TELECOMMUNICATIONS (9)
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PRODUCER
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 BY THE
POLICIES BELOW.
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 NATIONAL UNION FIRE INSURANCE COMPANY
LETTER
COMPANY B
LETTER N/A
COMPANY C
LETTER N/A
COMPANY D
LETTER N/A
COMPANY E
LETTER N/A
INSURED
GTE FLORIDA INCORPORATED
GTE CORPORATION
ONE STAMFORD FORUM
STAMFORD, CT 06904
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
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.
CO
LTR
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DATE (MM/DD/VY) DATE (MM/DD/VY)
07/01/97 07/01/00 GENERAL AGGREGATE $
PRODUCTS.COMP/OP AGG. $
PERSONAL & ADV. INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED.EXPENSE(Anyoneperson) $
07/01/97 07/01/00 COMBINED SINGLE
LIMIT $
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
EACH OCCURRENCE $
AGGREGATE $
07mf79T--- . . -07101700--' ^
EACH ACCIDENT $
DISEASE--POLlCY LIMIT $
DISEASE..EACH EMPLOYEE $
TYPE OF INSURANCE
A GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [2] OCCUR.
OWNER'S & CONTRACTOR'S PROT.
RMGL 113-50-91
A AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
GARAGE LIABILITY
X SELF-INSURED - PHYSICAL DMG.
RMCA 143-95-79
RMCA 143-95-80
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
5,000,000
5,000,000
5,000,000
5,000,000
50,000
10,000
1,000,000
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
..- . A
.. RJI.IlWCll6~Z8~77(Jill:J----
RMWC 116-28-28
RMWC 116-28-29 (CA)
RMWC 116-28-30 IL
OTHER
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.
500,000
500,000
500,000
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........ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF CLEARWATER? EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
112 S. OSCEOLA AVE. ........ MAIL~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
CLEARWATER, FL 34618-4748? LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
ATTN: M3. ELlD\~ETII DCrTI 'LA if LIABILITY OF A IND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
GIW MANAGER ;; '"'"000".... ~~"" '#.J~
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