HomeMy WebLinkAboutLEAP WIRELESS INTERNATIONAL CRICKET COMMUNICATIONS - INSURANCE CERTIFICATEACORd CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
L-� 09/23/2009
PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION
Marsh Risk & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4445 Eastgate Mall, Suite 300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
San Diego, CA 92121-1979 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
85II 552-4200
Attn: SanDiego.certrequest@marsh.com Fax: (212) 948-4374
S28498 00142 MAIN-09 10 FNL004_. _ I INSURERS AFFORDING COVERAGE NAIC #
INSURED Leap Wireless International INSURER A: Travelers Property Casually Co. Of Amence 25674
_ -.
Cricket Communications Inc., Alaska Native Broadband 1, LLC INSURER B N/A (N/A
Denali Spectrum Operations, LLC, LCW Wireless, LLC wsiiaER c N/A ttt --
5887 Copley Drive N/A
San Diego, CA 92111 INSURER - - -- I -- --
INSURER E
CM/FRAr,PS
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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.
INSINSR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION - - -- -- --
LTR INSRD LIMITS
DATE(MM/DDAYYY) DATE(MMIODNWY)
A,
GENERAL LIABILITY
660-154D5366-09
09/23/2009
09/23/2010
EACH OCCURRENCE
_ _ 1 000 000
(
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
$ 309 006
_
_I CLAIMS MADE LX_1 OCCUR
PREMISES(En occurrence)
MED EXP(Any one person)
$ 10000
PERSONAL&ADV INJURY
$ 1,000000
GENERAL AGGREGATE
$ 2,000,000
GENERAL AGGREGATE LIMIT APPLIES PER
POLICY--- PRO
- COMP/OP AG
$ 2,000,000
XI EN
(PRODUCTS
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
(Eo oCJ ♦enB
ALL OWNED AUTOS
(
-B ._. -
BODILY INJURY
$
_.I
SCHEDULED AUTOS
(Per person)
_
HIRED AUTOS
BODILY INJURY
$
NON-0WNED AUTOS
(Per ac.idenp
PROPERTY DAMAGE
$
(PP.r 3CCIf1Enl)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EAACC
$
AUTO ONLY:
$
AGO
EXCESS UMBRELLA LIABILITY
-I
EACH OCCURRENCE
$
.-jOCCUR I CLAIMS MADE
AGGREGATE
$
-)
i$
DEDUCTIBLE
-- ---
$_
RETENTION $
-- _
---
WORKERSCOMPENSATIONAND
EMPLOYERS' LIABILITYER
_ITORSTATU- I _JOTH
ANYPROPRIETOR/PARTNER/EXECUTIVE YIN
.L. EACH ACCIDENT
$
Of-FlCERIMEMBER EXCLUDED?-
a
L DISEASE EA EMPLOYE
$
(Mantlatory in NH) If yes. descril e urder
$
SPECIAL PROVISIONS W.
.L. DISEASE -POLICY LIMIT
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL 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
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80522-0.580
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND
UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
ACORD 25 (2009/01)
A. Olson
to
@ 1998-2009 ACORD CORPORATION. All Rights Reserved
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.
MARSH RISK & INSURANCE SERVICES
4445 EASTGATE MALL, SUITE 300
SAN DIEGO, CA 92121-1979
858-552-4200
ATTN: SANDIEGO.CERTREQUEST@MARSH.COM FA
017634
M-017634
CITY OF FORT COLLINS
PO BOX 580 sz1
FORT COLLINS CO 80522-0580
035141