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Zayo-CS210725
INSR ADDL SUBR LTR INSR WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE INSURER(S) AFFORDING COVERAGE NAIC # Y / N N / A (Mandatory in NH) ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EACH OCCURRENCE $ DAMAGE TO RENTED $PREMISES (Ea occurrence)CLAIMS-MADE OCCUR MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ PRO- OTHER: LOCJECT COMBINED SINGLE LIMIT $(Ea accident) BODILY INJURY (Per person)$ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS AUTOS ONLY HIRED PROPERTY DAMAGE $AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below POLICY NON-OWNED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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 any rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) ACORDTM CERTIFICATE OF LIABILITY INSURANCE Greenwich Insurance Company The Continental Insurance Company XL Specialty Insurance Company Atlantic Specialty Insurance Company 7/15/2021 Marsh & McLennan Agency LLC Marsh & McLennan Ins. Agency LLC PO Box 85638 San Diego, CA 92186 Gloria Bell 858-768-4041 Gloria.Bell@marshmma.com HP Communications Inc. 13341 Temescal Canyon Road Corona, CA 92883 22322 35289 37885 27154 A X X X BI/PD Ded:10000 X X X CGS745990901 07/15/2021 07/15/2022 1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000 A X X X CAH745991001 See attached for Hired Auto Physical damage 07/15/2021 07/15/2022 2,000,000 B X X 6072189359 07/15/2021 07/15/2022 10,000,000 10,000,000 C N X CWG745990801 07/15/2021 07/15/2022 X 1,000,000 1,000,000 1,000,000 D Contractors Equipment Floater - ACV 7100336610008 07/15/2021 07/15/2022 Scheduled: $7,134,389 Rented: $200,000 Item Deductible: $2,500 City of Coppell 255 E. Parkway Blvd. Coppell, TX 75019 1 of 1 #S8509318/M8509069 HPCOMMU1Client#: 424269 WSJZH 1 of 1 #S8509318/M8509069 ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 2 2 Marsh & McLennan Insurance Agency LLC HP Communications Inc. 25 Certificate of Liability Insurance ADDITIONAL COVERAGE Professional Liability – Berkley Assurance Company # PCADB50149860721 Term: 7/15/21 – 7/15/22 $5,000,000 Each Claim Limit / Aggregate $25,000 Deductible Each Claim Pollution Coverage - Berkley Assurance Company # PCADB50149860721 Term: 7/15/21 – 7/15/22 $5,000,000 Each Claim Limit $10,000,000 Aggregate $50,000 Deductible Each Claim Crime Coverage - Travelers Cas & Surety Co of America #105983294 Term: 7/15/21 – 7/15/22 Employee Theft of Client Property $1,000,000; $10,000 Retention Fiduciary Limit $1,000,000; $0 Retention Installation Floater / Property Coverage - Atlantic Specialty Insurance Company #7100336610008 Term: 7/15/21 – 7/15/22 Actual Cash Value $2,000,000 Limit $2,500 Deductible Business Personal Property Coverage $556,600 Limit w/ $1,000 Deductible Business Interruption / Extra Expense Coverage $500,000 Limit Cyber Liability Carrier: Syndicate 2623/623 at Lloyd's Policy Number: W1FB03210401 Term: 7/15/21 – 7/15/22 Aggregate Limit: $1,000,000 Retention: $25,000 Hired Auto Physical Damage (Comp & Collision): $100,000 Limit Comp $1,000 Deductible & Collision $1,000 Deductible Hired/Borrowed Auto Liability: $1,000,000 Limit Non-Owed Auto Liability: $1,000,000 Limit Employment Practices Liability Insurance Insurer: Underwriters at Lloyd's London Policy #ANV115282A Term: 7/15/21 – 7/15/22 $1,000,000 Policy Limit $75,000 Deductible Each Claim Claims Made Policy Prior and Pending Date: 7/25/2017