HomeMy WebLinkAboutInsurance Certificate: Sprint Communications (2)
~
ACORD' CERTIFICATE OF LIABILITY INSURANCE 41112012 I DATE (MMlDDIYYYY)
~ 3/16/20 II
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: tf 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 Locklon Com~anies, LLC-1 Kansas City
444 W. 47th Ireet, Suite 900 I Fffc Nol,
Kansas Ci~ MO 64112-1906 E-MAIL
(816) 960- 000 U""'
INSURER A : Continental Casualtv Comnanv 20443
INSURED SPRINT COMMUNICATIONS CO., LP INSURER B: American Casualtv Comnanv of Readinl1 P A 20427
14966 6480 SPRINT PKWY INSURER c: Transnnrtation Insurance Comnanv 20494
OVERLAND PARK KS 66251 I ..,....._.. .. .
I "'....._.. _ ,
I "'....._.. _ ,
COVERAGES SPReaD' DE 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
INOICATEO. NOTWITHSTANOING ANY REQUIREMENT, TERM DR 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 ANO CONOITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REOUCEO BY PAlO CLAIMS.
I,Nj~ TYPE OF INSURANCE 1~.g!U- I~~ POLICY NUMBER POLICY EFF POLICY EXP LIMITS
A ~NERAL LlABIUTY N N GL4014104273 4/112011 4/1/2014 EACH OCCURRENCE . 2 000 000
X COMMERCIAL GENERAL LIABILITY Ig~~~J? RENTED XXXXXXX
I CtAIMS-MADE [K] OCCUR MED EXP 111.."", one """rson\ XXXXXXX
X CONTRACTUAL LIAR PERSONAL & ADV INJURY $ 2 000 000
X 'TENANTS LEGAL LIAB GENERAL AGGREGATE $ 10000000
~'L ~~~~nTE LIMIT r!~htS PER: PRODUCTS. COMP/OP AGG $ 3 000 000
X 1M' I~!<.P" 'M $
A ~TOMOBILE L1ABIUTY N N BUA4014104287 4/1/2011 4/112014 1h:~~~~~~~trINGLE LIMIT $ 2 000 000
..x. ANY AUTO _ BODILY INJURY (Per person) $ XXXXXXX
ALL8~ED SCHEDULED BODlL Y INJURY (Per accident $ XXXXXXX
L- AUT _ AUTOS
L- HIRED AUTOS _ ~8{:'~WNED IrD~~~~~.l?AMAGE $ XXXXXXX
Garaaekeeners $ Included
L- UMBRELLA LIAB H~CCUR EACH OCCURRENCE $ XXXXXXX
EXCESS LlAB CLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXXXXXX
DED"1 "1 RETENTION $ $
C WORKERS COMPENSATION N WC4014104225fRETR<t1 411/2011 4/112012 X 1~~~r~I.!J~1 IO~
B AND EMPLOYERS' LIABILITY YIN WC40 141 04239 DEDU TIBLE 4/1/2011 4/112012
ANY PROPRIETORlPARTNERlEXECUTlVE [EJ E,L EACH ACCIDENT $ 1 000 000
R OI'FICERlMEMBER EXCLUDED? NIA WC401410424i>ifAJ 411/2011 4/112012
B (MandatorylnNHI N/A IN MONO LI TIC STAT S E.L DISEASE - EA EMPlOYEE I 000 000
g~~~~ ~~PERATIONS below E_L- DISEASE - POllCY LIMIT 1 000 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I(Attach ACORD 101, AddItional Remarks Schedule, if more space is 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: INSTALLATION, OPERATION & MAINTENANCE OF TELECOMMUNICATIONS
EQUIPMENT.
CERTIFICATE HOLDER
CANCELLATION
See Attachment
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
2699825
CITY OF ASHLAND, OREGON
ATTN: CITY ADMINISTRATOR
CITY HALL, 20 EAST MAIN STREET
ASHLAND OR 97520
AUTHORIZED REPRESENTATIVE
ACORD 25 (2D10/05)
-
'- ".~--,
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 ID: 14966, Certificate ID: 2699825