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HomeMy WebLinkAboutFibertelACo ` CERTIFICATE OF LIABILITY INSURANCE DATE{MMfDb/YYYY} k..� 5.I2025 8.`2012024 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 rilahts to the certificate holder in lieu of such endorsementlsl. PRODUCER LOCKTON COMPANIES LOCKTON COMPANIES 3657 BRIARPARK DRIVE, SUITE 700 HOUSTON TX 77042 INSURER A: Old Republic Insurance Company 24147 INSURED Flberiel, LLC INSURERS: 1365788 A QUANTA SERVICES COMPANY INSURERC: _ PO BOX 1071 INSURERD: Springville UT 84663 INSURER E INSURER F . COVERAGES CERTIFICATE NUMBER: 20834485 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMfDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR AGGREGATE LIMIT APPLIES PER: POLICY JEn LOC OTHER: y N M WLY 313093 24 5:1;'2024 c ' 20 i EACH OCCURRENCE S 1,000,000 DAMAG To RENTED PREMISES Fa occurrence) S 1,000,000 MED EXP (Any one person) a Excluded PERSONAL BADV INJURY S 1,000,000 GEN'L GENERAL AGGREGATE S 1,000,000 PRODUCTS - COMP/OP AGG S ] 000400 S A AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY AUTOSULED HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY Y N M WTB 313092 24. 5.1i2024 54-2025 COMBINED SINGLE LIMIT Ea acaeent S 1,000,000 X BODILY INJURY (Per person) S XXXXXXX X BODILY INJURY (Per accident) PROPERTY DAMAGE Per aCpdenF S XXXXXXX S XXXXXXX X S XXXXXXX UMBRELLA LIAB EXCESS LIAR HCLAIMS-MADE OCCUR NOTAPPLICABLI; EACH OCCURRENCE S XXXXXXX $ XXXXXXX AGGREGATE DIED I I RETENTIONS $ XXXXXXX A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMSER EXCLUDED? � (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A N M WC 313094 24 511 /2024 5;' L. 7A2 5 X PER ERH _ E.L. EACH ACCIDENT $ 1,000,000 $ l)000,000 E.L. DISEASE - FA EMPLOYEE E.L. DISEASE -POLICY LIMIT $ 1000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space Is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICAIII.£ TO THE CARRIERS LISTED AND THE POLICY TERM(S) RLF'ERENCED. RF: IPCO T404 Job. Additional Insured in favor of City of Caldwell on the Gcnerdl Liability and Auto Liability where and to the extent required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20834485 THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN City of Caldwell ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1 179 AUTHORIZED REPRESENTATIVE Caldwell ID 83605 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD