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HomeMy WebLinkAboutDISH NETWORK CORPORATION - INSURANCE CERTIFICATE (4)AE;U RD,M CERTIFICATE OF LIABILITY INSURANCE 8/l/2019 FDATE(MM/DD/YYYY) 1 7/27/2018 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 Lockton Companies CONTACT 8110 E. Union Avenue Suite 700 Denver CO 80237 fPA,CNdExt): AIC No): E-MAIL ADDRESS: INSURER AFFORDING COVERAGE NAIC p (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 CERTIFICATE NUMBER: 12709221 RFVISICIN 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/ D/YYYY POLICY EXP (MM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY N N XSLG71212208 8/1/2018 8/1/2019 EACH OCCURRENCE 1 OOO OOO CLAIMS -MADE � OCCUR PREAGE PREMISES (ETO a occurrence) 300,000 X MED EXP (Any oneperson) XXXXXXX Standard Contractual Liab. PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY JECOT- LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 21000,000 $ OTHER AUTOMOBILE LIABILITY ANY AUTO NOT APPLICABLE EOMaBIINEDtSINGLE LIMIT $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident $ XXXXXXX ED AUTOS ONLY AUUTO ONLY RTY Peer accidenDAMAGE $ XXXXXXX UMBRELLA LIAR OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS -MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PRO PRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A NOT APPLICABLE PER OTH- STATUTE HER E.L. EACH ACCIDENT $ XXXXXXX E.L. DISEASE - EA EMPLOYEE XXXXXXX E.L. DISEASE- POLICY LIMIT XXXXXXX DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (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. CERTIFICATE HOLDER 12709221 City of Fort Collins PO Box 580 Fort Collins GO M22 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 (' Chalii 9 ra+t 1 ACORD 25 (2016/03) @198812015 ACORD CORPOKATION. All rights reserved The ACORD name and logo are registered marks of ACORD