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HomeMy WebLinkAboutInsurance Certificate: Sprint Corporation et al ACC?R°° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/l/2017 3/21/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lockton Companies NAME: AX 444 W. 47th Street, Suite 900 PHONE Kansas City MO 64112-1906 e a L°' EXt A/c, N° (816) 960-9000 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A : Continental Casual Company 20443 INSURED SPRINT CORPORATION et al INSURER B : American Casual Company of Reading, PA 20427 14966 6480 SPRINT PARKWAY INSURER C : Transportation Insurance Company 20494 OVERLAND PARK KS 66251 INSURER D : INSURER E : INSURER F COVERAGES SPR0003 CERTIFICATE NUMBER: 130743 REVISION NUMBER: XXXXXXX 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. INS ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY N N GL5082521363 4/1/2014 4/1/2017 EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE 0 OCCUR DAMAGE TO RENTED 2SO 000 PREMISES Ea occurrence X CONTRACTUAL LIAB. MED EXP (An one person) XXXXXXX X *TENANTS LEGAL LIAB PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY7 PRO- F LOC PRODUCTS - COMP/OP AGG $ 3,000,000 OTHER $ A AUTOMOBILE LIABILITY N N BUA5082521329 4/l/2014 4/1/2017 E. accident SwGLE LIMIT $ 2,000,000 X ANY AUTO BODILY INJURY (Per person) $ XXXXXXX AUTOS NED AUTOSULED BODILY INJURY (Per accident $ XXXXXXX NON-OWNED PROPERTY DAMAGE $ XXXXXXX HIRED AUTOS AUTOS Per accident Gara ekee ers $ Included UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ XXXXXXX NOT APPLICABLE EXCESS LIAB CLAIMS-MADE AGGREGATE $XXXXXXX DIED RETENTION $ $ WORKERS COMPENSATION WC5082521282 RETRO 4/1/2016 4/1/2017 X STATUTE FIR C AND EMPLOYERS' LIABILITY N B YIN WC5082521296~DEDUCTIBLE) 4/1/2016 4/1/2017 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ B OFFICERIMEMBEREXCLUDED? IN I NIA WC5082521279(CA) 4/1/2016 4/1/2017 C (Mandatory in NH) SGL5082521315 (STOP GAP) 4/1/2016 4/1/2017 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) *FIRE DAMAGE IS INCLUDED IN BROADER TENANT'S LEGAL LIABILITY FORM WITH LIMITS OF $1,000,000 PER OCCURRENCE. THE CITY OF ASHLAND, ITS OFFICERS, EMPLOYEES & AGENTS ARE ADDITIONAL INSUREDS AS RESPECTS LIABILITY COVERAGE, ONLY AS REQUIRED BY CONTRACT. RE: FIBER OPTIC TELECOMMUNICATIONS SYSTEM. CERTIFICATE HOLDER CANCELLATION See Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 130743 AUTHORIZED REPRESENTATIVE CITY OF ASHLAND CITY HALL 20 E. MAIN STREET ASHLAND, OR 97520 { ACORD 25 (2014/01) ©19 8-2014 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL WRITTEN NOTICE IN ACCORDANCE WITH THE POLICY PROVISIONS TO THE CERTIFICATE HOLDER NAMED WITHIN THE STATED TIME FRAMES OF 30 DAYS, EXCEPT FOR REASON OF NON-PAYMENT OF PREMIUM AT 10 DAYS. FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Miscellaneous Attachment : M463964 Master ID: 14966, Certificate ID: 130743