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HomeMy WebLinkAbout314845 PAETEC HOLDING CORP - INSURANCE CERTIFICATE (3)ACORO® CERTIFICATE OF LIABILITY INSURANCE 16 DATE(MM1 YYYY) oenzm1 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 endorsements . PRODUCER MARSH USA INC. 70 LINDEN OAKS CONTACT NAME' PHONE ac No STE 310 ROCHESTER, NY M25 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIL N INSURER A; Hartford Fire Insurance Cc 19682 PAETE-ALL-GLWG10-12 145 RR INSURED PAETEC HOLDING CORP. 8 ALL SUBSIDIARIES INSURER B Hartford Insurance Co. Of The Midwest 37478 INSURER C : Twin City Insurance Co. (SEE ADDITIONAL NAMED INSUREDS ATTACHED) 600 WILLOWBROOK OFFICE PARK FAIRPORT, NY 14450 Zurich American Insurance Company INSURER D : P Y 16535 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: NYC-005953065-18 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 rypE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MWDDNYYY LIMITS - A GENERAL LIABILITY 1OUENTS7689 10101/2010 10101/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR DAMAGE TO NTED PREMISES Ea occurrence S 300,000 MED EXP (Anyone person) $ 10,000 PERSONAL 8 ADV INJURY $ LOOO,OOO GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO Is 2,000,000 X POLICY PRO- LOG S MOBILE LIABILITY COMBINED SINGLE LIMIT Ea accidentYAUTOBODILY INJURY (Per person) $ OWNED SCHEDULED AUTOSAUTOS FMALL BODILY INJURY(Per accident) $ NON -OWNED IRED AUTOS AUTOS PROPERTY DAMAGE Per accident) $ Is UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTIONS I $ B WORKERS COMPENSATION 01 WN R21600 0811512011 08/1512012 X I WC STATU. OTH- C AND EMPLOYERS' LIABILITY_LIMITS ANY PROPRIETOR/PARTNENEXECUTIVE YIN OFFICEWMEMBER EXCLUDED? FN (Mandatorym NH) If Dyes, describe under DESCRIPTION OF OPERATIONS bebw N/A 01 WBR R21601 0811512011 08/1512012 ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT g 1,000,000 D CRIME FID596529101 02J2812011 02)28/2014 LIMIT $10,000,000 CLIENT COVERAGE $5,000,000 DESCRIPTION OF OPERATIONS LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is rNuned) ERTHOLDER IS NAMED AS ADDITIONAL INSURED AS RESPECTS TO AGREEMENT FOR RIGHT-OF-WAY FOR FIBER OPTIC CABLE INSTALLATION CITY OF FORT COLLINS ATTN: JOHN DUVALL 300 LAPORT AVE FT COLLINS, CO 80522-0580 ugfl 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 ram..... 7y" Z,,so, m 1988-2010 ACORD CORPORATION- All riohtR resPrvart ACORD 25 (2010(05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: PAETE LOC u: Rochester ACORO® L__ - ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA INC. PAETEC HOLDING CORP. & ALL SUBSIDIARIES (SEE ADDITIONAL NAMED INSUREDS ATTACHED) 600 WILLOWBROOK OFFICE PARK POLICY NUMBER FAIRPORT, NY 14450 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance ADDITIONAL NAMED INSUREDS: US LEC PAETEC COMMUNICATIONS INC. PAETEC SOFTWARE CORP. ALLWORX CORP MCLEODUSA TELECOMMUNICATIONS SERVICES, LLC DBA PAETEC BUSINESS SERVICES QUAGGA CORPORATION US ENERGY PARTNERS, LLC CAVALIER TELEPHONE CORPORATION CAVALIER TELEPHONE, LLC CAVALIER TELEPHONE MID -ATLANTIC, LLC INTELLIFIBER NETWORKS, INC. ELANTIC NETWORKS, INC. XETA TECHNOLOGIES, INC. PYRAMID COMMUNICATION SERVICES, INC. 101(2008/01) © 2008 ACORD CORPORA Phe ACORD name and logo are registered marks of ACORD reserved.