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HomeMy WebLinkAboutInsurance Certificate: Sprint Communications ......--., ACORD' CERTIFICATE OF LIABILITY INSURANCE 4/1/2012 I DATE (MMlDDIYYYY) ~ 3/16/2011 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 PDUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOr CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SI, 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 tenns 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 Com~anies, LLC-l Kansas City 444 W. 47th treet, Suite 900 I r,oe No>, Kansas Ci~ MO 64112-1906 E.MAIl. (816) 960- 000 .,.,"" INSURER A : Continental Casualtv Comnanv 20443 INSURED SPRINT COMMUNICATIONS CO., LP INSURER B : American CasuallY Comoanv of ReadinE. PA 20427 14966 6480 SPRINT PKWY INSURER C : Transnortation Insurance Comoanv 20494 OVERLAND PARK KS 66251 COVERAGES SPRC{)03 D" CERTIFICATE NUMBER; 2699825 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. NOlWlTHSTANDING 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 POLlClES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'IN~:: TYPE OF INSURANCE AODl SUB' POLICY NUMBER POLICY EFF POLICY EXP LIMITS I A ~NERAl.l.IABIl.1TY N N GL4014104273 4/1/2011 411/2014 EACH OCCURRENCE 2 000 000 X COMMERCIAl GENERAL LIABILITY ~~*~l9E~~EJ>Ancel XXXXXXX -1 CLAIMS-MADE [K] OCCUR MED EXP {Anv one oetSonl XXXXXXX X CONTRACTUAL LIAR PERSONAL & ADV INJURY . 2 000 000 X 'TENANTS LEGAL L1AB GENERAL AGGREGATE . 10000000 ~:l~~~~nE LIMIT FlES PER. PRODUCTS - COMP/OP AGG S 3 000 000 X pn'l ~~R.,: 1,/v- . A ~TOMOBIl.E l.IABILITY N N BUA4014104287 4/1/2011 4/1/2014 'PF~~~lS~~~I~INGLE LIMIT . 2 000 000 ~ ANY AUTO BODILY INJURY (pet person) . XXXXXXX All. g~ED r- SCHEDULED - AUT I-- AUTOS BODILY INJURY (Per accident S XXXXXXX - HIRED AUTOS I-- ~8r6~WNED Pp~?~E~~RAMAGE . XXXXXXX Garaeekeeners . Included - UMBRELLA LIAB I -i~CCUR EACH OCCURRENCE . XXXXXXX EXCESS lIAB CLAIMS-MADE NOT APPLICABLE AGGREGATE . XXXXXXX oeD I I RETENTION S . C WORKERS COMPENSATION N WC4014104225~RETR~ 4/1/2011 4/1/2012 X IT~.-i'T~r,V<1 10,J~ AND EMPLOYERS' LIABILITY YIN B ANY PROPRIETORIPARTNERlEXECUTIVE IE] WC4014104239 DEDU TIBLE 4/1/2011 4/1/2012 E,L. EACH ACCIDENT . I 000 000 B OFF1CER/MEM8ER EXCLUDE.D? NIA WC4014104242 beAd 4/1/2011 4/1/2012 B (Mandatory In NHI N/A IN MONO? LI TIC STAT S EL.OISEASE EA EMPlOYEE I, 1 000 000 ~m~~~ ~~OPEAATIONS t>elow EL. DISEASE. POLICY LIMIT I. I 000 000 DESCRIPTION OF OPERATIONS I lOCATIONS I VEHICLES I(Attach ACORD 101, Additional Remar1<s Schedule, if more space ia required) 'FIRE DAMAGE IS INCLUDED IN BROADER TENANT'S LEGAL LIABILITY FORM WITH LIMITS OF $1.000,000 PER OCCURRENCE. ELECTED AND APPOINTED OFFICERS, OFFICIALS, AGENTS AND EMPLOYEES ARE ADDITIONAL INSURED AS REQUIRED BY CONTRACT AND SUBJECT TO POLICY TERMS AND CONDITIONS. RE: INST ALLA TlON. OPERATION & MAINTENANCE OF TELECOMMUNICATIONS EQUIPMENT. CERTIFICATE HOLDER CANCELLATION See Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AiCORDANCE WITH THE POLICY PROVISIONS. 269982S CITY OF ASHLAND. OREGON A TTN: CITY ADMINISTRATOR CiTY HALL, 20 EAST MAIN STREET ASHLAND OR 97520 AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) 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!D: 14966, Certificate !D: 2699825 ~ ACORD. CERTIFICATE OF LIABILITY INSURANCE 4/112012 I DATE (MM/DD1YYYY) ~ 3116/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMA TlVEL Y OR NEGA nVEL Y 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 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 Com~anies, LLC-1 Kansas City 444 W. 47th lree\, Suile 900 No Ext': I fffc No" Kansas Ci~ MO 64112-1906 E-MA1!... (816) 960- 000 ".~. INSURER A : Continental Casualtv Comnanv 20443 INSURED SPRINT CORPORATION et al INSURER B: American Casualtv Comnanv of Readini:!_ P A 20427 14966 6480 SPRINT PARKWAY INSURER c: Transnortation Insurance Comnanv 20494 OVERLAND PARK KS 66251 COVERAGES SPRC003 DE CERTlFICATE NUMBER; 110743 REVISION NUMBER: XXXXYYX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATEO. 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 CONOITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I,Nj,!': TYPE OF INSURANCE I~g'p~ I~~ POLICY NUMBER P L1CYEFF POLICY EXP LIMITS A ~NERAL LIABILITY N N GL4014104273 4/112011 4/112014 EACH OCCURRENCE . 2 000 000 X DAMA E TO RENTED . XXXXXXX COMMERCIAl GENERAl LIABILITY a I CLAIMS-MADE [X] OCCUR MED EXP IAnv one ......l1IOn\ . XXXXXXX X CONTRACTUAL L1AB. PERSONAL & AnV INJURY , 2 000 000 X 'TENANTS LEGAL L1AB GENERAL AGGREGATE , 10000000 ~LAGG:n~ LIMIT nES PER: PRODUCTS - COMPfOP AGG S 3 000 000 X 1~t'.P.; Lno , A ~TOMOBILE LIABILITY N N BUA4014104287 4/1/2011 4/1/2014 COMBI~E~t~INGLE LIMIT , 2 000 000 K ANY AUTO ~ BODILY INJURY (Per person) , XXXXXXX ALL gWNED ~CHEDULED BODILY INJURY (Per accident S XXXXXXX - AUT S f- UTOS HIRED AUTOS NON-OWNED PROPE~TY DAMAGE , XXXXXXX - f- AUTOS GaragekeeDerS , Included - UMBRELLA LIAB ~ -i~CCUR EACH OCCURRENCE , XXXXXXX EXCESS LIAB CLAIMS-MADE NOT APPLICABLE AGGREGATE , XXXXXXX OED I I RETENTION S , C WORKERS COMPENSATION N WC40 141 04225~RETR<tl 4/1/2011 4/112012 X IT'(li~ STAT,~<I IO,;r~ AND EMPLOYERS' LIABILITY YUMIT B YIN WC4014104239 DEDU TlBLE 4/1/2011 4/1/2012 ANY PROPRIETORIPARTNER/EXECUTIVE [E] E.L. EACH ACCIDENT , 1 000 000 B OFFICERlMEMBER EXCLUDEO? NIA WC4014104242bCAJ 4/1/2011 4/1/2012 B (M.ndlltorylnNHl NI A IN MONOP LI TIC STAT S E,L. OISEASE - EA EMPLOYEE . I 000 000 ~~~~~~ 'b~~PERATIONS below E.L DISEASE + POUCY liMIT . 1 000 000 DESCRIPTION OF OPERATIONS' LOCATIONS f VEHICLES '(Attach ACORD 101, Additional Remal1ts Schedule, if more space is requIred) 'FIRE DAMAGE IS INCLUDED IN BROADER TENANTS LEGAL LIABILITY FORM WITH LIMITS OF $1 000000 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, NonCE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 130743 CiTY OF ASHLAND CITY HALL 20 E. MAIN STREET ASHLAND, OR 97520 AUTHORIZED REPRESENTATIVe ACORD 25 (2010106)