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PRODUCER
MARSH USA INC.
1166 AVENUE OF THE AMERICAS
NEW YORK, NY 10036
Attn: Request: 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
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR AL TER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
BELL -PRIME-180-05-06
INSURED
VERIZON WIRELESS
PERSONAL COMMUNICATIONS LP
DBA VERIZON WIRELESS
180 WASHINGTON VALLEY ROAD
BEDMINSTER, NJ 07921
COMPANY
A AMERICAN HOME ASSURANCE COMPANY
COMPANY
8 N/A
COMPANY
C N/A
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDi'cATEB:--,,~
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAYBE 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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDDIYY)
POLICY EXPIRATION
DATE (MMIDDIYY)
06/30/06
LIMITS
$ 2000,000 i
$ INCL.
$ 2,000,000
$ 2,000,000
$ 500.000
$ 10,000
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 0 OCCUR
OWNER'S & CONTRACTOR'S PROT
RMGl574-4993
06/30/05
GENERAL AGGREGRATE
PRODUCTS-COMP/OP AGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone person)
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
COMBINED SINGLE LIMIT
$
BODILY INJURY
(Per person)
$
BODIL Y INJURY
(per acciden~
$
PROPERTY DAMAGE $
GARAGE LIABILITY
ANY AUTO
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
EXCL
AUTO ONL Y- EA ACCIDENT
OTHER THAN AUTO ONL Y:
EACH ACCI DENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EM PLOYERS' L1ABI LlTY
DESCRIPTION OF OPERA TIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
THE CERTIFICATE HOLDER IS ADDED AS AN ADDITIONAL INSURED AS RESPECTS CONSTRUCTION OF NEW COMMUNICATION TOWER AND INSTALLATION OF
EQUIPMENT CABINET. OPERATION AND MAINTENANCE OF CELL SITE #142503-A. SITE NAME: WASHBURN STREET WATER TOWER WAIVER OF SUBROGATION
IS INCLUDED. CC: AMY MCKENZIE @PRIMECOPERSONALCOMMUNICATIONS,L.P. FAX 414-390-8466
CITY OF OSHKOSH
ATTN: CITY ADMINISTRATOR
215 CHURCH AVENUE
OSHKOSH, WI 54902-1130
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.
MARSH USA INC
BY: Steven Becker
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