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Teleport Communications-CS130722 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07/22/2013 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). CONTACT PRODUCER NAME: Marsh USA Inc. FAX PHONE (A/C, No): 701 Market Street, Suite 1100(A/C, No, Ext): E-MAIL St. Louis, MO 63101 ADDRESS: Attn: ATT.CertRequest@marsh.com INSURER(S) AFFORDING COVERAGENAIC # Old Republic Insurance Co24147 018566-GAW-CRT-13-14XCOCH INSURER A : INSURED INSURER B : Teleport Communications America, LLC INSURER C : One AT&T Plaza 208 South Akard INSURER D : Dallas, TX 75202 INSURER E : INSURER F : COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: CHI-003679877-07 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. ADDLSUBR POLICY EFFPOLICY EXP INSR TYPE OF INSURANCELIMITS POLICY NUMBER (MM/DD/YYYY)(MM/DD/YYYY) LTR INSRWVD MWZY 602441,000,000 A06/01/201306/01/2014 GENERAL LIABILITY EACH OCCURRENCE$ DAMAGE TO RENTED 1,000,000 X COMMERCIAL GENERAL LIABILITY$ PREMISES (Ea occurrence) X N/A CLAIMS-MADEOCCURMED EXP (Any one person)$ 1,000,000 PERSONAL & ADV INJURY$ 10,000,000 GENERAL AGGREGATE$ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:PRODUCTS - COMP/OP AGG$ PRO- X $ POLICYLOC JECT COMBINED SINGLE LIMIT 06/01/2014 MWTB 2193206/01/2013 A1,000,000 AUTOMOBILE LIABILITY (Ea accident)$ X BODILY INJURY (Per person)$ ANY AUTO ALL OWNEDSCHEDULED BODILY INJURY (Per accident)$ AUTOSAUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS (Per accident) AUTOS $ UMBRELLA LIAB EACH OCCURRENCE$ OCCUR EXCESS LIAB CLAIMS-MADEAGGREGATE$ $ DEDRETENTION$ MWC 118473 0006/01/201306/01/2014X WC STATU-OTH- WORKERS COMPENSATION A TORY LIMITSER AND EMPLOYERS' LIABILITY Y / N 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. EACH ACCIDENT$ N N / A OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under 1,000,000 E.L. DISEASE - POLICY LIMIT$ DESCRIPTION OF OPERATIONS below 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 the Insured. CERTIFICATE HOLDERCANCELLATION City of Coppell SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: Rhonda Adloo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 255 Parkway Boulevard ACCORDANCE WITH THE POLICY PROVISIONS. Coppell, TX 75019-9478 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee © 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 St. Louis LOC #: ADDITIONAL REMARKS SCHEDULE Page of 22 AGENCYNAMED INSURED Teleport Communications America, LLC Marsh USA Inc. One AT&T Plaza POLICY NUMBER 208 South Akard Dallas, TX 75202 CARRIERNAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, Certificate of Liability Insurance 25 FORM NUMBER:FORM TITLE: 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