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HomeMy WebLinkAboutDISH NETWORK - INSURANCE CERTIFICATEACORD, CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) 8i 1 i2016 1 7/2 1 !201 5 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 Lockton Companies 8110 E Union Avenue Suite 700 Denver CO 80237 CONTACT NAME: PHONE AX A/C, No, Ext : (:AC,No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # (303) 414-6000 INSURER A: ACE American Insurance Company 22667 INSURED DISH Network Corporation 1033161 DISH Network LLC 9601 S. Meridian Blvd. INSURER B : INsuRER c INSURER D : Englewood, CO 80112 INSURER E : INSURER F COVERAGES DISNE01 CERTIFICATE NUMBER: I?709?21 RFVISION NHMRFR• XXXXXXX 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 INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY N N XSLG2739775A 8/l/2015 8/1/2016 EACH OCCURRENCE 1,000,000 CLAIMS -MADE � OCCUR PREMISES. olccur ence 300,000 X MED EXP (Any oneperson) XXXXXXX Standard Contractual Liab. PERSONAL & ADV INJURY $ 1 ,000.000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000 000 POLICY PJECT7 LOC PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY EOMBIINEDtSINGLE LIMIT $XXXXXXX ANY AUTO NOT APPLICABLE BODILY INJURY (Per person) $ XXXXXXX AUTOWNED SCHEDULED BODILY INJURY (Per accident $ XXXXXXX NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ XXXXXXX UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS -MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N NOT APPLICABLE I STATUTE FIR E.L. EACH ACCIDENT V V $ XXXXXXX XXXXXXX ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYEE XXXXXXX (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT XXXXXXX DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: DISH Installation at certificate holder location. Certificate Holder is named as Additional Insured where required by written contract with respect to General Liability. CtK I It-ICA I t HULUtK 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. 12709221 AUTHORIZED REPRESENTATIVE City of Fort Collins PO Box 580 Fort Collins CO 80522 C1'rIC I"I, I�.f ACORD 25 (2014/01) ©1 R812014 ACORD CORP0111CATION. All rights reserved Thn arrlgrl name nnrt 1- ar. r ic+c A m.rk. of At npn