HomeMy WebLinkAboutLEAP WIRELESS INTERNATIONAL CRICKET COMMUNICATIONS - INSURANCE CERTIFICATE (2)I DATE (MMIDDNYYr) Ii
ACORD CERTIFICATE OF LIABILITY INSURANCE
02/17/2009
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Marsh Risk & Insurance Services
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4445 Eastgale Mall, Suite 300
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
San Diego, CA 92121-1979
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
858-552-4200
Attn SanDiego.certrequest@marsh.com Fax (212) 94II 4374
S28498 00142 MAIN 08-10 FNL004..
INSURERS AFFORDING COVERAGE NAIC #
msuaeD
INSURER Travelers Property Casualty Co Of America 125674
Leap Wireless International
_. _.
Cricket Communications Inc., Alaska Native Broadband 1, LLC
INSURER B N/A N/A
Denali Spectrum Operations, LLC, LCW Wireless, LLC
j
10307 Pacific Center Court
INSURER c N/A N/A
San Diego CA 92121
_
INSURER D
INSURER
COVERAGES _..- _._. _.
-. - -. _. __ - 3
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED
TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD 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.
NSF( ADD't{ TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION( - -
LIMITS j
LTRIINSRD
DATE (MMIDDIVY) DATE (MMIDD/YY)
A
GENERAL LIABILITY
1
EACH occuRRENce
-
I IS 7,000 000�
X COMMERCIAL GENERAL LIABILITY
i6G0-154D53G6-08
09/23I08
09/23/09
DAMAce 10 RENTED
1
1$ 309 000
PREMISCSIEx occurenrV)
1 CLAIMS MADE i X I OCCUR
MED EXP (Any ono Person)
- _
1$ 10,000
PERSONAL& ADV INJURY
1 Qg6 od
... _._
GENERAL AGGREGATE
{�$
1$ 2,000 0001
GENERAL AGGREGATE LIMIT APPLIES PER
-
-206(
PRO-
1,
PRODUCTS - COMP/OP AGO$
_ Q6O,
X POLICY I JECT 1 1 LOC
AUTOMOBILE
LABILITY
_
COMBINED SINGLE LIMIT
($
ANY AUTO
(La accident)
..I
ALL OWNED AUTOS
BODILY INJURY
$
_
SCHEDULEDAUTOS
(Per pereon)
HIRED AUTOS
BODILY INJURY
$
1
NON -OWNED AUTOS
(Per arcitlentJ
-
PROPERTY DAMAGE
(Peraccidenp
i
Is I
GARAGE LABILITY
AUTO ONLY - EA ACCDENT
$
J ANY AUTO
OTHER THAN EAACC
$
j1
AUTO ONLY: AGG
1$ —_
(EXCESS/UMBRELLA
LIABILITY
EACH OCCURRENCE
$
-_I OCCUR �CLAIMS MADE(
AGGREGATE
$
DEDUCTIBLE
---- --
RETENTION S
WORKERS COMPENSATION AND
j
We STATU- IOTH
EMPLOYERS'LIABILITY
TORY LIMITS( ER {
- —_
ANY PROPRIETOWPARTNER/EXECUTIVE
OFPICEWMEMBEREXCLUDED9L
L EACH ACCIDENT
DISEASE - EA EMPLOYEE
$ -
$
If yes, describe under
SPECIAL PROVISIONS hel.
I_. DISEASE - POLICY LIMIT I
$
OTHER
i
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL
PROVISIONS
The certificate holder is named as Additional Insured as respects the following location:
RE: FNL-004D, City Park
Site Address: 137 N. Bryan, Fort Collins, CO
CERTIFICATE HOLDER LOS-000748970-18
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Fort Collins
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
P.O. BOX 580
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Fort Collins, CO 80522-0580
BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND
UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTH areZED RREPRESENTFTIVE �( )O 4. "�
of MHORInSAInc. i�/�J� v
Kristen A. Olson
ACCORD 25 (2001 /08) O ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
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