TELECOMMUNICATIONS (11)
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... ........... ...... .. Ii...m':'rlel' ..::.:. ..... ..m..,.:. . ..n. ..,.. e............................. ........................................ ISSUE DATE (MM/O IYY)
:.:.::.:.~~~:~~:::.::.:.:.::.:.:.:i.i:!:.!i:i.i::::::~;~:~::I.:.:~::J:~.:I!:;:::il.J:I:::::::;:!:::!I:I!:!J:i:(~I:II:II!~I:I:I::::::i:!:::::!:!:!!!:!::::::::::::::::::::!i::i:::::!!:t.....::::!:!::::::::::::::::::::::::!:i::::::!::::::::i:::::::::::!:::::::::::::!!:: 06/27/97
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 BYTHE
POLICIES BELOW.
PRODUCER
JOHNSON & HIGGINS OF CONNECTICUT, INC.
FOUR STAMFORD PLAZA
107 ELM STREET, 6TH FLOOR
STAMFORD, CT 06902-3851
ATTN: LISA NEWMAN
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER
NATIONAL UNION FIRE INSURANCE COMPANY
INSURED
COMPANY B
LETTER
N/A
GTE CORPORATION
ONE STAMFORD FORUM
STAMFORD, CT 06904
COMPANY C
LETTER
N/A
COMPANY D
LETTER
N/A
~~ EN/A
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOlWlTHSTANDING 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MM/DDIYY)
A GENERAL LIABILITY RMGL 113-50-91 07/01/97 07/01100 GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCT8-COMP/OP AGG. $
CLAIMS MADE ~ OCCUR. PERSONAL & ADV. INJURY $
OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED.EXPENSE(Anyoneperson) $
A AUTOMOBILE LIABILITY RMCA 143-95-79. 07/01/97 07/01/00 COMBINED SINGLE
LIMIT $
X ANY AUTO RMCA 143-95-80
ALL OWNEO AUTOS BOOILY INJURY
(Per person) $
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
(Per accident) $
NON-OWNED AUTOS
GARAGE LIABILITY
PROPERTY OAMAGE $
X SELF-INSURED - PHYSICAL DMG.
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
A RMWC 116-28-27 (ALL) 07/01/97 07/01/00 X STATUTORY LIMITS
WORKER'S COMPENSATION
RMWC 116-28-28 EACH ACCIDENT $
AND
RMWC 116-28-29 (CA) DISEASE..POLlCY LIMIT $
EMPLOYERS' LIABILITY
RMWC 116-28-30 IL DISEASE-EACH EMPLOYEE $
OTHER
5,000,000
5,000,000
5,000,000
5,000,000
50,000
10,000
1,000,000
................. .~;jk:N~~~:::f::::a:;tt'Itft:a.~.... :-:-:.:.;.:.::::;:::::::::::::::;:::;:;:;:;:;:;:;:::::;:::;:::::::;:;:::;:::::::::::::;:::::::;:::::::::::::::::::::::::::::::::::;:;:;:;;;;;:;:;:;:;:::;:;:;:::::;::::::::::=
:;:::::::rr::}:::::::::::ji;~::::;;~~~~::: . ................:..:............... :::::::::;;::::::::::::::::::::;:::::::::::::::::::;:::::;::::::::::::::::::::::::::::::::::::::;::::::::::::::::::::::::::::::::::::::::::::':::':::::::::::::::::::::
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
..... EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ~
;:;:;;;; MAil ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT,
DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO RETENTIONS)
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED WHERE REQUIRED BY CONTRACT'S INDEMNITY PROVISIONS.
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CITY OF CLEARWATER, FLORIDA
112 S. OSCEOLA AVENUE
CLEARWATER, FL 34618-4748
ATTN: PAM AKIN
CITY ATTORNEY
500,000
500,000
500,000
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