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HomeMy WebLinkAboutFibertel LLC 04.28.251 of 1 4773 A4L_iJ1<t.7 CERTIFICATE OF LIABILITY INSURANCE FDATE Y) 5/1/2026 04/28/2025 /202 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(les) 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). PRODUCER Lockton Companies, LLC $ 1,000,000 DBA as Lockton Insurance Brokers, LLC in CA CA license #0F15767 3657 Briarpark Dr., Ste. 700 PHONE X E-MAIL INSURERS AFFORDING COVERAGE NAIC # Houston TX 77042 INSURERA: Old .Republic Insurance Company 24147 INSURED Fibertel, LLC 1394407 A QUANTA SERVICES COMPANY PO BOX 1071 INSURER B INSURER C : INSURER -D: - Springville UT 84663 INSURER E : 06/01/202 INSURER F: ncvi�wia rYUrYroGri: AAAAAAA 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 ADDL SUB POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY MWZY 313093 25 05/01/202 06/01/202 EACH OCCURRENCE $ 2 000 000 A CLAIMS -MADE OCCUR MWZX 313095 25 05/01/202 06/01/2026 DAMAGE TO RE TED $ 1,000,000 Y N MED EXP (Any oneperson) $ Excluded PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4.000.000 POLICY❑ PRO- ❑ JECT LOC PRODUCTS - COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY MWTB 313092 25. 05/01/202 06/01/202 Eaaeocld.ntSINGLELIMIT $ 1,000,000 AUTO BODILY INJURY (Per person) $ XXXXXXX OWNED SCHEDU_OWLED Y NAUTOSONLY INJURY (Per accident) $XXXXXXX 1XXANY AUTOSBODILY HIREDAUTOS ONLY X AUTOS ONLY PParr a .1Jent AMAGE $ XXXXXXX $XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS -MADE AGGREGATE $ XXXXXXX DED I I RETENTION $ $ WORKERS COMPENSATION X P R H- A AND EMPLOYERS' LIABILITY YIN N M WC 313094 25 05/01 /202 05/01 /202 E A ANY OFFICER/MEMBER EXCLUDED? NIA NIA N MWC 31309426 05/01/202 06/01/202 E,L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) Ugs, describe under E.L. DISEASE - POLICY LIMIT $ 1.000.000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Additional Insured in favor of the Town of Los Altos Hills, Its elective and appointed officers, employees, and volunteers on the General Liability and Auto Liability where and to the extent required by written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 21123317 T24 P1 AUTHORIZED REPRESENTATIVE City of Los Altos Hills 26379 Fremont Road Los Altos Hills CA 94022 • •--- _ %­ � � ' 1 ne --mu narne ana logo are reglsterea marKS of AGURD May 1, 2025 Re: Quanta Services and all Subsidiaries Renewal Certificate of Insurance Dear Certificate Holder: Enclosed for your records you will find the renewal Certificate of Insurance for Quanta Services and its Subsidiaries. To expedite the delivery of future renewal certificates, we are collecting email addresses for all certificate holders. Please note that if no email address is on file, we will continue to mail a certificate of insurance to the mailing address on file. If you wish to receive E-mail version of renewal certificates going forward, please send the email address at which you would like to receive your certificate as well as the Certificate Holder number (see below for directions on how to locate this information) to the following email address: Houston-QuantaECertDelivery@lockton.com Certificate Holder # RTIFICATE HOLDER _ The Certificate Holder number is 12345678 the 8 digit number directly above the Certificate Holder name and 12345678 address in the bottom left corner of your enclosed COI. SAMPLE 123 Main Street Anywhere AL 12345 MRD 2.5 (2016/031 Regards, Amy Barnett