The URL can be used to link to this page

AT&T-CS130521 Risk Management AT&T Services, Inc. One AT&T Plaza 208 South Akard,Suite 2731 Dallas,TX 75202 May 21, 2013 To Whom It May Concern: Subject: Subsidiaries of AT&T Inc. Certificates of Insurance (CO1) Memorandum of Insurance(MO1) You are receiving this because you have been identified as a Third Party who has requested a Certificate of Insurance from an AT&T Entity. AT&T has currently renewed its' Casualty Coverage(s) for the 6/1/13 —6/1/14 policy period. Kindly note, AT&T also provides a Memorandum of Insurance (MOI) for Third Parties. Please take a moment to access the website below and review the information. If the MOI satisfies your organization's requirements and the 001 is no longer required, please indicate on the front of the Certificate and fax to: 212-948-4341. hops://www.marsh.com/moi?ci lent=D526 If the COI is still necessary and requires modifications, please contact the AT&T employee responsible for your business relationship and ask that employee to authorize the necessary updates by following their standard request protocol. COI's will only be sent or modified when requested by the AT&T employee responsible for the business relationship. This would also include COI renewals. Thank you for assisting Subsidiaries of AT&T Inc. Sincerely, AT&T Services, Inc. Risk Management ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 0512112013 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 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 CONTACT Marsh USA Inc. NAME: 701 Market Street,Suite 1100 PHONE FAX IAIC.No.Extl: (A/C,No): St.Louis,MO 63101 E-MAIL Attn:ATT.CertRequest@marsh.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# 018566-GAW-CRT-13-14 X INSURER A: Old Republic Insurance Co 24147 INSURED INSURER B: Teleport Communications America,LLC One AT&T Plaza INSURER C: 208 South Akard Dallas,TX 75202 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: CHI-003679877-05 REVISION NUMBER: 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 ADDLSUBR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DDIYYYY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY MWZY 60244 06/01/2013 06/01/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 1,000,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 10,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X POLICY PRO- JECT LOC $ A AUTOMOBILE LIABILITY MWTB 21932 06/01/2013 06/01/2014 COMBINED SINGLE LIMIT 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS _ AUTOS (Per accident) $ _ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE _ $ DED RETENTION$ $ A WORKERS COMPENSATION MWC 118473 00 06/01/2013 06/01/2014 X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Coppell is included as Additional Insured under the General Liability policy but only with respect to the requirements of the contract between the Certificate Holder and AT&T Inc.and Subsidiaries. CERTIFICATE HOLDER CANCELLATION City of Coppell SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn:Engineering Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 255 Parkway Boulevard ACCORDANCE WITH THE POLICY PROVISIONS. Coppell,TX 75019 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee 1�4 r/LUao u+ssru ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 018566 LOC#: St. Louis AR° ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc. Teleport Communications America,LLC One AT&T Plaza POLICY NUMBER 208 South Akard Dallas,TX 75202 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Coverage evidenced applies to Subsidiaries of AT&T Inc.,EXCLUDING Pacific Bell Telephone Company,Nevada Bell Telephone Company,Southwestern Bell Telephone Company,Illinois Bell Telephone Company, Indiana Bell Telephone Company,Michigan Bell Telephone Company,The Ohio Bell Telephone Company,Wisconsin Bell,Inc.,The Southern New England Telephone Company and BellSouth Telecommunications, LLC,WITH THE EXCEPTION OF Workers'Compensation. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD