CERTIFICATE OF INSURANCE
CERTIFICATE NUMBER
A TL-000357591-04
PRODUCER
MARSH USA, INC.
ATTN: MELISSA LOCKETT-SMITH
3475 PIEDMONT ROAD, N.E., SUITE 1200
ATLANTA, GA 30305
PHONE NO. (404) 995-3268
FAX NO. (404) 760-5610
713170nCAS-
INSURED
FPL FIBERNET, LLC
FPL GROUP, INC.
RISK MANAGEMENT DEPT.
700 UNIVERSE BOULEVARD
JUNO BEACH, FL 33408
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR AL TER THE COVERAGE
AFFORDED BY THE POLICIES OESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
A FEDERAL INSURANCE CO
COMPANY
B AMERICAN HOME ASSURANCE COMPANY
COMPANY
C
COMPANY
o
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 BYTHE POLICIES DESCRIBED HEREIN 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 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MMIDDIYY) DATE (MM/DDIYY)
A GENERAL LIABILITY 3711-09-31 09/15/04 0911 5105 GENERACAGGHEGRATE $ 2,000,000
COMMERCIAL GENERAL LIABILITY PRODUCTS-COM PlOP AGG $ 2,000,000
CLAIMS MADE 0 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 (Anyone person) $ 10,000
A AUTOMOBILE LIABILITY 7352-37-44 09/1 51\)4 09/15/05
COMBINED SINGLE LIMIT $ 1,000,000
ANY AUTO
ALL OWNED AUTOS BODIL Y INJURY
SCHEDULED AUTOS (Per person) $
X HI RED A,UTOS BODIL Y INJURY
X NON-OWNED AUTOS (per accident) $
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONL Y- EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
X UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
B WORKERS COMPENSATION AND WC 7207708 AOS 09/15104 09/1 5/05
B EM PLOYERS' LIABI L1TY WC 7207708 AOS 09/15104 09/1 5/05
THE PROPRIETORI INCL EL DISEASE-POLICY LIMIT
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE-EACH EMPLOYEE
A OTHER Foreign Excess 7497~77-11 09/1 5104 09/15/05
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
CITY OF CLEARWATER IS NAMED AS ADDITIONAL INSURED AS RESPECTS GENERAL
LIABILITY.
CITY OF CLEARWATER FLORIDA
CITY HALL
112 SOUTH OSCEOLA AVENUE
CLEARWATER, FL 33756
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH
NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER
AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS
CERTIFICATE.
MARSH USA INC
BY: Ronald A. Santaniello
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