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HomeMy WebLinkAboutUNION TELEPHONE COMPANY - INSURANCE CERTIFICATEALfiCC)RD® CERTIFICATE OF LIABILITY INSURANCE DATE 7yYV /Y) o7!16/20slzols 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 Tracy Abbott NAME: UNITEL HONE C, N , (402)434-7200 FAX Na: (402)434-7272 E-MAIL tabbott@unitelinsurance.com ADDRESS: 1128 Lincoln Mall INSURER(S) AFFORDING COVERAGE NAIC a Suite 200 INSURER A: National Farmers Union P & C Lincoln NE 68508 INSURED INSURER B : Twin City Fire Insurance Co 29459 INSURER C : Union Telephone Company INSURER D : PO BOX 160 INSURER E : INSURERF: Mountain View WY 82939-0160 COVERAGES CERTIFICATE NUMBER: 19/20 ALL LINES 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDVIYVYY MMIDDIYVYY LIMBS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000.000 CLAIMS -MADE FX1 OCCUR PREMISES Ea accunence $ 500.000 MED EXP ny one rson $ 5,000 PERSONAL SADVINJURY $ 1,000,000 A IRUO177518 08/11/2019 08/11/2020 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG 2,000,000 $ $ OTHER: COMBINEDSINGLE LIMIT Eaaccident $ 1,000,000 INJURY(Per person) $ ABODILY AOWNED SCHEDULED AUTOS ONLY AUTOS 1RU0177518 08/11!2019 08/11/2020 JILITY BODILYINJURY(Peraccident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLV AUTOS ONLY UMBRELLA LIAR OCCUR EACH OCCURRENCE s 10,000,000 AGGREGATE $ 10,000,000 A EXCESSUAB cMS-MADE kI 1CBO177519 08/11/2019 08/11/2020 DIED I X RETENTION $ 10,D00 $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANVGEWMRETOR/PXCLUD/EXECUTIVE ❑ In NMI E%CLUDED7 (Mantlatory In NH) (Mandatory NIA q���ICF, e,"9OP 08!11/2019 08/11/2020 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 It yes, dewdbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) General Liability for construction work for telecommunication site and ongoing operations and maintenance. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins CO Delynne Coldiron, Customer Admin ACCORDANCE WITH THE POLICY PROVISIONS. 281 North College Ft. Collins CO 80524 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD