CABLE TELEVISION (2)
J&H MARSH & MCLENNAN INC.
FOUR STAMFORD PLAZA
107 ELM STREET, 6TH FLOOR
STAMFORD, CT 06902-3851
A TTN: LISA NEWMAN
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.
COMPANIES AFFORDING COVERAGE
....................................
.....................................
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ISSUE DATE (MM/DDIYYl
06/23/98
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PRODUCER
INSURED
GTE AMERICAST
GTE CORPORATION
ONE STAMFORD FORUM
STAMFORD, CT 06904
COMPANY A
LETTER
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
NATIONAL UNION FIRE INSURANCE COMPANY CO. OF PA
N/A
INSURANCE COMPANY STATE OF PENNSYLVANIA
N/A
N/A
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
___~t-ID1CAIEQ.J'!QIWITHSTANDING-ANY REQUlBEMFNT TFRM OFLC.ONDll"ION OF t.NV CONTRACTGR-OTHER-oGGIJMENT Wffii RESPEe'F-To-wHtett-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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYYl DATE (MM/DDIYYl
LIMITS
A GENERAL LIABILITY RMGL 113-50-91
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ~ OCCUR.
OWNER'S & CONTRACTOR.S PROTo
07/01/98
07/01/99
GENERAL AGGREGATE $
PRODUCTS-COMP/OP AGG. $
PERSONAL & ADV. INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED. EXPENSE (Anyone person) $
5,000,000
5,000,000
5,000,000
5,000,000
50,000
10,000
A AUTOMOBILE LIABILITY RMCA 143-95-79 07/01/98 07/01/99 COMBINED SINGLE
LIMIT $
X ANY AUTO RMCA 143-95-80
ALL OWNED AUTOS BODILY INJURY
(Per person) $
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
$
NON-OWNED AUTOS (Per accident)
GARAGE LIABILITY
PROPERTY DAMAGE $
X SELF-INSURED - PHYSICAL DMG.
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
A RMWC 347-07-71 (ALL) 07/01/98 07/01/99
WORKFR'!=i. r.:OMPEN~ATlnM RMWC 34f:6i-7i- ------ ---,- --------
EACH ACCIDENT $
AND
RMWC 347-07-73 DISEASE-POLICY LIMIT $
EMPLOYERS' LIABILITY
RMWC 347-07-74 DISEASE--EACH EMPLOYEE $
OTHER
5,000,000
500,000
500,000
500,000
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO RETENTIONS)
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED WHERE REQUIRED BY CONTRACT'S
INDEMNITY PROVISIONS.
CITY OF CLEARWATER ~
P.O. BOX 4748
CLEARWATER, FL 34618-4748
ATTN: D.AttJ 1~'.1SIYI~JJ~J1S
INT.~~J},.b. \~gIT ~f4E:f:;q8R -
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
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