CABLE TELEVISION (3)
".' 'Y'F"'iL.,;~titii~~~;~t.i;,':
M~'~~>,.I~~fIN,C.
,;;: t;":
CERTIFICATE NUMBER
HOU-000088003-00
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.
COMPANIES AFFORDING COVERAGE
PRODUCER
MARSH USA INC.
1601 ELM STREET
2100 THANKSGIVING TOWER
DALLAS TX 75201
CONTACT: JAINA HAMILTON
MEDIA TX
FL
COMPANY
A AMERICAN HOME ASSURANCE CO
COMPANY
D AMERICAN INTERNATIONAL SOUTH INS CO
~e~I,'ilifi~"r:!,ii'ili:i:r::,>~:::>:>' i'i",','.:']'"hi$,~ijifK:atesd~i~d~~F~ifdf~~l~l:ii~f1~vlliU~iy1$Sl.Ied..rtlfitate,
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. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
GTE MEDIA VENTURES INCORPORATED
GTE CORPORATION
ATTN: WANDA KOTERBA, MC: HQK02B75
6665 N MAC ARTHUR BLVD.
IRVING, TX 75039
COMPANY
B N/A
COMPANY
C NATIONAL UNION FIRE OF LOUISIANA
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MMIDDNY) DATE {MMIDDNYI
A GENERAL LIABILITY GL 6123522 07/01/00 07/01/01 GENERAL AGGREGATE $ 10,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ INCL
CLAIMS MADE [K] OCCUR PERSONAL & ADV INJURY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 50,000
$ 10,000
A AUTOMOBILE LIABILITY CA 5347709 (AOS) 07/01/00 07/01/01 $ 1,000,000
COMBINED SINGLE LIMIT
A X ANY AUTO CA 5347710 (TX) 07/01/00 07/01/01
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONL Yi
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
A WORKERS COMPENSATION AND WC 5274758 (AOS) 07/01/00 07/01/01 X
EMP~RS~LI~I!I.UT)'_
27475 07/01/00 '\70,-----
C THE PROPRIETOR! X INCL WC 5274761 (LA) 07/01/00 07/01/01 EL DISEASE-POLICY LIMIT 500,000
PARTNERSlEXECUTIVE
D OFFICERS ARE: EXCL WC 5274762 (GA) 07/01/00 07/01/01 EL DISEASE-EACH EMPLOYEE $ 500,000
OTHER
ILLINOIS NATIONAL INS CO WC 5274763 (NY,WI)/ 5274760(IL) 07/01/00 07/01/01
NATIONAL UNION FIRE INS CO WC 5274764 (NV, OR) 07/01/00 07/01/01
INSURANCE CO STATE OF PA WC 5274765 (AR, FL, MA, TN, VA) 07/01/00 07/01/01
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONSI
CERTIFICATE HOLDER IS ADDITIONAL INSURED (EXCEPT ON WORK COMP) AS RESPECTS OPERATIONS OF THE NAMED INSURED TO THE
EXTENT AND LIMITS REQUIRED BY CONTRACT.
WORKERS COMP & EMPLOYERS L1AB.
SEE ABOVE LIMITS
CITY OF CLEARWATER, FLORIDA
ATTN: PAM AKIN, CITY ATTORNEY
112 S. OSCEOLA AVENUE
CLEARWATER, FL 34618-4748
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL ---3..0 DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILI1Y OF ANY KIND UPON THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES.
MARSH USA INC.
BY: Rex Cook
11-I ~