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HomeMy WebLinkAboutWindstream Services LLC 7-17-18 DATE(MM/DD/YYYY) A�D CERTIFICATE OF LIABILITY INSURANCE ,,,,;,(„x 6i30i2017 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). CONTACT PRODUCER Lockton Companies NAME: 444 W.47th Street,Suite 900 PHONE FAX - (A/C.No.Est): (A/C,No): Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC N INSURER A:ACE American Insurance Company 22667 INSURED WINDSTREAM SERVICES,LLC INSURER B:Indemnity Insurance Co of North America 43575 1077457 4001 RODNEY PARHAM ROAD INSURER C:ACE Property&Casualty Insurance Co 20699 LITTLE ROCK AR 72212-2442 INSURER D:ACE Fire Underwriters Insurance Company . 20702 INSURER E:Agri General Insurance Company 42757 - — 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP w LIMITS LTR INSD VD POLICY NUMBER IMMIDDIYYYYI IMWDDIYYYYI A X COMMERCIAL GENERAL LIABILITY y N HDOG2786871A 7/17/2017 7/17/2018 EACH OCCURRENCE $ 1,000,000DAMAGE TO _ CLAIMS-MADE X OCCUR PREMISES(EaENTED occurrence) $ 100,000 X 2MIL AGG PER LOC MED EXP(Any one person) $ 5,000 X 2MIL AGG PER PROJECT PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY n JET LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY N N ISAH09061381 7/17/2017 7/17/2018 (Ea acddentSINGLE LIMIT $ 4,000,000 _ x ANY AUTO BODILY INJURY(Per person) $ XXXXXX]C OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ XXXXXXX— _ _ __ _. — HIRED NON-OWNED PROPERTY DAMAGE $ XXXXXXX _ AUTOS ONLY _ AUTOS ONLY (Per accident) $ XXXXXXX C X UMBRELLA LIAB X OCCUR N N X00G28134800002 7/17/2017 7/17/2018 EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTIONS $ XXXXXXX WORKERS COMPENSATION N X 'PER OTH- A AND EMPLOYERS'LIABILITY WLRC64413995�AZ�CA,MA) 7/17/2017 7/17/2018 STATUTE ER E ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WLRC64414008(1 N) 7/17/2017 7/17/2018 E.L.EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBEREXCLUDED? n NIA SCFC64414021(WI) 7/17/2017 7/17/2018 B (Mandatory in NH) WLRC6441398 (AOS) 7/17/2017 7/17/2018 E.L.DISEASE-EA EMPLOYEE $ 1,UOQ000 _ If yes,describe under 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 required) CITY OF OSHKOSH,ITS OFFICERS,COUNCIL MEMBERS,AGENTS,EMPLOYEES,AND AUTHORIZED VOLUNTEERS;ARE ADDITIONAL INSUREDS FOR GENERAL LIABILITY IF REQUIRED BY WRITTEN CONTRACT,SUBJECT TO POLICY TERMS,CONDITIONS,EXCLUSIONS AND LIMITATIONS. CERTIFICATE HOLDER CANCELLATION 13142145 REED CITY OF OSHKOSH S ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY CLERK'S OFFICE [JAN EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 CHURCH AVE ')2 as A ORDANCE WITH THE POLICY PROVISIONS. OSHKOSH WI 54901 RIZED REPRESENTATIVE CITY CLERK$'I;I•rlr , iv( G ©19884015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD