CATV - CABLE TELEVISION - INSURANCE CERTIFICATE
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYY)
TM 8/3/00
PRODUCER 841 i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
MARSH INC. I CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
1166 Avenue of the Americas DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
i POLICIES BELOW.
New York, NY 10036-2774 INSURERS AFFORDING COVERAGE
INSURED Time Warner Inc. & any Subsidiary Company INSURER A: Travelers Indemnity of Illinois
TIME WARNER ENTERTAINMENT- INSURER B: AIU Insurance Company
ADVANCE/NEWHOUSE PARTNERSHIP INSURER C: Winterthur
ROADRUNNER, STE 650 ~._-------_._----
3030 N.ROCKY POINTE DRIVE W INSURER D: CNAContinental Casualtv
TAMPA FL 33607 INSURER E:
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 TOWHCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE
POUClES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGG REGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID
CLAIMS.
INSR
LTR
COVERAGES
TYPE OF INSURANCE
I POUCY EFFECTIVE
! DATE (MM'OONY)
6/1/01
6/1/01
EACH OCCURRENCE $
FIRE DAMAGE (Any me fire) $
MED EXP (MY ore person) $
PERSONAL & i'DV INJU RY $
GENERAL AGGREGATE $
PRODUCTS- COMPIOP AGG $
POUCY EXPIRATION
DATE (MM'DDNY)
6/1/02
6/1/02
POLICY NUMBER
LIMITS
A GENERAL LIABILITY
~Mv1ERCIAL GENNERAL
1x+-1 CLAIMS MAD ~ OCCUR
~ CONTRACTUAL
GEN'L AGGREGATE LIMIT APPLIES PER:
~ POLICY n PROJE n LOC
A AUTOMOBILE L1ABIILlTY
TC2JGLSA260T3514TIL
TC2SCPP231 D7380
X ANY AUTO
1-
TC2J CAP260T3483TI LO 1
TC2ECAP260T3495TCT01
TRJCAP120D8731T1L01
COMBINED SINGLE LIMIT
6/1/01 6/1/02 (Ea accident)
6/1/01 6/1/02 BODILY INJURY
(Per person)
6/1/01 6/1/02
BODILY INJURY
6/1/01 6/1/02 (Per accident)
PROPERTY DAMAGE
(Per accident)
AUTO ONLY - EA ACCIDENT
EA ACC
ALL OVIN EC AUTOS
1-
SCHEDULED AUTOS
1-
HIRED AUTOS
1-
--
NON.OWNED AUTOS
TC2CAC231 D739
-
GARAGE LIABILITY
1=1 ANY AUTO
OT HER THAN
AUTO ONLY:
AGG $
B
EACH OCCURRENCE
EXC ESS L1ABI L1TY
~ OCCUR D
BE3091467
6/1/01
6/1/02
AGGREGATE
CLAIMS
MADE
I DEDUCTIBLE
I RETENTiON
A
WCSTATUTORYLIMITS pTHEF
~_L~EACH A_CCIDENT__ __ ~~___y_
E_L DISEASE. EA EMPLOYEE $
TRJUB120D872A01
TG2J lJB-2-60-1=336OO1 ' -
6/1/01
-6/1/6--1-
WORKERS COMPENSATION AND
. -EMPJ.OYF.RS'l.lABJUIY_
6/1/02
- 6/1/02- ..-
----I
1- -
I
--l
!
6/1/02
3/1/02
3/1/02
E.L DISEASE - POLICY LIMIT $
I Occurrence/Aggregate
I Replacement Cost Value
OTHER TC2JSPS120D151ATIL01 ' 6/1/01
AC Railroad Protective Liability I HFP003962699 I 3/1/99
AII.Risk Property i
D i RMP247910712 3/1/99 ,
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
The City of Clearwater is included as Additional Insured AlMA as required for permission to install Road Runner on the premises_
CERTIFICATE HOLDER
ADDITIONAL INSURED: INSURER LETTER:_
CANCELLATION
15
2000000
1000000
10000
2000000
6000000
3000000
2000000
20000000
20000000
x
20QOO.QQ _ __
2000000
2000000
$2M/$6M
CITY OF CLEARWATER
P.O. Box 4748
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEULED BEFORE THE
EXPIRATION DATE THEREOF, TH: ISSUING INSURER WILL ENDEAVOR TO MAIL 60 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO
DOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY LIND UPON THE INSURER,
ITS AGENTSOR REPRESENTATIVES.
Clearwater, FL 33758-4748
AUn: City Clerk
I ,VL.LA c)..,U
CASUALTY
ACORD CORPORATION 1998
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ACORD 25-S (7/97)