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HomeMy WebLinkAboutWindstream Services 7-17-19 ----1 ACORfY CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1/41.—.--- 7/17/2019 7/3/2018 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 444 W.47th Street,Suite 900 PHONE FAX Kansas City MO 64112-1906 E-MAILo,Ext): (A/C,No): (816)960-9000 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: ACE American Insurance Companv 22667 INSURED WINDSTREAM SERVICES,LLC INSURER B: ACE Property&Casualty Insurance Co 20699 1077457 4001 RODNEY PARHAM ROAD INSURER C: *** SEE ATTACHMENT*** LITTLE ROCK AR 72212-2442 INSURER D: INSURER E: 1 INSURER F: COVERAGES WINCO07 CERTIFICATE NUMBER: 13142145 REVISION NUMBER: 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYYIIMM/DD/YYYY) LIMITS .1 x COMMERCIAL GENERAL LIABILITY Y N HDOG71096610 7/17/2018 7/17/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 1 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 00 000 X 2MIL AGG PER I OC MED EXP(Any oneperson) $ 5,000 X 2MIL AGG PER PROJECT PERSONAL 8 ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 p]PECOT- n LOC OTHER: PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY N N ISAH25159688 7/17/2018 7/17/2019 COMBINED SINGLE LIMIT (Ea accident) $ 4,000,000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX - OWNED AUTOS ONLY _AUTOS BODILY INJURY(Per accident $ XXXXXXX HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY _AUTOS ONLY (Per accident) $ XXXXXXX $ XXXXXXX t3 X UMBRELLA LIAR X OCCUR N N X00G28134800003 7/17/2018 7/17/2019 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ $ XXXXXXX C AND EMPLO ERSEN ABILIIITY YIN N SEE ATTACHED 7/17/2018 7/17/2019 _X PER STATUTE OTH- ER ANY OFFICER/MEMBER EXCLUDEDD?EXECUTIVE N N/A E L EACH ACCIDENT $ 1,000 000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is req ' CITY OF OSHKOSH,ITS OFFICERS,COUNCIL MEMBERS,AGENTS, EMPLOYEES,AND AUTHORIZ .D-VQ,LU.NTEERS; RE ADDITIONAL INSUREDS FOR GENERAL LIABILITY IF REQUIRED BY WRITTEN CONTRACT,SUBJECT VIIT�Ittv1S;C - I ONS,EXCLUSIONS AND LIMITATIONS. CERTIFICATE HOLDER 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. 13142145 AUTHORIZED REPRESENTATIVE CITY OF OSHKOSH CITY CLERK'S OFFICE 215 CHURCH AVE OSHKOSH WI 54901 72 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD