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':ACORD' -_.. CERTIFIC E OF LIABILITY INSU CE DATE (MMlDDIYV) III 07101/99 .. . . . -- . -.." PRODUCER WSSF THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Woodruff-Sawyer & Co. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 220 Bush Street, 7th Floor ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Francisco,CA 94104-0000 COMPANIES AFFORDING COVERAGE 415-391-2141 COMPANY A ChubbNigilant Insurance CO. INSURED 007815 COMPANY Metricom Inc. B ChubblFederal Insurance Co. 980 University Avenue COMPANY Los Gatos, CA 95032-2375 C St. Paul Fire & Marine Insurance CO. COMPANY I D COVERAGES '. " . ~... .. ~ ... - --. - .. . . 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 (MMIDDIYY) DATE (MMIDDIYY) GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 o COMMERCIAl GENERAL LIABILIlY PRODUCTS - COMP/OP AGG $ 1,000,000 A I L JI CLAIMS MADE ~ OCCUR 35291948 09/30/98 09/30/99 PERSONAL & ADV INJURY $ 1,000,000 = OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 = FIRE DAMAGE (Anyone fire) $ 1,000.000 MED EXP (Anyone person) $ 10,000 gTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO Q ALL OWNED AUTOS BODILY INJURY $ B ~ SCHEDULED AUTOS 73164541 09130/98 09/30/99 (Per person) 0 HIRED AUTOS BODILY INJURY 'D $ NON.oWNED AUTOS (Per eccident) '0 PROPERTY DAMAGE $ J 2"ARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ i== ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILIlY EACH OCCURRENCE $ R UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND . L.t'JI ~~~Ifr.Ws II JIOJ,t'- EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 1,000,000 C THE PROPRIETORl 18 INCL WV A9401217 09/30/98 09130/99 EL DISEASE - POLICY LIMIT $ 1,000,000 PARTNERSlEXECUTIVE 1,000,000 OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLESlSPECIAL ITEMS City of LaPorte, itscouncil members, officers & employees are included as additional insureds but only as respects liability arising out of Metricom's performance of work under Right of Way Use Agreement dated 6121/99 as per form 40-02-0004 attached. CERTIFICATE HOLDER CANCELLATION 10 pay Notice For Non':P~Y...II!~~t~f~~.!!!i:!1!L __. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of LaPorte EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Atto: Martha Gilett, City Secretary ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 640 West Fairmont Parkway BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY LaPorte, TX 77572- OF ANY KIND UPON THE COMPANY, P'$ AGENTS OR REPRESENTATIVES. AUTHORIZE~NTATIVE .#' ,0, rA /1,..1 ~/"10 / //h I ~- -- r- ACORD 25-8 (1/95) . . , . ~ ACO.R~ C.9~PJj~TI9tnJi8:~.. . . .. ....