Loading...
HomeMy WebLinkAboutCRICKET COMMUNICATIONS INC - INSURANCE CERTIFICATE (5)Al ® DATE( YYYY) `_�'" CERTIFICATE OF LIABILITY INSURANCE OSI19/2015 12015 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 CONTACT Marsh USA Inc. NAME: PHONE FAX 701 Market Street, Suite 1100 A/c . Ext): A/c No : St. Louis, MO 63101 E-MAIL Attn: ATT.CertRequest@marsh.com ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # 018566-GAW-ACQ-15-16 INSURED Cricket Communications, Inc. One AT&T Plaza 208 South Akard Street, Room 2731 Dallas, TX 75202 EBOYE INSURER A: Old Republic Insurance Company c: COVERAGES CERTIFICATE NUMBER: CHI-006159107-04 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY MWZY 304717 06101/2015 06/01/2016 EACH OCCURRENCE $ 3,000,000 CLAIMS -MADE El OCCUR DAMAGE TO RENTED (E. occu ence)$ 1,000,000 -PREMISES MED EXP (Any one person) $ N/A PERSONAL & ADV INJURY $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X FPOLICY PRO- _ JECT LOC PRODUCTS - COMP/OP AGG $ 3,000,000 $ OTHER A AUTOMOBILE LIABILITY MWTB 304716 06/01/2015 06/01/2016 MBINED COEa cidentSINGLE LIMIT ac $ 3,000,000 X BODILY INJURY (Per person) $ A ANY AUTO MWZX 304718 (MI) See Attached 06101/2015 06/01/2016 ALL OWNED SCHEDULED AUTOS _ AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YI❑N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA MWC 304719 00 06/01 /2015 06/01/2016 X STATUTE ERH E.L. EACH ACCIDENT $ 3,000,000 E L. DISEASE - EA EMPLOYEd $ 3,000,000 If yes describe under OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 3,000,000DESCRIPTION $ A Excess Workers' Compensation / MWXS 304720 (OH -WA) 06/0112111 06/01/2016 EL Each Accident / EL Disease 1,000,000 Employers' Liability See Second Page EL Disease -Policy Limit 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE FNL-004D, City Park Site Address 137 N. Bryan, Fort Collins, CO. City of Fort Collins PO Box 580 Fort Collins. CO 80522-0580 N 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. ManashiMukherjee ikCclLuao kniAu. ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD ACORO® AGENCY CUSTOMER ID: 018566 LOC #: St. Louis AMITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Marsh USA Inc. Cricket Communications, Inc. One AT&T Plaza POLICY NUMBER 208 South Akard Street, Room 2731 Dallas, TX 75202 CARRIER NAIC CODE EFFECTIVE DATE: ,r r)ITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Excess Workers' Compensation - MWXS 304720 (OH -WA) Self Insured Retentions OH & WA - $500,000,000 (except Terrorism) OH & WA - $600.000.000 Terrorism Excess Automobile Liability - MWZX 304718 (MI) Combined Single Limit - $1,000,000 Self Insured Retention - $1,000,000 Page 2 of 2 ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD