CERTIFICATE OF LIABILITY INSURANCE (557)Client#: 157711
14WIDEOPENWE
ACORDTM CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
11/13/2014
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
J. Smith Lanier & Co.- Atlanta
11330 Lakefield Drive
Bldg 1, Suite 100
Duluth, GA 30097
CONTACT
NAME:
PHONE ) 770 476 -1770 FAX No):
Ext 770 476 -3651
E-MAIL
E L
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A : Travelers Property Casualty Co.
25674
INSURED
Knology, Inc.
WideOpenWest Finance, LLC
7887 East Belleview, Suite 1000
Englewood, CO 80111
INSURER B :
HC2JGLSA4C83489314
-- - °' •
INSURER C :
11/15/2015
INSURER D
$1,000,000
$1, 000 , 000
INSURER E
INSURER F :
CLAIMS -MADE
•
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
ADDLSUBR
INSR
WVD
POLICY NUMBER
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
LIMITS
A
GENERAL
X
LIABILITY
COMMERCIAL GENERAL LIABILITY
HC2JGLSA4C83489314
-- - °' •
11/15/2014
11/15/2015
EACH OCCURRENCE
$1,000,000
$1, 000 , 000
DAMAGE TO RENTED
PREMISES (Ea occurrence)
CLAIMS -MADE
X
OCCUR
MED EXP (Any one person)
$10,000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L
AGGREGATE
POLICY
LIMIT APPLIES
PRO
JECT
PER:
LOC
PRODUCTS - COMP /OP AGG
$2,000,000
$
A
AUTOMOBILE
X
X
LIABILITY
ANY AUTO
ALL OWNED
AUTOS
HIRED AUTOS
X
SCHEDULED
AUTOS
NON -OWNED
AUTOS
HC2JCAP158D50t414 -" -
11/15/2014
11/15/2015
COMBINED SINGLE LIMIT
(Ea accident)
$2,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
N / A
HSMJCUP158D538814
HC2JUB158D499414
11/15/2014
11/15/2014
11/15/2015
11/15/2015
EACH OCCURRENCE
$10,000,000
$10,000,000
AGGREGATE
WORKERS
AND
ANY
(Mandatory
If yes,
DESCRIPTION
DED
EMPLOYERS'
PROPRIETOR/PARTNER/EXECUTIVE
IC/ME
describe
X
COMPENSATION
ER
in NH)
under
OF
RETENT ON $10,000
LIABILITY
EXCLUDED
OPERATIONS below
Y / N
X
WC STATU-
TORY LIMITS
OTH-
ER
$
A
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's required)
City of Clearwater is named as additional insured as per written contract, but only with respects to the
general liability insurance and subject to the provisions and limitations of the policy.
TIFICATE HOLDER
CANCELLATION
City of Clearwater
P.O. Box 4748
Clearwater, FL 33756 -0000
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) 1 of 1
#S2429639/M2428964
19 8- 0�RD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
KVB