Certificates of Insurance DATE (MM /DD/YY)
al� INSURANCE
08!29!96
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
JOHNSON & HIGGINS OF CALIFORNIA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
345 CALIFORNIA STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
SAN FRANCISCO CA 94104 _ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
TEL# (415) 981 - 6700 COMPANIES AFFORDING COVERAGE
COMPANY
A RELIANCE NATIONAL INDEMNITY
INSURED --
URED O PERSONAL COMMUNICATIONS, COMPANY APPROVED BY RISK MANAGEMENT
B N/A Q/
L.P.
AIRTOUCH COMMUNICATIONS, INC. COMPANY BY > =,�
ATTN: BRUCE A. ARMS Risk Manager _ _ C
I uJ ,.,'� ,t
ONE CALIFORNIA STREET DAfiE� $� ' sct{a -�.
SAN FRA CISCO CA 94111 1 COMPANY
D
GOVES.ACiI.S.. . . . .
THIS IS TO CERTIFY THAT 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 TO WHICH 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 TYPE OF INSURANCE '� POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM /DD /YY) DATE (MM /DD /YY)
GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000
A X COMMERCIAL GENERAL LIABILITY NGB012807800 04/01/96 04/01/99 PRODUCTS - COMP /OP AGG $ 1,000,000 •
1 CLAIMS MADE L X OCCUR PERSONAL & ADV INJURY $ 1,000,000
I OWNERS & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
_ _ FIRE DAMAGE (Any one fire) $ 1,000,000
r , I MED EXP (Any one person) $ 5,000 •
A AUTOMOBILE LIABILITY NKA012807500 04/01/96 04/01/99
COMBINED SINGLE LIMIT $ 1,000,000
X I ANY AUTO
X � ALL OWNED AUTOS
BODILY INJURY
X I SCHEDULED AUTOS Received (Per person) I $
� Recelve� —1
X HIRED AUTOS
Ris �1 gn� t . L ss nt:ot BODIL INJURY
X NON -OWNED AUTOS (Per accident) $
DATE ..
K .A ° - PROPERTY DAMAGE $
INITIA1 �i —
GARAGE LIABILITY j Q. AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
f .
EACH ACCIDENT $
AGGREGATE1$
EXCESS LIABILITY EACH OCCURRENCE $
L —i UMBRELLA FORM `\ R '' AGGREGATE S
I OTHER THAN UMBRELLA FORM $
A 1 WORKERS COMPENSATION AND ', NWA012807100 04/01/96 04/01/97 X STATUTORY LIMITS
EMPLOYERS' LIABILITY NWA012807200 04/01/96 04/01/97 EACH ACCIDENT $ 1,000,000
THE PROPRIETOR INCL DISEASE POLICY LIMIT $ 1,000,000
PARTNERS /EXECUTIVE
OFFICERS ARE: EXCL: _ DISEASE - EACH EMPLOYEE $ 1,000,000
1 OTHER
.
I 1
DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO RETENTIONS)
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, ITS EMPLOYEES AND OFFICIALS ARE ADDED AS ADDITIONAL INSUREDS AS RESPECTS THE
INSTALLATION OF 5 TELECOMMUNICATIONS TOWERS IN MONROE COUNTY, FLORIDA
SEE ATTACHED FOR LIST OF LOCATIONS.
CC:JOSEPHINE CONDE @PRIMECO PERSONAL COMMUNICATIONS FAX: (407) 995 -5568
CERTIFI HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
MONROE COUNTY
ATTN: CLERK OF CIRCUIT COURT EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
500 WHITEHEAD STREET 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
KEY WEST FL 33040 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
'REVISED` OF ANY KIND UPON THE COMPANY, IT AGENTS OR REPRESENTATIVES.
le.-6. ' e ,.. / AUTHORIZED REPRESS ATIVE
C C - No,QM &6� /T Brenda G. Penn' j 5
ACORD 25 S .(3/93} ACQRD C- ORPORATION :1993
ADDITIONAL `INFORMATION ISSUEDA oai 2 siss
PRODUCER CERTIFICATE HOLDER
JOHNSON & HIGGINS OF CALIFORNIA MONROE COUNTY
345 CALIFORNIA STREET ATTN: CLERK OF CIRCUIT COURT
SAN FRANCISCO CA 94104 500 WHITEHEAD STREET
TEL# (415) 981 -6700 KEY WEST FL 33040
`REVISED*
INSURED
PRIMECO PERSONAL COMMUNICATIONS,
L.P.
AIRTOUCH COMMUNICATIONS, INC.
ATTN: BRUCE A. ARMS -Risk Manager
ONE CALIFORNIA STREET
SAN FRANCISCO CA 94111
TEXT
LOCATIONS OF SITES:
I. KEY LARGO
II. ISLAMORADA
III. GRASSY KEY
IV. WEST SUMMERLAND
V. STOCK ISLAND
PAGE 2 ',
(1) This certificate is not an insurance policy and does not amend or alter the
coverage afforded by the policies listed on this certificate,and (2) notwithstanding
any requirement, term or condition of any contract or other document with respect to
which this certificate may be concerned or may pertain, the insurance afforded by
the policies listed on this certificate is subject to all terms, exclusions and
conditions of such policy. (Calif. Ins. Code, Section 384)
Number 509
CERTIFICATE OF INSURANCE
This is to certify that AIRTOUCH COMMUNICATIONS, INC.
PRIMECO PERSONAL COMMUNICATIONS, L.P.
Address ONE CALIFORNIA STREET, 10TH FLOOR, SAN FRANCISCO, C 3411/
is insured under the terms & conditions of the following policies:
Lexington Insurance Company (See Attached SLA D -2) Policy #8785258
United States Fire Ins. Co. Policy #245000015
Federal Insurance Co. Policy #6593012
Effective October 1, 1995 through October 1, 1996
Limit of Liability: $10,000,000 in any one occurrence
(Higher Limits available upon request)
Kind of Insurance: "All Risk" Property insurance including Earthquake & Flood
subject to specific exclusions and annual aggregate limit on
Earthquake & Flood. Replacement Cost. Waiver of Subrogation.
Covering on: LEASE AGREEMENT
Location: 5 TELECOMMUNICATIONS TOWER
MONROE COUNTY, FL
Should any of the above described policies be cancelled before the expiration date
thereof, the issuing company will mail 30 days written notice to the certificate
holder named.
It is understood and agreed that the following party has an interest insured under
the above described policy:
MONROE COUNTY
ATTN: CLERK OF CIRCUIT COURT
500 WHITEHEAD STREET"
KEY WEST, FL 33040 A - dot,
Curtis de Vera
Johnson & Higgins of California
345 California Street
San Franicsco, CA 94104
ed- 8/22/96 (415) 981 -6700
cc:JOSEPHINE CONDE
cc:
NOTICE:
1. THE INSURANCE POLICY THAT YOU HAVE PURCHASED IS
BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY
THE STATE OF CALIFORNIA. THESE COMPANIES ARE
CALLED "NONADMITTED" OR "SURPLUS LINE" INSURERS.
2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL
SOLVENCY REGULATION AND ENFORCEMENT WHICH
APPLIES TO CALIFORNIA LICENSED INSURERS.
3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE
INSURANCE GUARANTEE FUNDS CREATED BY CALIFORNIA
LAW. THEREFORE, THESE FUNDS WILL NOT PAY YOUR
CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER
BECOMES INSOLVENT AND IS UNABLE TO MAKE
PAYMENTS AS PROMISED.
4. FOR ADDITIONAL INFORMATION ABOUT THE INSURER YOU
SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT,
BROKER, OR "SURPLUS LINE" BROKER OR YOU MAY
CONTACT THE CALIFORNIA DEPARTMENT OF INSURANCE
AT THE FOLLOWING TOLL -FREE TELEPHONE NUMBER
1- 800 - 927 -4357.
SLA FORM D -2 1/95
C=
I� lX i
C r'" BOARD OF COUNTY COMMISSIONERS
—../- r� ,,, MAYOR Shirley Freeman, District 3
O U N TY o - M O N RO E - 1 Mayor Pro tem Jack London, District 2
KEY WEST FLORIDA 33040 -, - � ., �
�!: rr .. Wilhelmina Harvey, District 1
(305) 2944641 .. Keith Douglass, District 4
` * I, , t.y Mary Kay Reich, District 5
iig rita ILY, 0. - -
-°` ,.
L
MEMORANDUM
TO: Ruth Ann Jantzen
Clerk's Office
FROM: Kay Miller N"'
Risk Management
DATE: September 10, 1996
SUBJECT: Primeco Personal Communications, L.P.
Attached is approved Certificate of Insurance for subject contract that constitutes insurance
sufficiency.
If you have any questions, please call.
cc: Norm Leggett, Communications
Reggie Paros, Public Safety
winword \contractsprimeco.doc
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:.::: �: :::. ;: �> ::: > :.: :.:. ::::: t�.�: � .:.;:.;:.;:.:;.;;;:>:.:.;:.;;;;:.>:;.;::.;;;: �:::::::::::::.;:.;:.;:.;:.;;;:;: .;:.;::;.;::::;;;:.;;:.:::.::: 03/31/97
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
JOHNSON & HIGGINS OF CALIFORNIA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
ONE CALIFORNIA STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
SAN FRANCISCO, CA ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
94111 COMPANIES AFFORDING COVERAGE
, COMPANY
A N/A
INSURED COMPANY
PRIMECO PERSONAL COMMUNICATIONS, n - d .. B RELIANCE NATIONAL INDEMNITY
L.P. 0
AIRTOUCH COMMUNICATIONS, INC. CO
ONE CALIFORNIA STREET, 9TH FLOOR J C
SAN FRANCISCO, CA 94111 COMPANY
ATTN: BRUCE A. ARMS -Risk Manager D
; ..:::::::.:::..:
THIS IS TO CERTIFY THAT 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 TO WHICH 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 TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UMITS f
LTR DATE (MM /DD/YY) DATE (MM/DD/YY) i
GENERAL UABIUTY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP /OP AGG $ {
CLAIMS MADE OCCUR PERSONAL & ADV INJURY $
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MED EXP (Any one person) $
AUTOMOBILE LIABILITY
ANY AUTO APPRO ED : •ISK M' AGEMFNT COMBINED SINGLE LIMIT $
ALL OWNED AUTOS t 1 • �I �� BODILY INJUR $
SCHEDULED AUTOS BY (Per person)
HIRED AUTOS DATE BODILY INJURY $
NON -OWNED AUTOS / L (Per accident)
WAIVFR: N/A J " YFS - -- a .
c) PROPERTY DAMAGE $
GARAGE UABIUTY V Lb+✓ AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS UABIUTY EACH OCCURRENCE _ $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
B WORKERS COMPENSATION AND NWA012807101 04/01/97 04/01/98 X, STATUTORY UMITS
EMPLOYERS' LIABILITY N WA012807201 04/01 /97 04/01/98 EACH ACCIDENT $ 1,000,000
THE PROPRIETOR/ INCL DISEASE - POUCY UMIT $ 1,000,000
PARTNERS/EXECUTIVE —
OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE $ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /SPECIAL ITEMS (UMITS MAY BE SUBJECT TO RETENTIONS)
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, ITS EMPLOYEES AND OFFICIALS ARE ADDED AS ADDITIONAL INSUREDS AS RESPECTS THE
INSTALLATION OF 5 TELECOMMUNICATIONS TOWERS IN MONROE COUNTY, FLORIDA
SEE ATTACHED FOR LIST OF LOCATIONS.
CC:JOSEPHINE CONDE fi1PRIMECO PERSONAL COMMUNICATIONS FAX: (407) 995 -5568
CEHTEFICikFE:i�iO
>' >:`�ANCE�s{i4Tl
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
MONROE COUNTY
ATTN: CLERK OF CIRCUIT COURT EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
500 WHITEHEAD STREET 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLIER NAMED TO THE LEFT,
KEY WEST FL 33040 / BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABIUTY
I *REVISED* -4- il OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORI D REPRESENTATIVE
BRE pp��NI '
i
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...................::::::::::::::::..:::::::: ::::::::•..:::::::::::::::::..: :::::::::::.:::::::.:::•:.:..............::::::._:............::::::::..............:::::::::............::::::::::: ::::::::::;::::::�;;::>;:•::•: I SS UE DATE M/DD/YV)
03/3119
................. ....... ::::::::::::::..............
..............
:::::>::::«::::; c:;..:::•::: :;••::•:•;:;,.<:;:;:.;:.:.:;;,.<:• r.`• r:.;:<::;•?:;.<:<;;;•;::; .::;:.::;.:.::,,.: � CERTIFICATE HOLDER
PRODUCER
JOHNSON & HIGGINS OF CALIFORNIA MONROE COUNTY
CLERK OF CIRCUIT COURT
ONE CALIFORNIA STREET 500 WHITEHEAD STREET
SAN FRANCISCO, CA KEY WEST FL 33040
94111 *REVISED*
INSURED
PRIMECO PERSONAL COMMUNICATIONS,
L.P.
AIRTOUCH COMMUNICATIONS, INC.
ONE CALIFORNIA STREET, 9TH FLOOR
SAN FRANCISCO, CA 94111
ATTN: BRUCE U
CE A. ARMS-Risk Manager
A
..............
.................
LOCATIONS OF SITES:
I. KEY LARGO
i II. ISLAMORADA
III. GRASSY KEY
IV. WEST SUMMERLAND
V. STOCK ISLAND
(1) This certificate is not an insurance policy and does not amend or alter the
coverage afforded by the policies listed on this certificate,and (2) notwithstanding
any requirement, term or condition of any contract or other document with respect to
which this certificate may be concerned or may pertain, the insurance afforded by
the policies listed on this certificate is subject to all terms, exclusions and
conditions of such policy. (Calif. Ins. Code, Section 384)
Nuler,509
CERTIFICATE OF INSURANCE
This is to certify that AIRTOUCH COMMUNICATIONS, INC.
PRIMECO PERSONAL COMMUNICATIONS, L.P.
Address ONE CALIFORNIA STREET, 10TH FLOOR, SAN FRANCISCO, CA 94111
is insured under the terms & conditions of the following policies:
Lexington Insurance Company (See Attached SLA D -2) Policy #8893226
Zurich Insurance Company Policy #MLP8362884
Liberty Mutual Fire Ins. Co. Policy #MM2 -66P- 037956 -016
Effective October 1, 1996 through October 1, 1997
Limit of Liability: $10,000,000 in any one occurrence
(Higher Limits available upon request)
Kind of Insurance: "A11 Risk" Property insurance including Earthquake & Flood
subject to specific exclusions and annual aggregate limit on
Earthquake & Flood. Replacement Cost. Waiver of Subrogation.
Covering on: LEASE AGREEMENT
Location: 5 TELECOMMUNICATIONS TOWER
MONROE COUNTY, FL
Should any of the above described policies be cancelled before the expiration date
thereof, the issuing company will mail 30 days written notice to the certificate
holder named.
It is understood and agreed that the following party has an interest insured under
the above described policy:
MONROE COUNTY
ATTN: CLERK OF CIRCUIT COURT
500 WHITEHEAD STREET
KEY WEST, FL 33040 ` % !/
PP 0 ED 1 NAGEMENT
/
BY
Curtis de Vera
�_a 4 _ G Johnson & Higgins of California
DATE 345 California Street
San Franicsco, CA 94104
ed- 10/2/96 WAWFR' N/A YFS (415) 981 -6700
cc:JOSEPHINE CONDE
Cjilf))