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HomeMy WebLinkAboutInsurance Certificate: Lightspeed Networks Inc dba LS Networks Inc .,---- ® ARD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �O 08/17/2021 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(les)must have ADDITIONAL INSURED provisions or be.endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. Astatement on this certificate does not'confer rights to the certificate holder in lieu of such endorsement(s). . . - PRODUCE_R ,.,. CONTACT NAME: _ y C nthia Reinsch _ UNITEL ' A/C.No.Esti: (402)434-7200 FAX No): (402)434-7272 1128 Lincoln Mall- E-MAIL ADDRESS: creinsch@unicogroup.com Suite 200 INSURER(S)AFFORDING COVERAGE NAIC#' Lincoln NE 68508IN$URERA, National Farmers Union P&C 16217 INSURED INSURER B: Accident Fund Insurance Co. - Lightspeed Networks,Inc.,DBA:LS Networks,Inc. INSURER c: RT Specialty LLC 921 SW Washington Street,Suite 370 INSURER D: INSURER E: Portland OR 97205 INSURER F: COVERAGES CERTIFICATE NUMBER: 21/22 ALL LINES REVISION NUMBER: 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. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR. PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A Y 1 RU0597660 08/01/2021 08/01/2022PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: , GENERAL AGGREGATE $ UNLIMITED .. POLICY. ROT ri LOC 0000PRODUCTS-COMP/OPAGG $ 200 OTHER: $ • AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) - ANY AUTOBODILYINJURY(Per person) $ _ A X OWNED SCHEDULED 1RU0597660 08/01/2021 08/01/2022 BODILY INJURY(Per accident) $ _ AUTOS ONLY AUTOS HIRED 'NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (Per accident) $ _ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,000 A EXCESS LIABCLAIMS-MADE 1CB0597661 08/01/2021 08/01/2022 AGGREGATE $ 10,000,000 ,DED X RETENTION$ 10,000 WORKERS COMPENSATION X STATUTE OTH- ER AND EMPLOYERS'LIABILITY Y/N BANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 oFFICER/MEMBEREXCLUDED? n N/A WCV6222760-0 08/01/2021 08/01/2022 - (Mandatory In NH) EL.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Limit -$5,000,000 C Technology Errors&Omissions EET1367401 08/01/2021 08/01/2022 Retention $75,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) City of Ashland is listed as an additional insured with respect to the general liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main St AUTHORIZED REPRESENTATIVE :. Ashland OR 97520 ~'~�" :— yam`.. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD