VERIZON AMERICAST (2)
CERTIFICATE NUMBER
NYC-001112057-13
PRODUCER
Marsh USA Inc.
1166 Avenue of Americas
New York, NY 10036
Attn: NewYork.certs@Marsh.com 212-948-0500
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POUCY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POUCIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
01042 .GTE-GAUW-05-06 AM ERIC TX FL
INSURED
VERIZON AMERICAST
ATTN: WANDA KOTERBA, MC: HQK02B75
6665 N MAC ARTHUR BLVD.
IRVING, TX 75039
COMPANY
A AMERICAN HOME ASSURANCE CO
COMPANY
B ILLINOIS NATIONAL INS. CO.
WANDA K
COMPANY
C NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA
COMPANY
o NIA
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 DOCWENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MMlDDlYY) DATE (MM/DDNY)
A GENERAL LIABIUTY RMGL 5743356 06130105 06130106 GENERAL AGGREGRATE $ 2,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS.COMP/OP AGG $ INCLUDED
CLAIMS MADE 0 OCCUR PERSONAL &ADV INJURY $ 2,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 2,000,000
X SELF-INSURED RETENTION FIRE DAMAGE (Anyone fire) $ 2,000,000
EQUALS $0.00 MED EXP (Anyone person) $ 5,000
A AUTOMOBILE LIABILITY RMCA 2713252 (AOS) 06130105 06130106
COMBINED SINGLE LIMIT $ 2,000,000
A X ANY AUTO RMCA 2713253 (MA) 06130105 06130106
A ALL OWNED AUTOS RMCA 2713254 (TX) 06130105 06130106 BODILY INJURY
A SCHEDULED AUTOS RMCA 2713255 (VA) 06130105 06130106 (Per person) $
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (per accidenl) $
X SELF-INSURED RETENTION
PROPERTY DAMAGE $
EQUALS $0.00
GARAGE LIABILITY AUTO ONL Y- EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCI DENT
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
A WORKERS COMPENSATION AND RMWC 6609759 (AOS) 06130/05 06/30/06
B EMPLOYERS' LIABILITY RMWC 6609764 (IL,MI,NY,Wl) 06130/05 06130/06
A THE PROPRIETOR! X INCL RMWC 6609760 (CA) 06130/05 06130/06 EL DISEASE.POLlCY LIMIT
PARTNERSlEXECUTIVE
C OFFICERS ARE: EXCL RMWC 6609763 (NV,OR) 06130105 06130/06 EL DISEASE-EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlSPECIAL ITEMS
CERTIFICATE HOLDER IS ADDITIONAL INSURED (EXCEPT ON WORK COMP) AS RESPECTS OPERATIONS OF THE NAMED INSURED TO THE EXTENT AND LIMITS
REQUIRED BY CONTRACT.
JUN 06 2005
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH
NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER
AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS
CERTIFICATE.
CITY OF CLEARWATER, FLORIDA
ATTN: PAM AKIN, CITY ATTORNEY
112 S. OSCEOLA AVENUE
CLEARWATER, FL 34618-4748
RECEIVED
~ITY ATTORNEV
MARSH USA INC
BY: Michaela Grasshofl
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