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HomeMy WebLinkAboutInsurance Certificate: T-Mobile US, Inc. Its Subsidiaries and Affitiates, including Sprint Corporation .4corzc�� CERTIFICATE OF LIABILITY INSURANCE FDATE(MMJDD/YYYY) �... 5/1J2027 04/08/2026 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(s). PRODUCER Lockton Companies,LLC CONTACT DBA Lockton Insurance Brokers,LLC in CA PHONE - tC No xt: A/C No): CA license#0F15767 E-MAIL Three City Place Dr.,Ste.900 St.Louis MO 63141-7081 INSURERS AFFORDING COVERAGE NAIC# (314)432-0500 midwestcertificates@lockton.c INSURERA: Continental Casualty Company 20443 INSURED T-Mobile US,Inc. INSURER B:The Continental Insurance Company 35289 1358772 Its Subsidiaries and Affiliates, INSURER C: Transportation Insurance Company 20494 including Sprint Corporation 12920 SE 38th Street INSURER D Bellevue WA 98006 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 16984381 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 COND TIONS OF,9UCH POLICIES.LIMITS SH WN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADDL SUB POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 7012343900 05/01/202 05/01/2027 EACH OCCURRENCE $ 10 000 000 CLAIMS-MADE a OCCUR DAMAGE T RENTED $ O,000 000 P occurrence) Y Y MED EXP(Any oneperson) $ 25,000 PERSONAL&ADV INJURY $ 10,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 20,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGO $ 20,000,000 OTHER: $ A AUTOMOBILE LIABILITY 7012343878 05/01/202 05/01/202ED EOa MBI a.id.n ri SINGLE LIMIT $ 5,000,000 X ANY AUTO BODILY INJURY(Per person) $XXXXXXX OWNED SCHEDULED Y y BODILY INJURY(Per accident) $ XXXXXXX AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY AMAGE $ XXXXXXX AUTOS ONLY AUTOS ONLY er accident $XXXXXXX B X UMBRELLA LIAB NCLAIMS-MADE OCCUR 7014886953 05/01/202 05/01/202 EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB N N SIR applies per policy AGGREGATE $ 5,000,000 B DED X RETENTION$10,000 terms&conditions $ XXXXXXX WORKERS COMPENSATION X R TH- B AND EMPLOYERS'LIABILITY Y/N 7012343895�CA) OS) 05/01/202 05/01/202 'TAT TE ER B ANY PROPRIETORIPARTNDED' CUTIVE � NfA N 7012343,881 05/011202 05/01/202 E.L.EACH ACCIDENT $ 2,000,000 C OFFICER/MEMBER EXCLUDED? (Mandatory in NH) 7012447142 AZ,MA,WI) 05/01/202 05/01/2027 E.L.DISEASE-EA EMPLOYEE $ 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS i LOCATIONS t 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** f CERTIFICATE HOLDER CANCELLATION See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 16984381 AUTHORIZED REPRESENTATIVE CITY OF ASHLAND,OREGON ATTN:CITY ADMINISTRATOR CITY HALL,20 EAST MAIN STREET ASHLAND OR 97520 @ 1988-2015 ACORD-CORPORATION.All rights reserved ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Attachment Code : D590641 Master ID: 1358772, Certificate ID: 16984381 LOr CITY OF ASHLAND, OREGON ATTN: CITY ADMINISTRATOR CITY HALL, 20 EAST MAIN STREET ASHLAND OR 97520 kk'" , Se ` E Pr JAI 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 16984381 • Email : stZ-edel iverj19Zockton. 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 eZectronic certificate delivery ONLY. You will not receive a response from this inbox. Thank you for your cooperation. Lockton Companies Lockton Companies Y }} j Attachm 9278 Master ID: 1358772, Certificate ID: 16984381 n L £ L X b S 4 LL 1 aa"4! 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: 05/01/2026 Policy Effective Date: 05101/2026 Endorsement No: Page: 1 of 1 Underwriting Company: Continental Casualty Company C Copyright CNA All Rights Attachment Code : D559289 Master ID: 1358772, Certificate ID: 16984381 w , 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: 05/01/2026 Policy Effective Date:05/01/2026 Endorsement No: Policy Page: Underwriting Company: Continental Casualty Company O Copyright CNA All Rights CERTIFICATE OF LIABILITY INSURANCE DATE{MMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFOICATE HOLDER27 08TH21S 28 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(s). PRODUCER Lockton GOmpanies,LLC DBA Lockton Insurance Brokers,LLC in CA PHONE CA license#0F15767 Three City Place Dr.,Ste.900 E-MAIL 21, St.Louis MO 63141-7081 INSURED INSURERS AFFORDING COVERAGE (314)432-0500 midwestcertificates@Iockton.c INSURER Continental Casualty -Ompany 20443ca T-Mobile US,Inc. 358772 Its Subsidiaries and Affiliates, INSURER B:The Continental Insurance Com an 35289 including Sprint Corporation INSURER c:Trans ortation Insurance Corn an 20494 12920 SE 38th Street INSURER D: Bellevue WA 98006 INSURER E: COVERAGES INSURER F CERTIFICATE NUMBER: 16975097 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE REVISION IED ABOBVERFOR HE 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 L H TE I N A D N TI H LI IE .LIMITSH INSR DDL 5U a D I A H V N R D ED Y LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP A X COMMERCIAL GENERAL LIABILITY 7012343900 MM/DD/YYYY MM/DD LIMITS_ EACH OCCURRENCE $ CLAIMS-MADE�OCCUR 05/01/202 05/011202 10000000 A A E T D $10 000 000 Y Y MED EXP An one arson $ 25 000 GENT AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ 10 000 000 POLICY❑ SEC LOC GENERAL AGGREGATE $ 20 000 000 OTHER: PRODUCTS-COMP/OP AGG $ 20 000 000 A AUTOMOBILE LIABILITY $ X ANY AUTO 7012343878 05/01/202 05/01/202 EaaccideDSINGLELIMIT $ nt 5000000 OWNED SCHEDULED y y BODILY INJURY(Per person) $XXXXXXX AUTO IRED S ONLY AUTOS NON-OWNED BODILY INJURY(Per accident) $X)O(}(X}O( H AUTOS ONLY AUTOS ONLY PROPERTY AMAGE era ident $XXXXXXX B X UMBRELLA LIAR X OCCUR $XXXXXXX B EXCESS LIAB 7014886953 05/01/202 05/01/202 EACH OCCURRENCE B CLAIMS-MADE N N SIR applies per policy $ cj 0(}0 0Od DED X RETENTION$10,000 terms&conditions AGGREGATE $ 5000000 WORKERS COMPENSATION $XXXXXXX B AND EMPLOYERS'LIABILITY y/N 7012343895��AOS' X B ANY PROPRIETORIPARTNER/EXECOTIVE 05/01/202 05101/202 G, (MandaOFFICtory in N ER EXCLUDED? N/A (y 7012343881 CA) 05/01/202 05/01/202 E.L.EACH ACCIDENT $2_000,000 If IMandatoryin and 7012447142 Z,MA,WI) 05/01/202 05/01/202DES describe underE.L.DISEASE__EA EMPLOYEE $ 2 000 000 DESCRIPTION OF OPERATIONS below ., E.L.DISEASE-POLICY LIMIT $2 000 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) basis under general liability and are additional insured under auto The Certificate Holder and other entities defined written contract,statute,permit application or written agreement are additional insureds on a primary and non-contributory mobile liability as required by written contract.Waiver of Subrogation applies under general liability and automobile liability as required by written contract.**See Attached Endorsements** ! CERTIFICATE HOLDER CANCELLATION ee ac men S SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FASHLAAND, SHLAND AUTHORIZED REPRESENTATIVE STREET OR 97520 4110 ACORD 26(2016/03) The ACORD name and logo are registered marks o ACORD O 0 T A rig is reserve