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Home My WebLink AboutFibertel LLC 04.28.25 V2'4 Ro® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 5/1/2026 1 04/28/2025 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, LLCNT IS TO CERTIFY THAT THE POLICIES DBA as Lockton Insurance Brokers, LLC in CA CA license #OF15767 3657 Briarpark Dr., Ste, 700 PHONE E-MAIL Houston TX 77042 (866) 260-3538 INSURED Fibertel CA, LLC 1384511 A Quanta Services Company 893 North 450 West INSURERS AFFORDING COVERAGE NA INSURERA: Old Republic Insurance Company 24147 INSURER B ; INSURER C ; INSURER D: Springville UT 84663 COVERAGES CERTIFICATE NUMBER20162002 __ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO XXXXXX PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT THE INSUREDINAOMED ABOBVERFOR HE POLICY WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY OR THE OTHER DOCUMENT WITH RESPECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE POLICIES DESCRIBED HEREIN IS SUBJECT TO INSR AUULSUBF,POLICY BEEN REDUCED BY PAID CLAIMS. LTR A TYPE OF INSURANCE INSD WVD POLICY NUMBER EFF MM/DD/YYYY POLICY EXP MM DD/YYYY LIMITS AMWZX X COMMERCIAL GENERAL LIABILITY MWZY 313093 25 05/01/202 06/01/2026 CLAIMS -MADE OCCUR F 313095 25 05/01/202 06/01/202 EACH OCCURRENCE $ 2 000 000 D MAGE TORE T D PREMISES (Ea occurre ce) $ 1 000 000 MED EXP (Any oneperson) $ Excluded Y N PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑ PRO- ❑ JECT LOC GENERAL AGGREGATE $ 4 000 000 PRODUCTS - COMP/OP AGG $ 4 OOO OOO OTHER: E� eacid-D SINGLE LIMIT $ 2,000,000 A A AUTOMOBILE LIABILITY X MWTB 313092 25. 05/01/202 06/01/202 ANY AUTO MWZX 31309125 05/01/202 06/u I/ZU/C BODILYINJURY (Per X OWNED SCHEDULED Y N person) $ XXXXXXX BODILY INJURY (Per accident) $ XXXXXXX AUTOS ONLY AUTOS X HIRED N X PROPERTY AMAGE Peraccldent $XXXXXXX AUTOS ONLY AUOTOS ONLY $XXXXXXXOCCUR UMBRELLA LIAB NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS -MADE AGGREGATE $ XXXXXXX DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN MWC 313094 25 05/01/202 05/01/202 X P R T- A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F_N] NIA N MWC 31309426 05/01/202 06/01/202 E.L, EACH ACCIDENT Is 1,000.000 (Mandatory In NH) Ifyes, describe under E.L. DISEASE - EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT -$ 1,000,000 DESCRIPTION OF OPERATIONS / 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 all policies except Workers' Compensation/EL) where and to the extent required by written contract. CERTIFICATE Hol nFR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20162002 T24 P1 AUTHORIZED REPRESENTATIVE The Town of Los Altos Hills 26379 Fremont Road Los Altos Hills CA 94022 Arrnran on tonaarno% —1— -111c uuu rugo are reglst:erea marKS Ot ACORD 1 of 1 4774 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-QuantaECertDeliverV(@Iockton.com Certificate Holder # 12345678 The Certificate Holder number is the 8 digit number directly above the Certificate Holder name and 12345678 address in the bottom left corner SAMPLE of your enclosed C01. 123 Main Street Anywhere AL 12345 :ORD 2.5 (20161031 Regards, Amy Barnett