TELECOMMUNICATIONS (10)
JOHNSON & HIGGINS OF CONNECTICUT, INC.
FOUR STAMFORD PLAZA
107 ELM STREET, 6TH FLOOR
STAMFORD, CT 06902-3851
A TTN: LISA NEWMAN
................. ..............................................
................................... .....................................................................................
.................. .......................................
.................
.................
.................
// ISSUE DATE (MM/DDIYY)
.... .......... 06/16/97
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 BY THE
POLICIES BELOW.
PRODUCER
COMPANIES AFFORDING COVERAGE
GTE CORPORATION
ONE STAMFORD FORUM
STAMFORD, CT 06904
COMPANY A LUMBERMENS MUTUAL CASUALTY COMPANY
LETTER
COMPANY B
LETTER ARB ELLA MUTUAL INSURANCE COMPANY
COMPANY C
LETTER N/A
COMPANY D
LETTER N/A
COMPANY E
LETTER N/A
INSURED
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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MM/DDIYY)
A GENERAL LIABILITY 3YL945140-02 07/01/96 07/01/97 GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG, $
CLAIMS MADE ~ OCCUR. PERSONAL & ADV. INJURY $
OWNER'S & CONTRACTOR'S PROTo EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED.EXPENSE(Anyoneperson) $
A AUTOMOBILE LIABILITY F3B003662-01 07/01/96 07/01/97 COMBINED SINGLE
LIMIT $
X ANY AUTO 3ZL945140-00
ALL OWNED AUTOS F5B003204-04 BODILY INJURY
(Per person) $
SCHEDULED AUTOS F5D006441-02
B HIRED AUTOS X3P017870-07 BODILY INJURY
(Per accident) $
NON-OWNED AUTOS (POLICIES APPLICABLE
GARAGE LIABILITY BY STATE)
PROPERTY DAMAGE $
X SELF-INSURED - PHYSICAL DMG.
EXCESS LIABILITY EACH OCCURRENCE
UMBRELLA FORM
OTHER THA"LUMBRELLA I=m'-"L
A 5CL945140-05 07/01/96 07/01/97
WORKER'S COMPENSATION
EACH ACCIDENT $
AND
DISEASE--POLlCY LIMIT $
EMPLOYERS' LIABILITY
DISEASE--EACH EMPLOYEE $
OTHER
1,000,000
1,000,000
1,000,000
1,000,000
50,000
10,000
1,000,000
500,000
500,000
500,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO RETENTIONS)
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED YHERE REQUIRED BY CONTRACT'S INDEMNITY PROVISIONS.
.'g~fft!f!gA!I$..HQ~p.iR
CITY OF CLEARWATER, FLORIDA
112 S. OSCEOLA AVENUE
CLEARWATER, FL 34618-4748
ATTN: PAM AKIN
CITY ATTORNEY
UU:U.:PAN.~t~itj>><..
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ~
MAIL~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT,
...............................................
..AQ. ..,... .0.. ...R. "0.'. ....2. "$" '..S. ....(Z'. "t.$.Q' .,. ......).......'.'..
.. . . .... .....
.. . .. ... ......
. ... .. .. .....
. .. .. . .. . ......
::.:......-:.......:......:::.......:-...-:::...:.:........"::::::-:-:'
[:[:[~i~i~i~i~i~[:[~j~j~j~j~i:i~j~[:j~j~j~j~j~j~j~j~j~j~j~j~j:[:i~;:j~j~j~i~j~j~j~i~j~j~j;j;i~j~~~i:j~j~j:i;i:i~i~i~j;i;j~j:j:i:i:::::j:j;j:i:~:i:::[:j:~:i:i:i:i:i:j~j~ijijj~j
// AUTHORIZED REPRESENTATIVE
ikilm@wiii@ilWWl~:::;~,~iI.=~#.