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Spectrum-CS221231
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME: CONTACT (A/C, No): FAX E-MAIL ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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 rights to the certificate holder in lieu of such endorsement(s). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT ER OTH- STATUTE PER LIMITS(MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) POLICY EFF POLICY NUMBERTYPE OF INSURANCELTR INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY ddebuhr GL6081526412 SEE ATTACHED BUA6081526409 SEE ATTACHED SEE ATTACHED X 10,000 Minneapolis, MN 55402 12/31/22 X X X 612-333-3323 B 10,000 12/31/23 dawn.heinemann@bbrown.com 10,000,000 Coppell, TX 75019 Dawn Heinemann or Katie Hedican 1,000,000 2,000,000 X Suite 700 80 South 8th Street TRANSPORTATION INS CO AMERICAN CAS CO OF READING PA NATIONAL FIRE INS CO OF HARTFORD CONTINENTAL INS CO CONTINENTAL CAS CO X X 1,000,000 12/31/23 12/31/23 3305 Highway 60 West 12/31/23 612-373-7270 KGPCo Fleet, LLC (fka BPS Fleet, LLC); Falcon Tower LLC X X Brown & Brown Inc. X X X 1,000,000 12/12/2022 Building Inspections City of Coppell X X 67275373 67275373 1,000,000 X X 12/31/22 10,000,000 USA N A X 12/31/23 2,000,000 E D X C 20494 A **SEE ATTACHED FOR ADDITIONAL INSURED/PRIMARY/NONCONTRIBUTORY/WAIVER OF SUBROGATION. 1,000,000 20427 20478 12/31/22 35289 12/31/22 20443 12/31/22 X X 265 Parkway Blvd 1,000,000 X CUE6081520643 2,000,000 12/31/22 Phys Dam 1-612-333-3323 Faribault, MN 55021 12/31/23 dba "KGPCo" (fka BlueStream Professionals, LLC dba KGPCo) KGP Telecommunications, LLC; KGPCo Services, L.L.C SUPP (05/04) SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE NAME OF INSURED: Additional Description of Operations/Remarks from Page 1: Additional Information: WC7033955119 (AOS) - National Fire Insurance Company of Hartford Falcon Towers LLC GAP7018528195 (ND, OH, WA, WY) - Transportation Insurance Company the insured, subject to the policy terms and conditions. Umbrella Liability and/or Workers' Compensation policies, where required by the written contract or agreement with and conditions. Waiver of Subrogation applies as respects Insured's General Liability, Automobile Liability, where these are requirements in the written contract or agreement with the insured, subject to the policy terms General Liability, Automobile Liability and Umbrella Liability policies, and coverage will be on a primary basis, Entities identified in the contract with the Named Insured are included as Additional Insureds on the Insured's WC7018528178 (AZ, MA, OR, WI) - Transportation Insurance Company WC7018528150 (CA) - American Casualty Company of Reading, PA WC7018528133 (AOS) - American Casualty Company of Reading, PA KGPCo Services, LLC (services) 12/12/2022 GAP7018528181 (ND, OH, WA, WY) - Transportation Insurance Company WC7018528164 (AZ, MA, OR, WI) - Transportation Insurance Company WC7018528147 (CA) - American Casualty Company of Reading, PA WC7018528116 (AOS) - American Casualty Company of Reading, PA KGP Telecommunications, LLC (products) *Statutory coverage, Limits and Term are shown on the certificate. WORKERS COMPENSATION POLICIES LISTED BELOW: dba "KGPCo" (fka BlueStream Professionals, LLC dba KGPCo) KGP Telecommunications, LLC; KGPCo Services, L.L.C