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HomeMy WebLinkAboutInsurance Certificate: T-Mobile US, Inc. Its Subsidiaries and Affiliates, including Sprint CorporationCERTIFICATE OF LIABILITY INSURANCE 5/1/2026 FDATE(MMIDDIYYYY) 04/11/2025 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 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. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement($). PRODUCER Lockton Companies, LLC CONTeCT PHONE N Exile Three City Place Dr., Ste. 900 St. Louis MO 63141-7081 E-MAIL (314) 432-0500 midwestcertificates@lockton.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Continental Casualty Company 20443 INSURED T-Mobile US, Inc. INSURER B: The Continental Insurance Company 35289 INSURER C : Transportation Insurance Company 20494 358772 Its Subsidiaries and Affiliates, INSURER D including Sprint Corporation 12920 SE 38th Street Bellevue WA 98006 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 169/5U9/ 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 A-L THETERMS, I N AND COK DITIONS OF SUCH POLICIES. LIMIT H WN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTIR TYPE OF INSURANCE ADDL INSD SUB WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP WDDfYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx I OCCUR Y Y 7012343900 05/01/202 05/01/2026 EACH OCCURRENCE $ 10,000,000 PREMISES (Ea occurrence) AMA R N $ 10,000,000 MED EXP (Any oneperson) $ 25,000 PERSONAL & ADV INJURY $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑ ECT FX LOC OTHER GENERAL AGGREGATE $ 20,000,000 PRODUCTS - COMP/OP AGG $ 20,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y Y 7012343878 05/01/202 05/01/202 EOaacclid.n,) GLE LIMIT $ 5,000,000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident) $ XXXXXXX PROPERTY AMAGE er accident $XXXXXXX $XXXXXXX B B g X UMBRELLA LIAB IEXCESS LIAB X OCCUR CLAIMS -MADE N N 7014886953 SIR applies per policy terms & conditions 05/01/202 05/01/2026 EACH OCCURRENCE $ 5,000,000 AGGREGATE s 5,000,000 DED X RETENTION $ 10,000 $ XXXXXXX B B G, WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE N OFF ICER/MEMBER EXCLUDED' (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A I A N 7012343895�AOS) 7012343881 CA) 7012447142 AZ,MA,OR,WI ) I 05/01/202 05/01/202 05/01/202 05/01/202 05/01/202 05/01/202 X E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2 OOO OOO DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Certificate Holder and other entities defined by written contract, statute, permit application or written agreement are additional insureds on a primary and non-contributory basis under general liability and are additional insured under automobile liability as required by written contract. Waiver of Subrogation applies under general liability and automobile liability as required by written contract. **See Attached Endorsements— / GEK I II 11,A l t MULUrK %1PU146 1ZLLM I IwI\ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 16975097 AUTHORIZED REPRESENTATIVE CITY OF ASHLAND CITY HALL 20 E. MAIN STREET ASHLAND, OR 97520 1988-2015 ACORD CORPORATION. All rights reserved ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Attachment Code : D590641 Master ID: 1358772, Certificate ID: 16975097 l�1 l�^ V 1 � 1 CITY OF ASHLAND CITY HALL 20 E. MAIN STREET ASHLAND, OR 97520 IMPORTANT NOTICE Dear Certificate Holder for T-Mobile and its subsidiaries (including Sprint): In our continued effort to provide timely certificate delivery, Lockton Companies is transitioning to paperless delivery of Certificates of Insurance going forward. To ensure future renewals of this certificate, we need your email address. Please contact us via one of the methods below, referencing Certificate ID 16975097 •Email: st1-edeliverygZockton. com -Phone: 314-812-3888 If we do not receive your email address via one of the above methods prior to the client's next renewal, we will assume you no longer need the certificate. If you received this certificate through an internet link where the current certificate is viewable, we have your email and no further action is needed. The above inbox is for collecting email addresses for renewal electronic certificate delivery ONLY. You will not receive a response from this inbox. Thank you for your cooperation. Lockton Companies Lockton Companies Three CityPlace Dr, Suite 900 / St. Louis. MO 63141-7088 314-432-0500 / lockton.com Attachm'Ci278 Master ID: 1358772, Certificate ID: 16975097 1 It is understood and agreed that: If the Named Insured has agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if the Insurer cancels a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificate holders at least 30 days in advance of the date cancellation is effective. If notice is mailed, then proof of mailing to the last known mailing address of the Certificate holder on file with the Agent of Record will be sufficient to prove notice. Anv failure by the Insurer to notifv such Dersons or organizations will not extend or invalidate such This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another Form No: CNA75014XX (01-2015) Policy No: 7012343900 Endorsement Effective Date: 05/01/2025 Policy Effective Date: 05/01/2025 Endorsement No: Page: 1 of 1 Underwriting Company: Continental Casualty Company © Copyright CNA All Rights Attachment Code : D559289 Master ID: 1358772, Certificate ID: 16975097 CNA 1 It is understood and agreed that: If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificateholders at least 30 days in advance of the date cancellation is effective. If notice is mailed, then proof of mailing to the last known mailing address of the Certificateholder on file with the Agent of Record will be sufficient to prove notice. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another Form No: CNA68021XX (02-2013) Policy No: 7012343878 Endorsement Effective Date: 05/01/2025 Policy Effective Date: 05/01/2025 Endorsement No: Policy Page: Underwriting Company: Continental Casualty Company © Copyright CNA All Rights