HomeMy WebLinkAboutLEAP WIRELESS INTERNATIONAL INC (CRICKET COMMUNICA - INSURANCE CERTIFICATE" n CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDD/Y1'1'Y)
03/31/2012
I
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 endomement(s).
PRODUCER
Aon Risk Insurance Services West, Inc.
San Francisco CA Office
CONTACT
NAME
PHONE
INC. No. Exi): (415) 486-7000 FAX No.: (415) 486-7029
EWAIL
ADDRESS:
199 Fremont Street
Suite 1500
San Francisco CA 94105 USA
INSURER(S) AFFORDING COVERAGE
HAIG #
INSURED
INSURER A: OBE Insurance Corporation
39217
Leap Wireless International, Inc.
Cricket Communications, Inc.
5887 Copley Drive
INSURER B: IT'onshore Specialty Insurance Company
25445
INSURER c: Stonin9ton Insurance Company
10340
San Diego CA 92111 USA
INSURER D: Praetorian Insurance Company
37257
INSURER E:
INSURER F:
Le$eP1 a:Cle1 el a:e 112IMA I i2111d I:f a:A.7lUIPb7/L Fl•11 N WA F1[a] ONO 1rL i 101 q.,11111111111
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. Limits shown are as requested
LTR
TYPE OF INSURANCE
INSR
MD
POLICY NUMBER
MMIDD
MWDD
LIMITS
A
GENERAL LIABILITY
CGA
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
PREMISES EaEocarrence
S300,000
CLAIMS DE X❑OCCUR
MED EXP(Anyone person)
$10,000
PERSONAL B ADV INJURY
$1,000,000
GENERAL AGGREGATE
S2,000, 000
GENT AGGREGATE LIMIT APPLIES
PER:
PRODUCTS - COMPIOP AGO
S2,000,000
POLICY % PR0. X
JECT
LOC
A
AUTOMOBILE LIABILITY
CBA0926931
03/31/2012
0331 2013
COMBINED SINGLE LIMIT
nl
$2,000,000
BODILY INJURY( Per person)
X ANY AUTO
BODILY INJURY (Par actltleni)
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS NON -OWNED
AUTOS
PROPERTY DAMAGE
Per accident
B
%
UMBRELLA LIMB
X
OCCUR
001320600
03/31/2012
03/31/2013
EACH OCCURRENCE
$5,000,000
EXCESS LIMB
CLAIMS+IADE
SIR applies per policy terns
& COOdI
loos
AGGREGATE
$5,000,000
DED I %
RETENTION
D
D
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR S'LIA ILITYPARTRIE%ECIInVE YIN
OFFICERIMEMBER EXCLUDED?
N/A
CWC0908102
SIR applies per policy terns
CWC0940955
03/31/2012
& condl
03/31/2012
03/31/2013
IODs
03/31/2013
WC STATU- OTH-
X TW&Y LIMITS E R
E.L. EACH ACCIDENT
$1, 000, 000
E.L DISEASE -EA EMPLOYEE
$1,000,000
(hands., 1n NM
WI
_
Dyes, deauiee under
DESCRIPTION OF OPERATIONS uelow
EL DISEASE POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Ac itbnal Remarks Schedule, it mare space Is required)
Certificate Holder is included as Additional Insured as required by written contract, but limited to the operations of the
Insured under said contract, per the applicable endorsement with respect to the General Liability policy for the following
location: RE: FNL-004D, City Park Site Address: 137 N. Bryan, Fort Collins, CO.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
City Of Fort Collins AUTHORIZED REPRESENTATIVE
PO Box 580
Fort Collins CO 80522-0580 USA
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD