GTE-CS060629ACORDrM CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD
/YY)
06/29/06
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Aon Risk Services, Inc. Of New York
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
55 East 52nd Street
New York NY 10055 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
American Home Assurance Co.
PHONE • (866) 266 -7475 FAX- (866) 467 -7847 A
y;
INSURED
MCI, LLC and Subsidiaries
COMPANY Insurance Company of the State Of PA
B
dba verizon Business
COMPANY
National Union Fire Ins Co of Pittsburgh
22001 Loudoun County Parkway
Ashburn VA 20147 USA
=
COMPANY Illinois National Insurance Co
_
D
I.COVERAGES
SIR May Apply
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.
CO
LTR
TS PE OF ISSLR \SCE
POLICY SCNWER
POLICI EFFEC TIIE
POLICY FXPIRATION
LUII FS
DATE (.NIII'DDi11)
DATE (NI]VDD.YI.)
A
GENERAL LIABILITY
4016936
06/30/06
06/30/07
GENERAL AGGREGATE
$5,000,000
co
General Liability
t
PRODUCTS - COMP /OP AGG
$5,000,000
)( COMMERCIAL GENERAL LIABILITY
�
CLAIMS MADE FRI OCCUR
0
PERSONAL& ADV INJURY
$5,000,000
OWNER'S &CONTRACTOR'S PROT
EACH OCCURRENCE
$5,000,000
FIRE DAMAGE(Any one fire)
$2,000,000
0
7
MED EXP (Any one person)
$2,000,000
A
AUTOMOBILE
LIABILITY
3851527
06/30/06
06/30/07
cs
)(
ANY AUTO
Auto Liability (ADS)
COMBINED SINGLE LIMIT
$5,000,000
't
A
ALL OWNED AUTOS
3851528
06/30/06
06/30/07
Auto Liability (MA)
BODILY INJURY
V
A
SCHEDULED AUTOS
3851529
06/30/06
06/30/07
( Per person)
HIRED AUTOS
Auto Liability (TX)
A
NON -OWNED .AUTOS
3851530
06/30/06
06/30/07
BODILY INJURY
(Per accident)
Auto Liability (VA)
PROPERTY DAMAGE
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN AUTO ONLY.
EACH ACCIDENT
AGGREGATE
C
EXCESS LIABILITY
BE4485474
06/30/06
06/30/07
EACH OCCURRENCE
$5,000,00
X UMBRELLA FORM
AGGREGATE
$5,000,00
OTHER THAN UMBRELLA FORM
•
WORKER'S COMPENSATION AND
7575622
06/30/06
06/30/07
X WC STATU- OTH
TORYLIMITS FIR
EMPLOYERS' LIABILITY
Workers Compensation
EL EACH ACCIDENT
$2,000,000
•
THE PROPRIETOR/ X INCL
PARTNERS /EXECUTIVE
7575684
06/30/06
06/30/07
EL DISEASE - POLICY LIMIT
$2,000,000
OFFICERS ARE: EXCL
CA
EL DISEASE -EA EMPLOYEE
$2 , 000, 000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
�r
3-�
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.
T_
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City Of Coppell, Texas
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
=s
_
Attn : Engineering Department
255 Parkway Blvd.
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
Coppell , TX 75019 USA
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
—
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
-_
AUTHORIZED REPRESENTATIVE
�s
ACORD`25S (1195)
Q ACORD CORPORATION 1988
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