Loading...
CERTIFICATE OF LIABILITY INSURANCE (3)A CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 12/17/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER BWD Group LLC 45 Executive Drive Plainview NY 11803 INSURED Bright House Networks, LLC. 700 Carillon Parkway (Suite 6) St. Petersburg FL 33716 NAME: RISK MANAGEMENT DEPT (A/C. No. Ext1:516- 327 -2700 E -MAIL ADDRESS:flSkCertStw bWd.uS FAX No):516- 327 -2800 INSURER(S) AFFORDING COVERAGE NAIC INSURER A :National Union Fire Ins Co Pittsbur INSURER B :New Hampshire Insurance Company INSURER C :St. Paul Fire & Marine Insurance Co INSURER D 19445 23841 24767 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: • 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 INSR LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MMIDD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 6819509 (" r1 sag L t - 4WD .. tl `• I "-' n ) i wed 4 . is . 4.6 1/1/2014 i �i �7 r' L ' 1/1/2015 EACH OCCURRENCE $2,000,000 DAMAGE 70 RENTED PREMISES (Ea occurrence) $1,000,000 CLAIMS-MADE X OCCUR MED EXP (Any one person) $EXCLUDED PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE $20,000,000 GEN'L AGGREGATE X POLICY LIMIT APPLIES PRO - JFCT PER: LOC PRODUCTS - COMP /OP AGG $2,000,000 Per Loc/ProjectAgg $4,000,000 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON - OWNED. AUTOS 7062788 L�` ) ` :'� c ,/ L- ,.- 4 l 1/1/2015 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) ( ) $ PROPERTY DAMAGE (Per accident) $ $ C X UMBRELLALIAB EXCESS UAB X OCCUR CLAIMS -MADE ZUP12P7706914NF 1/1/2014 1/1/2015 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED X RETENT ON $10,000 $ g A B g B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N/A 043409026 1/1/2014 043409027 1/1/2014 043409028 1/1/2014 043409029 1/1/2014 043409030 1/1/2014 1/1/2015 1/1/2015 1/1/2015 1/1/2015 1/1/2015 X WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) 3030 N. Rocky Pointe Drive W., Tampa, FL 33607 Certificate holder is included as additional insured as per written contract or agreement. CERTIFICATE HOLDER City of Clearwater P.O. Box 4748 Clearwater FL 33758 -0000 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD