HomeMy WebLinkAboutCRICKET COMMUNICATIONS INC - INSURANCE CERTIFICATE (2)ACOROe CERTIFICATE OF LIABILITY INSURANCE
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005126120014OmYr)
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 endorsement(s).
PRODUCER
Marsh USA Inc.
701 Market Street, Suite 1100
CONTACT
NAME:
IAIC. No. San -PHONE AX
A/0 No
E-MAIL
ADDRESS,
St. Louis, MO 63101
Attn: ATT.CertRequmt@marsh.com
'
INSURERS AFFORDING COVERAGE
NAICIf
INSURER A: Old Republic Insurance Company
24147
018566-GAW-ACO-14-15 CRIC
INSURED
Cricket Communications, Inc.
INSURER B :
INSURER C
One AT&T Plata
208 South Akard Street Room 2731
Dallas, TX 75202
INSURER D
INSURER E
INSURER F :
COVERAGES CERTIFICATE NUMBER: CHI-004933095-01 REVISION NUMBER:
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
A DL
UBR
POLICY NUMBER
POLICY EFF
MMIDD/YYYY
POLICY EXP
MMIDDIVYYY
LIMITS
A
GENERAL LIABILITY
MWZY 302356
06/01/2014
06101/2015
EACH OCCURRENCE
$ 3,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE MOCCUR
DAMA E TO REN
PREMISES Ea occurrence
$ 1,000,000
MED EXP(Any me persom
$ NlA
PERSONAL B ADV INJURY
$ 3,000,000
GENERAL AGGREGATE
$ 10,000,000
GEN'L AGGREGATE
LIMIT APPLIES PER.
PRODUCTS-COMP/OP AGG
$ 3,000,000
X POLICY
PRO- LOC
$
A
AUTOMOBILE
LIABILITY
MVOfB 302129
0610112014
06/01/2015
COMBINED SINGLE LIMIT
Ea accident
3,000,000
X
BODILY INJURY (Per person)
$
A
ANY AUTO
MWZX 302130 (MI) See Second Page
06/0112014
06/0112015
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY Pera¢itlerrt
( i
$
HIRED AUTOS NOWONMED
AUTOS
PROPERTY DAMAGE
Per acci lent
$
$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DED I I RETENTION$
$
A
WORKERS COMPENSATION
MWC 30234000
06/01/2014
VA112015
WC STATU- OTH-
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
OFFICERIMEMBER EXCLUDED4 �
(Mandatory In NH)
If yes, descr ice under
DESCRIPTION OF OPERATIONS below
NIA
E.L. EACH ACCIDENT
$ 3,000,000
E. L. DISEASE - EA EMPLOYE
$ 3,000,000
E. L. DISEASE - POLICY LIMIT
$ 3,000,000
A
Excess Workers'Compensa8on/
MWXS 302341(OH-WA)
06/01/2014 .,
06/012015
EL Each Accident/EL Disease 1,000,000
Employers' Liability -
See Second Page
EL Disease-PoBLY Limit 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
RE: FNL-004D, City Palk Site Address: 137 N. Bryan, Fort Collins, CO.
City of Fort Collins
PO Box 580
Fort 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.
Manashi Mukhedee ,IM.nuaok1 �}1lMrc_a�awds c
01988-2010 ACORD CORPORATION. All rights reserved.
AwItU 25 (ZUT0705) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: 018566
LOC #: St. Louis
AC110RDI, ADDITIONAL REMARKS SCHEDULE
Page 2 of 2
AGENCY
NAMED INSURED
Marsh USA Inc.
Cricket Communications, Inc.
One AT&T Plaza
20S South Akard Street, Room 2731
POLICY NUMBER
Dallas, TX 75202
CARRIER
NAIC CODE
EFFECTIVE DATE:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: Zo FORM TITLE:
Excess Workers' Compensation - MWXS 302341 (OH -WA)
Self -Insured Retentions
OH . 1500,000,000
WA - $500,000,000
Excess Automobile Liability - MWZX 302130 (MI)
Combined Single Limit-E9.000.000
Sett -Insured Retention - $1,000,000
ACORD 101 (2008/01)
20OR ACORD CORPORATION_ All rinhts
The ACORD name and logo are registered marks of ACORD