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HomeMy WebLinkAboutZAYO GROUP INC - INSURANCE CERTIFICATEPage 1 of 1 AC � DATE (MM�D) `...+ CERTIFICATE OF LIABILITY INSURANCE 12,21,2018 201E 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME: Willis of Colorado, Inc. PHONE FAX 1-877-945-7378 Ext)wAIC No: 1-888-467-2378 c/a 26 Century Blvd E-MAIL P.O. Box 305191 ADDRESS: certificates@willis.com Nashville, TN 372305191 USA INSURER(S) AFFORDING COVERAGE NAIC# INSURED Zayo Group, LLC 1805 29th Strout, Suits 2050 Boulder, CO 80301 USA INSURERA: Great Northern Insurance Company 20303 INSURERS: Federal Insurance Company 20281 INSURER C : Sentry Casualty Company —28460 INSURER E : INSURER F : CI)VFRG[IFS CFRTIFICOTF NIIMRFR- W9538241 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. - — ��g�� XP -_-- P111Vp INS�Rj LTR f� TYPE OFINSURANCE POLICY NUMBER 1ryY�Y MM D� Y LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1, D00, 000 X _ DAMAGE TO RENTED 1,000,000 CLAIMS -MADE OCCUR PREMISE$ jai gccur engej $ A MED EXP (Any one person) $ 10,000 -1-- 3604-53-52 '08/01/2018 08/01/2019 PERSONAL &ADV INJURY g 1,000 000 GEWL GATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 --- 7_ POLICY I X PRO- J LOD PRODUCTS - COMP/OP AGG $` 2,000,000 OTHER, AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea. accident) i $ 1,000,000 -� X ANY AUTO BODILY INJURY (Per person) $ B OWNED SCHEDULED 7359-90-85 08/02/2018 08/01/2019 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS _.__ — - HIRED NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY : AUTOS ONLY (Q4f_J4ident) I I$ UMBRELLA LIAB -77TOCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLA8v1S MADE $ DED i RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITYYIN C(MandatoryRIInTNH,PARTNER/EXECUTIVE X 1 TATUTE $ 1,000,000 EDSEASECHA OFFICER/MEMBEREXCLUDED? No i N / A 90-20463-01 00 191 O1/O1/2019 01/01/2020 1,000,000 EMPLOYEE I If yes. describe under DESCRIPTION OF OPERATIONS below - E.L. DISEASE -POLICY LIMIT 1 $ 1,000,000 C Workers Compensation 90-20463-02 00 191 01/01/2019 01/01/2020 E.L. Each Aecidant $11000,000 6 Employers' Liability I E.L. DISEASE - EA EMP $1,000,000 Per Statute E. L. DISEASE-POL LIMIT $1, 000, 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Account 859200 Certificate Holder is named as an Additional Insured as respects the ongoing operations of the Named Insured with respects to General and Auto Liability coverage where required by written and signed contract subject to policy terms, conditions, limits and exclusions. 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 City Of Fort Collins PO Box 580 Fort Collins, CO 80522 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR zo 17271197 BATCH: 998650 2 of 2 17498