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Northlake 635(7)-CS100623
CERTIFICATE OF LIABILITY INSURANCE DATE 06 /23/20 0 ) �. -- PRODUCER Aon Risk Services Northeast, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY New York NY Office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 199 Water Street CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE New York NY 10038 -3551 USA COVERAGE AFFORDED BY THE POLICIES BELOW. PHONE-(866) 283 -7122 FAX-(847) 953 -5390 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: National Union Fire Ins Co of Pittsburgh 19445 •• MCI LLC and Subsidiaries dba Verizon Business suRER6: Illinois National Insurance Co 23817 140 West Street INSURER c New Hampshire Ins Co 23841 New York NY 10007 -2109 USA INSURER D: L "O INSURER E: p COVERAGES SIR annlies Der terms and conditions of the DDlicv 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED INSR ADD' LTR INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS ATE(MM /DD/YYYY DATE(MM /DD /YYYY A E. FRAIL LIABILITY 4360699 06/30/2010 06/30/2011 EACH OCCURRENCE $1,000,000 x COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 2 , 000, 000 $2, 000,000 ' PREMISES (Ea occurrence) MED EXP (Any one person) CLAIMS MADE ® OCCUR x Includes "X,C,U" coverage PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2, POLICY ❑ PRO- ❑ LOC JECT A AUTOMOBILE LIABILITY X ANY AUTO 3482149 AOS 06/30/2010 06/30/2011 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 A 3482150 06/30/2010 06/30/2011 BODILY INJURY ( Per Person) A ALL OWNED AUTOS SCHEDULED AUTOS MA 3482151 06/30/2010 06/30/2011 VA BODILY INJURY HIRED AUTOS NON OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO R OTHER THAN EA ACC AUTO ONLY: AGG A EXCESS/ UMBRELLA LIABILITY 15972369 06/30/2010 06/30/2 EACH OCCURRENCE , M OCCUR ❑ CLAIMS MADE AGGREGATE $5,000,000 DEDUCTIBLE RETENTION A A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/ PARTNER /EXECUTIVE N❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) 020342925 ADS 020342926 CA 020342927 1 06/30/2010 06/30/2010 06/30/2011 06/30/2011 X WC STATU- T Y L Hyi T, OTH- E.L. EACH ACCIDENT $1,000,006 E.L. DISEASE -EA EMPLOYEE $1, E.L. DISEASE- POLICY LIMIT S1, 000,000 If es, descnbe under SPECIAL PROVISIONS below FL OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Re: Project 043400 Building Add, Depository Trust & Clearing Corp. 1333 Crestside, Coppell, Tx 75019. City of Coppell, Texas is included as Additional Insured. XCU IS NOT EXCLUDED. CERTIFICATE HOLDER CANCELLATION City of Coppell . Texas SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Attn: Engineering Department DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 255 Parkway Blvd. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Co ell Tx 75019 USA BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY Cop ell OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE �+ c.7sN.�aaei0 c.//"�tGfaO( ✓sscc ACORD 25 (2009/01) ©1988 -2009 ACORD CORPORATION. All rights reserved= The ACORD name and logo are registered marks of ACORD