- n PROJEC 1-'-1 LOC PRODUCTS - COMP/O? AGO $ ~Q90000
X I POLICY
A AUTOMOBI LE L1ABII L1TY COMBINED SINGLE LIMIT
- TC2JCAP260T3483- TI L 6/1/2002 6/1/2003 $ 2000000
X ANY AUTO (Ea accident)
1-- TC2ECAP260T3495TCT
ALL OWNED AUTOS 6/1/2002 6/1/2003 BODILY INJURY
, $
i
SCHEDULED AUTOS TRJCAP 12008731T1 L (Per person)
-- 6/1/2002 6/1/2003
HIRED AUTOS I BODILY INJURY
1- TC2CAC231 07392 $
NON-OWNED AUTOS 6/1/2002 6/1/2003 (Per accident)
,- ---'.--
PROPERTY DAMAGE
- --_.- $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=1 ANY AUTO EA ACC $
OTHER THAN ------ --.--.
I AUTO ONLY
I AGG $
B EXCESS LIABILITY I EACH OCCURRENCE $ 20000000
BE1399883 6/1/2002 6/1/2003 AGGREGATE $ 20000000
~ ooo~ D CLAIMS MADE ---- ------~-~~._--~-
$
~ DEDUCTIBLE $
I" '--1 RETENTION $ I $
I
A I , TC2JUB260T3366 6/1/2002 WC STATUTORY LIMITS fTHER X
1 WORKERS COMPENSATION AND 6/1/2003
EMPLOYERS' LIABILITY TRHUB120D872A 6/1/2002 6/1/2003 E.LEACH ACCIDENT $ 2000000
E.L DISEASE. EA EMPLOYEE $ 2000000
E.L DISEASE. POLICY LIMIT $ 2000000
OTHER TC2JSPS120D151A 6/1/2002 6/1/2003 Occurrence/Aggregate $2M/$6M
A Railroad Proteclive Liability See Attached 3/1/2002 3/1/2003 Replacement Cost Value
C All-Risk Property
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
The City of Clearwaler is included as Addillonallnsured AlMA as required for permission 10 inslall Road Runner on the premises.
CERTIFICATE HOLDER
15
ADDITIONAL INSURED: INSURER LETTER:
CANCELLATION
CITY OF CLEARWATER
P.O. Box 4748
Clearwater, FL 33758-4.748
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 60 DAYS WRITTEN NOTICE TO
THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY LIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
Att": City Clerk
J/}WJwx ().MJ. (
ACORD 25-5 (7/97)
.. JtQ~lrlO NA
'~'k___""_","'''~.>4.,,,;,,..,,,,,_;,t,~,,,:;> ''''-''':/<-;--:;-''.:';.,...,-'",,^_,_._..:,..;.',,,*,,'-.,'-,- .-.,';;;
DATE (MM/DDIYY)
COMPANIES AFFORDING COVERAGE
CONTINUED FROM PAGE 1
COMPANY
E MUNICH REINSURANCE COMPANY
COMPANY
F SCOR REINSURANCE CO
COMPANY
G AXA REINSURANCE COMPANY
COMPANY
H ALLlANZ INSURANCE COMPANY
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A ACE INSURANCE CO. L TO
COMPANY
B LEXINGTON LONDON & NEW YORKlLLOYDS
COMPANY
C CONTINENTAL CASUAL TV CO
COMPANY
o FM GLOBAL
COVERAGES Tbls certificafesupersedes and replaces any previously issued certiflcate..'.'~'^''''''';>'' . '. ..,
THIS IS TO CERTIFY THAT 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
co I TYPE OF INSURANCE POLICY N UM BER POLICY EFFECTIVE 'POLICY EXPIRATION; COVERED PROPERTY LIMITS
LTR DATE (MM/DDIYYI DATE IMM/DDIYY)
A ~ PROPERTY 4% CXD3531061-7 03/01/02 .03/01/03 , I BUILDING :$ Replacement
'----'
B CAUSES OF LOSS 50% DP994702 03/01/02 ; 03/01/03 PERSONAL PROPERTY ;$ Replacement
'--, 6.5% RMP247910905 03/01/02 03/01/03 ;$
C RM'< ' BUSINESS INCOME Replacement
0 BROAD 10% LP353 03/01/03 '03/01/03 U EXTRA EXPENSE 1$ Replacement
E I----i SPECIAL 15% 0557860102 03/01/02 03/01/03 . BLANKET BUILDING '$ Replacement
F o EARTHQUAKE 3% F095018 03/01/02 03/01/03 BLANKET PERS PROP $ Replacement
G X FLOOD 1.5% P30997 03/01/02 ,03/01/03 i-l BLANKET BLDG & PP $ Replacement
H ~ All Risk Property 10% CLP3001651 03/01/02 03/01/03 i$
X BUSiness Interru tlon $
INCLUDES COPYRIGHTED MATERIAL OF ACORD CORPORATION WITH ITS PERMISSION.
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYY)
TM 6/1/1995
PRODUCER 723 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH INC. NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT
1166 Avenue of the Americas AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
i
New York, NY 10036.2774 INSURERS AFFORDING COVERAGE
-~._-_.._----
INSURED Time Warner Inc. & any Subsidiary Company INSURER A: Travelers Indemnity of Illinois
TIME WARNER ENTERTAINMENT. INSURER B: National Union Fire Ins. Co. of Pittsburg PA
ADVANCE/NEWHOUSE PARTNERSHIP INSURER C: See Attached
& TIME WARNER COMMUNICATIONS INSURER D:
2530 DREW STREET
INSURER E:
CLEARWATER FL 34625
COVERAGES
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.
INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION I LIMITS
LTR DATE (MM/DDIYY) DATE (MM/DDIYY)
GENERAL LIABILITY EACH OCCURRENCE $ 2000000
A
~~MMERCIAL GENNERAlll~ITY I FIRE DAMAGE (Anyone fire) $ 1000000
i~ CLAIMS MADE i X J OCCUR TC2JGLSA260T3514TIL 6/1/2002 6/1/2003 MED EXP (Any Onf' person) $ 10000
X- PERSONAL & ADV INJURY
. . OWNER'S CONTRACTOR'S PROTo TC2SCPP231 07380 6/1/2002 6/1/2003 $ 2000000
X CONTRACTUAL
GEN'l AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6000000
! POLICY ,"'-\ PROJEC i-l lOC PRODUCTS - COMP/OP AGO $ 3000000
X
A AUTOMOBILE L1ABIILlTY COMBINED SINGLE LIMIT
- TC2JCAP260T3483- TI L 6/1/2002 6/1/2003 $ 2000000
j ANY AUTO (Ea accident)
ALL OWNED AUTOS TC2ECAP260T3495TCT 6/1/2002 6/1/2003 BODILY INJURY
$
~ SCHEDULED AUTOS TRJCAP12008731TIL (Per person)
6/1/2002 6/1/2003
HIRED AUTOS BODILY INJURY
TC2CAC231 07392 $
NON-OWNED AUTOS 6/1/2002 6/1/2003 (Per accident)
Il ----,---------------
PROPERTY DAMAGE
- ----------------- ----- $
(Per accident)
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
l ANY AUTO I EAACC $
OTHER THAN --
AUTO ONLY'
AGG $
B EXCESS LIABILITY EACH OCCURRENCE $ 20000000
BE1399883 6/1/2002 6/1/2003 ---.- .-.-.-
D AGGREGATE $ 20000000
f ="" CLAIMS MADE - - ~ --------
$
.----
I~ DEDUCTIBLE 1- $
I RETENTION ..
$ $
A , TC2JUB260T3366 I WC STATUTORY LIMITS pTHER X
WORKERS COMPENSATION AND i 6/1/2002 6/1/2003 -
EMPLOYERS' LIABILITY TRHUB 1200872A 6/1/2002 6/1/2003 E. L EACH ACCIDENT $ 2000000
E.L. DISEASE. EA EMPLOYEE $ 2000000
E.L DISEASE - POLICY LIMIT $ 2000000
OTHER TC2JSPS1200151A I 6/1/2002 6/1/2003 Occurrence/Aggregate $2M/$6M
A Railroad Protective Liability See Attached 3/1/2002 I 3/1/2003 Replacement Cost Value
C Ail-Risk Property
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTITICA TE HOLDER AS ADDITIONAL INSURED.
CERTIFICATE HOLDER I 5 I ADDITIONAL INSURED: INSURER LETTER: - CANCELLATION
----"-
CITY OF CLEARWATER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOl'. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 60 DAVS WRITTEN NOTICE TO
112 SOUTH OSCALA AVE, THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
CLEARWATER. FL 34616 OBLIGATION OR LIABILITY OF ANY LIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES,
.I/}V\tv-wX {)IN. T ( Wl j -i A \Ul.1A C)..,U
PROPERTY {J I CASUALTY
ACORD 25-5 (7/97)
@ ACORD CORPORATION 1998
.'ODJTIONAlli~J
; ;':~;:';~:4.;';~'_;{ii:i,;::~},-;;/':H<:L},~~,:, ',:._./<;j"J<:::<i;.) :::':<::
DATE (MM/DDIYY)
COMPANIES AFFORDING COVERAGE
CONTINUED FROM PAGE 1
COMPANY
E MUNICH REINSURANCE COMPANY
COMPANY
F SCOR REINSURANCE CO
COMPANY
G AAA REINSURANCE COMPANY
COMPANY
H ALLIANZ INSURANCE COMPANY
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A ACE INSURANCE CO. L TO
COMPANY
B LEXINGTON LONDON & NEW YORKfLLOYDS
COMPANY
C CONTINENTAL CASUALTY CO
COMPANY
D FM GLOBAL
COVERAGES Tbis c;ertificatesupersedes and replaces any previously issued certificate. . ".,,\i(i2< .,: . '.,
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 'POLICY EXPIRATION: COVERED PROPERTY LIMITS
LTR DATE (MM/DDIYYI DATE (MMIDDIYY)
A ~ PROPERTY 4% CXD3531061-7 03/01/02 03/01/03 I BUILDING i$ Replacement
,
B CAUSES OF LOSS 50% DP994702 03/01/02 : 03/01/03 PERSONAL PROPERTY ;$ Replacement
C 8 6.5% RMP247910905 03/01/02 ,03/01/03 , BUSINESS INCOME :$ Replacement
I BASIC
0 BROAD 10% LP353 03/01/03 ' 03/01/03 U EXTRA EXPENSE i$ Replacement
E i SPECIAL 15% 0557860102 03/01/02 03/01/03 : BLANKET BUILDING 'S Replacement
F o EARTHQUAKE 3% F095018 03/01/02 03/01/03 BLANKET PERS PROP $ Replacement
G X FLOOD 1.5% P30997 03/01/02 , 03/01/03 -----i BLANKET BLOG & PP $ Replacement
H ~ All Risk Property 10% CLP3001651 03/01/02 ' 03/01/03 I I !$
; X , Business Interru tion $
INCLUDES COPYRIGHTED MATERIAL OF ACORD CORPORATION WITH ITS PERMISSION.
PAGE 2 AS ATTACHED TO CERTIFICATE OF INSURANCE
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDfYY)
TM 6/1/1995
PRODUCER 723 I
I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH INC. I NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT
1166 Avenue of the Americas I AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
New York, NY 10036-2774 INSURERS AFFORDING COVERAGE
1.__ ----- --. -.
INSURED Time Warner Inc. & any Subsidiary Company INSURER A: Travelers Indemnity of Illinois
INSURER B: ..----
TIME WARNER ENTERTAINMENT. National Union Fire Ins. Co. of Pittsburg PA
ADVANCE/NEWHOUSE PARTNERSHIP INSURER C: See Attached
& TIME WARNER COMMUNICATIONS INSURER D:
2530 DREW STREET ~NSORER E: ---
CLEARWATER FL 34625
COVERAGES
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.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
I POLICY EFFECTlve---POLlCY EXPIRATION
DATE (MM/DDfYY) DATE (MM/DDfYY)
LIMITS
GENERAL LIABILITY
X COMMERCIAL GENNERAL LIABILITY
=0 CLAIMS MADE ~ OCCUR
X
1- OWNER'S CONTRACTOR'S PROT.
X CONTRACTUAL
1-
GEN'L AGGREGATE liMIT APPLIES PER:
~ POLICY n PROJEC n LOC
A AUTOMOBILE L1ABIILlTY
EACH OCCURRENCE
2000000
--
1000000
10000
2000000
A
TC2JGLSA260T3514TIL
TC2SCPP231 07380
6/1/2002
6/1/2002
6/1/2003
6/1/2003
FIRE DAMAGE (Anyone fire)
MED EXP (Any nne person)
PERSONAL & ADV INJURY
~':~GGREGATE _.__. ~_____60Q9000
PRODUCTS. COMP/OP AGG $ 3000000
ALL OWNED AUTOS
TC2JCAP260T3483-TIL
TC2ECAP260T3495TCT
TRJCAP12008731T1L
6/1/2002
6/1/2002
6/1/2003
COMBINED SINGLE LIMIT
(Ea accident)
2000000
X ANY AUTO
1-
6/1/2003
BODILY INJURY
(Per person)
SCHEDULED AUTOS
1-
6/1/2002
6/1/2003
HIRED AUTOS
BODILY INJURY
--
I-
NON.OWNED AUTOS
TC2CAC231 07392
6/1/2002
6/1/2003
(Per accident)
-
I
PROPERTY DAMAGE
(Per accident)
B
GARAGE LIABILITY
1~=1 ANY AUTO
~XCESS LIABILITY
_~ OCCUR D
_ _~ ::~~~;':~E
AUTO ONLY - EA ACCIDENT
EA ACC
OTHER THAN
AUTO ONLY.
AGG
EACH OCCURRENCE
20000000
20000000
BE1399883
6/1/2002
6/1/2003
AGGREGATE
~:-I
A
,
, WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TC2JUB260T3366
TRHUB 1200872A
6/1/2002
6/1/2002
6/1/2003
6/1/2003
WC STATUTORY LIMITS pTHER
E_LEACH ACCIDENT
E.l. DISEASE. POLICY LIMIT
x
.---.- ._---~
$ 2000000
$ 2000000
... .-----
$ 2000000
$2M/$6M
E.L DISEASE. EA EMPLOYEE
OTHER
TC2JSPS1200151A
See Attached
6/1/2002
3/1/2002
6/1/2003
3/1/2003
Occurrence/Aggregate
Replacement Cost Value
A
C
Railroad Protective Liability
All-Risk Property
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
I 29 I
ADDITIONAL INSURED: INSURER LETTER:
CANCELLATION
CITY OF CLEARWATER
112 SOUTH OSCEOLA AVE.
CLEARWATER, FL 34616
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 60 DAYS WRITTEN NOTICE TO
THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY LIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES,
1/Wvwx OJN- T
PROPERTY
( ).(1 I AA \(A IA t).LI
f ./ CASUALTY
@ ACORD CORPORATION 1998
ACORD 25-S (7/97)
i" :,.",'" ",",' N" '"
. DDJrlO A
,t-l,;;~,~xi:~0, :i;;::~';i::'~~r<<,,~_-_,::_,,~'><;}!
DATE (MM/DDIYY)
COMPANIES AFFORDING COVERAGE
CONTINUED FROM PAGE 1
COMPANY
E MUNICH REINSURANCE COMPANY
COMPANY
F SCOR REINSURANCE CO
COMPANY
G AXA REINSURANCE COMPANY
COMPANY
H ALLlANZ INSURANCE COMPANY
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
COMPANIES AFFORDING COVERAGE
COMPANY
A ACE INSURANCE CO, L TO
COMPANY
B LEXINGTON LONDON & NEW YORKfLLOYDS
COMPANY
C CONTINENTAL CASUAL TV CO
COMPANY
D FM GLOBAL
COVERAGES Tbis certificatesupersecies and replaces any previously issued certificate. ""c'c."', .," '," ,
THIS IS TO CERTIFY THAT 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO I I POLICY EFFECTIVE' POLICY EXPIRATION;
TYPE OF INSURANCE , POLICY NUMBER . COVERED PROPERTY
LTR i DATE (MMIDDIYY) DATE IMMIDDIYY)
A i X I PROPERTY 4% CXD3531061.7 03/01/02 03/01/03
B rcwSES OF LOSS 50% DP994702 03/01/02: 03/01/03
R'---l 65% RMP247910905 03/01/02.03/01/03
C I BASIC
D BROAD 10% LP353 03/01/03! 03/01/03
E 15% 0557860102 03/01/02 03/01/03
~ SPECIAL
F ~ EARTHQUAKE 3% F095018 03/01/02 03/01/03
G ~ FLOOD 1-5% P30997 03/01/02! 03/01/03
H I X I All Risk Property 10% CLP3001651 03/01/02! 03/01/03
iX1 Business Interru tion
LIMITS
BLANKET PERS PROP
Replacement
Replacement
Replacement
I $ Replacement
'S Replacement
$ Replacement
$ Replacement
, I BUILDING i $
PERSONAL PROPERTY : S
, BUSINESS INCOME : $
U EXTRA EXPENSE
: BLANKET BUILDING
~ BLANKET BLDG & PP
I ,
!$
$
INCLUDES COPYRIGHTED MATERIAL OF ACORD CORPORATION WITH ITS PERMISSION.
PAGE 2 AS ATTACHED TO CERTIFICATE OF INSURANCE