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HomeMy WebLinkAboutPW18-228 - Insurance Certificate - Sprint Communications Company L.P. - 04/01/2019-04/01/2020 Coverage - 06/15/2018 ACOR"' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 16.. � 4/l/2020 3/26/2019 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 NAME:AffT 444 W.47th Street,Suite 900 PHONE FAX Kansas City MO 64112-1906 E-AILo,Ext: A/C,No (816)960-9000 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: Continental Casualty Company 20443 INSURED SPRINT COMMUNICATIONS COMPANY L.P. INSURER B: American Casual Company ofReading,PA 20427 14966 D/B/A LONG DISTANCE U.S.A. INSURER C: Transportation Insurance Company 20494 6480 SPRINT PKWY OVERLAND PARK KS 66251 INSURER D: INSURER E: INSURER F: COVERAGES SPR0003 CERTIFICATE NUMBER: 212438 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 MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY N N GL5082521363 4/1/2019 4/1/2020 EACH OCCURRENCE 2,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED 250 OOO X PREMISES Ea occurrence X CONTRACTUAL LIAB. MED EXP(Any oneperson) XXXXXXX X *TENANTS LEGAL LIAB PERSONAL&ADV INJURY $ 2 000 000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY PE� LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: $ • AUTOMOBILE LIABILITY N N BUA5082521329 4/1/2019 4/1/2020 Ee BINED SINGLE LIMIT $ 2 000 000 accideX ANY AUTO BODILY INJURY(Per person) $ XXXXXXX AUTOS ONLY SCHEDULED BODILY INJURY(Per accident $ XXXXXXX AUTOS ONLY AUTO ONLDY FIR dentDAMAGE $ XXXXXXX Gara ekee ers $ Included UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAB 1CLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- C AND EMPLOYERS'LIABILITY N WC5082521282(RETRO) 4/1/2019 4/1/2020 X STATUTE ER BANY Y/N WC5082521296(DEDUCTIBLE 4/1/2019 4/1/2020 E.L.EACH ACCIDENT B OFFICER/MEMBER EXCLUDED?FCECUTIVE N/A WC5082521279(CA) 4/1/2019 4/1/2020 $ 1000000 11 C (Mandatory in NH) GAP50825213 IS(STOP GAP) 4/1/2019 4/1/2020 E.L.DISEASE-EA EMPLOYEE 1 000 Olio 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) *FIRE DAMAGE IS INCLUDED IN BROADER TENANT'S LEGAL LIABILITY FORM WITH LIMITS OF$1,000,000 PER OCCURRENCE. CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS LIABILITY COVERAGE,ONLY AS REQUIRED BY CONTRACT. CERTIFICATE HOLDER CANCELLATION See Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 212438 AUTHORIZED REPRESENTATIVE CITY OF KENT,WASHINGTON ATTN:TOM BRUBAKER-ASST.CITY ATTY. 220 4TH AVENUE SOUTH KENT,WA 98032-5895 ze ACORD 25(2016/03) ©1g$8-2015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD O1nr't_ �J 2GJ SHOULD ANY OF THE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL WRITTEN NOTICE IN ACCORDANCE WITH THE POLICY PROVISIONS TO THE CERTIFICATE HOLDER NAMED WITHIN THE STATED TIME FRAMES OF 30 DAYS, EXCEPT FOR REASON OF NON-PAYMENT OF PREMIUM AT 10 DAYS. FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Miscellaneous Attachment : M463964 Master ID: 14966, Certificate ID: 212438