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HomeMy WebLinkAbout314845 PAETEC HOLDING CORP - INSURANCE CERTIFICATEACC Mb' CERTIFICATE OF LIABILITY INSURANCE ATE D09/30/20Dn"""' 09/30/2010 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 endxsemer.i(s). PRODUCER Marsh USA Inc. 175 Sully's Trail CONTACT NAME: AX PHONNo,E (VC, C No): E-MAIL - ADDRESS: Suite 301 Pittsford, NY 14534 PRODUCER CUSTOMER ID PAETE -ALL-GLWC-10-11 145 RR INSURERS AFFORDING COVERAGE NAIL # INSURED - INSURER A: Hartford Fire Insurance Co 19682 PAETEC HOLDING CORP. & ALL SUBSIDIARIES INCLUDES US LEC, PAETEC COMMUNICATIONS INC., PAETEC SOFTWARE CORP., ALLWORX, MCLEODUSA, Hartford Insurance Co. Of The Midwest INSURERS: 37478 INSURER C : Twin City Insurance Co. TELECOMMUNICATIONS SERVICES, LLC, QUAGGA & US ENERGY PARTNERS INSURER D : INSURER E : 600 WILLOWBROOK OFFICE PARK FAIRPORT; NY 14450 INSURER F : - COVERAGES ICERTIFICATE NUMBER: NYC-004318300-14 REVISION NUMBER: 2 THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER(MO DD/YYYY FOLIC EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY - CLAIMS -MADE IRI OCCUR 1OUENTS7689 10/01/2010 10/01/2011 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LGC PRODUCTS - COMP/OP AGG $2,000,000 is AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR - - EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ B C WORKERS COMPENSATION - AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE "a OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 01 WN R21600 _ 01 WBRR21601 08/15/2010 08/15/2010 08/15/2011 08/15/2011 X WC STATU- I OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTHOLDER IS NAMED AS ADDITIONAL INSURED AS RESPECTS TO AGREEMENT FOR RIGHT-OF-WAY FOR FIBER OPTIC CABLE INSTALLATION GtK I IVIUA I t HULUtH CITY OF FORT COLLINS ATTN: JOHN DUVALL 300 LAPORT AVE FT COLLINS, CO 80522-0580 . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Annette M. Smith Q...�sb- '7► �. 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD ADDITIONAL INFORMATION NYC-004318300-14 DATE (MM/DD/YY) 09/30/2010 PRODUCER Marsh USA Inc. 175 Sully's Trail Suite 301 Pittsford, NY 14534 PAETE -ALL-GLWC-10-11 145 RR INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER F: PAETEC HOLDING CORP. & ALL SUBSIDIARIES INCLUDES US LEC, PAETEC COMMUNICATIONS INC., INSURER G: INSURER H: PAETEC SOFTWARE CORP., ALLWORX, MCLEODUSA, TELECOMMUNICATIONS SERVICES, LLC, QUAGGA & US INSURER c ENERGY PARTNERS 600 WILLOWBROOK OFFICE PARK TEXT Garage Liability Addln Insured : N Policy Covers ANY AUTO: N Limits AUTO ONLY - EA ACCIDENT: EACH ACCIDENT: AGGREGATE: CERTIFICATE HOLDER CITY OF FORT COLLINS ATTN: JOHN DUVALL 300 LAPORT AVE FT COLLINS, CO 80522-0580 Annette M. Smith_ , p