HomeMy WebLinkAboutInsurance Certificate: Sprint Communications
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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)