CERTIFICATE OF INSURANCE (2)
PRODUCER
MARSH USA, INC.
3475 PIEDMONT ROAD, N.E., SUITE 1200
il
CERTIFICATE NUMBER
A TL-000357591-07
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 ALTER THE COVERAGE
AfFORDED BY THE POLICIES DESCRIBED HEREIN.
A TLANT A, GA 30305
13170--CAS-
COMPANIES AFFORDING COVERAGE
INSURED
LC)
J: ~,l
COMPANY
A FEDERAL INSURANCE CO
FPL FIBERNET, LLC
ATTN: CAROLYN SMITH
9250 W FLAGLER STREET
MIAMI, FL 33174
COMPANY
B AMERICAN HOME ASSURANCE COMPANY
COMPANY
C
COMPANY
D
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 BY THE 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 (MM/DDIYY) DATE (MM/DDIYY)
A GENERAL LIABILITY 3711-09-31 09/15/05 09/15/06 GENERAL AGGREGATE $ 2,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COM PlOP AGG $ 2,000,000
CLAIMS MADE IZJ OCCUR PERSONAL & ADV INJURY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
$ 1,000,000
$ 10,000
A AUTOMOBILE LIABILITY 7352-37-44 09/15/05 09/15/06 $ 1,000,000
COMBINED SINGLE LIMIT
ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY $
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY,
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
B WORKERS COMPENSATION AND we 7207708 AOS 09/15/05 09/15/06
EMPLOYERS' LIABILITY
B W.CT}.97?Q9 CA 09/15/05 09/15/06
THE PROPRIETOR! INCL EL DISEASE-POLICY LIMIT
PARTNERs/EXECUTIVE EL DISEASE-EACH EMPLOYEE $
OFFICERS ARE: EXCL
A OTHER Foreign Excess 7497-77-11 09/15/05 09/15/06
RECEIVED
DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLESlSPECIAL ITEMS
CITY OF CLEARWATER IS NAMED AS ADDITIONAL INSURED AS RESPECTS GENERAL
LIABILITY.
RiSK MANAGEMENT
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 WLL ENDEAVOR TO MAIL --3D DAYS WRIDEN 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 ,An~ A"""O~