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HomeMy WebLinkAbout314845 PAETEC COMMUNICATIONS INC - INSURANCE CERTIFICATE'4� CERTIFICATE OF LIABILITY INSURANCE 7ATE/30/DD/YY9/30/2009 PRODUCER (585) 546-3747 FAX: (585) 424-2798 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION First Niagara Risk Management, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 777 Canal View Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 100 Rochester NY 14623 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Wausau Insurance Co :PAETEC Communications, Inc. INSURER B: ` j Attn: Donna Boyer INSURERC: 600 Willowbrook Office Park INSURERD: Fairport NY 14450 MCI IRFR L• ^J s , S Cs .'.�}'gi` nnVFRAnPR THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEhI D%INDIC 'TED{NO;TWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS'CERTIFICATE'M.; q'BkISSUED 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 7 ADD'Ll POLICY NUMBER POLICY EFFECTIVE D MM POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY i $ GENERAL AGGREGATE $ EGEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY II PRO- JECT n LOC AUTOMOBILE LIABILITY ANY AUTO ASJZ11260066019 10/1/2009 10/1/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ Hired Car Physical Damage $1000 Ded I GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION WC STATU- OTH- j AND EMPLOYERS' LIABILITY Y / N ANY PROP RIETOR/PARTNER/EXEVE OFFICER/MEMBER EXCLUDED? __Y_LIMITS ER �ECull .L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE _ $ _ (Mandatory NH) '— If Yes, describe under E.L. DISEASE - POLICY LIMIT 1 $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certholder is to be named as additional insured as respects to agreement for right of way for fiber optic cable installation. CFR I IFICATF HOLnFR CAMrPI I ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Attn : John Duvall 300 Laport Avenue NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Ft. Collins, CO 80522 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Joseph Teresi/ESMITH AL:UKU 25 (2UU9/01) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200901) The ACORD name and.logo are registered marks of ACORD 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 This Certificate of Insurance 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. ACORD 25 (2009101) INS025 (200901 )