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