HomeMy WebLinkAboutInsurance Certificate: Sprint
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDfYYYY)
4/1/2011 3/30/2005
PRODUCER Lockton Companies, LLC-1 Kansas City THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
444 W. 47th Street, Suite 900 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Kansas City MO 64112-1906 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
(816) 960-9000 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
I INSURERS AFFORDING COVERAGE NAIC#
INSURED SPRINT CORPORATION et al 1010 INSURER A CONTINENTAL CASUALTY CO (AXV)
14966 6480 SPRINT PARKWAY INSURER B AMERICAN CASUALTY COo! Rcadin~YA
OVERLAND PARK KS 66251
INSURER C TRANSPORTATION INSURANCF COlA XV)
INSURER D
I INSURER E
INSURER'S AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER.
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR AOO'L POliCY EFFECTIVE POliCY EXPIRA TlON
LTR INSRO TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDIYY) DATE (MM/DDIYY) LIMITS
~NERAL LIABiliTY EACH OCCURRENCE $ 2,000.000
A ~ 3MMERCIAL GENERAL LIABILITY GL 2098357006 4/Ji2008 4/[/20 II ~~~~~H9E~~~~~r~nce\ $ XXXXXXX
- CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ XXXXXXX
.2S.. (,()NTRACTIJAI. PERSONAL & ADV INJURY $ 2000.000
~ *TENANTS lEGAL L1AB GENERAL AGGREGATE $ 10000.000
~'L AGGREAE LIMIT APFt PER PRODUCTS - COMP/OP AGG $ 3.000.000
X POLICY jrgT LOC
A ~TOMOBILE LIABILITY BUA 2098356')S6 4!\!200S 4/1/2011 COMBINED SINGLE LIMIT $ 2.000.000
~ ANY AUTO (Ea aCCIdent)
I - ALL OWNED AUTOS BODILY INJURY XXXXXXX
$
SCHEDULED AUTOS (Per person)
-
- HIRED AUTOS BODILY INJURY XXXXXXX
$
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $ XXXXXXX
(Per accident)
RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX
NOT APPLlCAIlI r: XXXXXXX
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $ XXXXXXX
OESS/UMBRELLA LIABILITY EACH OCCURRENCE $ XXXXXXX
OCCUR D CLAIMS MADE AGGREGATE $ XXXXXXX
i NOT APPLICABLE $ XXXXXXX
I D UMBRELLA
I R DEDUCTIBLE FORM $ XXXXXXX
RETENTION $ $ XXXXXXX
13 WC 2098356972 (AOS) 4/112008 4/1/2011 X I WC STATU- I 10TH
WORKERS COMPENSATION AND TORY LIMITS ER
C EMPLOYERS' LIABILITY WC 2098356938(ALOR WI) 4/1/2008 4/1/2011 1,000.000
ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $
B OFFICER/MEMBER EXCLUDED? WC 2098356941 (CA) 41/2008 ,1/1/20 II E L DISEASE - EA EMPLOYEE $ 1.000,000
13 If yes. describe under No N/A IN MONOPOLISTIC STATFS 1.000.000
SPECIAL PROVISIONS below E L DISEASE- POLICY LIMIT $
OTHER
I
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
*FIRL DAMAGE IS INCLUDED IN BROADER TENANT'S lEGAL LIABILITY FORM WITII LIMITS OF $ 1.000.000 PLR OCClIRRI:NlT. TilE CITY 01
I\SIII.i\ND. ITS OFFICLRS, UvlPLOYLlS & AGENTS ARE ADDITIONAl INSliRU)S AS RLSPECTS LIABILITY COVLRAG!'. ONLY AS REQlIIRLD
BY CO'nRACT RE: FlllLR OPTIC TELLCOMMlINICATIONS SYSTLM.
I
COVERAGES
CERTIFICATE HOLDER
130743
CITY OF ASHLAND
CITY HALL
20 E. MAIN STREET
ASHLAND. OR 97520
ACORD 25 (2001/08)
SPRCOO 1
DE
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL (lNliiOOl(~)Q'JIi1: MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, )l(LKX~'*')it!l( !)1:X~~I(I\'(C<
(0)( ~!l( X>ISOOX~ Xlf( )(1~Jl(,/,(Of::@ll'/'(~ )lElO)I XfclE)(OO~f( XIX ~oo;i\I1'$XOO"
AUTHORIZED REPRESE