HomeMy WebLinkAboutFibertel, LLC 05.30.2026M/D
,ac izo D CERTIFICATE OF LIABILITY INSURANCE °os;,a obD"�'
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. INSU RER(S), AUTHORIZEiD
REPRESENTATIVE OR PRODUCER, ARID THE CERTIFICATE HOLDER,
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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 co Wer rights to the certificate holder in lied of such endorsement(s),,
PRODUCER NAME:,.,
Marsh USA LLC NAME: .
4400 Comerica Bank Tower PI/CANE
1717 Main Street E-MAIL
Dallas, TX 75201 ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIL #
CN103122494-5M1-GAW-26-27 32045. INSURER A: Cold Republic Insurance Company_.24147
INSUREDN/A
Fibertel, LLG IINSURER 13: N/A
A Quanta Services Company INSURER C.:
1699 S.10th'St IhISIJRER i
San Jose, CZ 95112
INSURER E
INSURER F
COVERAGES GERTIPIOATE. NUMBER: H0U-004320.358-02 REVISION NUMUER: 1
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 TC 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 POLLICIES..LIMITS SHOWN MAY HAVE BEEN REDUCED BY, PAID CLAIMS.
INS-
LTR
TYPE OF INSURANCE
AUDL.
S:URR
POLICY NUMBER
POLICY EFF
MMlDD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
M WZY 313093 26
MWZX 313095 26
06/.0112026
06101120.26
06101/2027.EACH
06101/2027
OCCURRENCE $ 2,000, 00
DAMAGE TO RENTED
PREMISES Ea aac rrence $ 1,OOQ,000
MED EXP (Anyone person) $ EXCLUDED
GEN'L AGGREGATE LIMIT APPLIES PER:
X PCLfCY PRO- LOC
'JECT
OTHER:
PERSONAL &ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 4;000,000
PRODUCTS w COMPLOP AGG $ .4,000 ,000 .
$
A
AUTOMOBILE LIABILITY
ANY AUTO
X OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
X AUTOS ONLY X AUTOS ONLY
y
MWTB-313Q92-26
06/0112026
06/01/2027
O ace dentSING E LIMIT $ 1,0001000
BODILY INJURY (Per person) $
BODILY INJURY (Por accident) $
PROPERTY DAMAGE
Per -accident
UMBRELLA LIASOCCUR
ECGESS C�►B -, -
-
CLAIMS -MADE
EACH OCCURRENCE $
AGGREGATE $
COED RETENTION $
A
WGRKERS.CCOMPENSATION
AND EMPLOYERS LIABILITY
ANYPROPRIETOR/PARTNEFUEXECUTIVE Y / N
OFFICER/MEMBEREXCLUDED?
(Mandatary in NA)
U.If describe . under
DESCRIPTION OF OPERATIONS below
N / A
MWC.313094 26
06/01/2026
06101/2027
STEATLIH
TE ET
E.L. EACH ACCIDENT $ 1;000;000
E.L. DISEASE.- EA EMPLOYEE $ 1,000,000
E,L. D.ISEASE - POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS ! LOCATIONS / 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.
CERTIFICATE-EMDER
City of Los Altos Hills
SHOULD ANY OF THE ABOVE (DESCRIBED POLICIES BE CANCELLED BEFORE
26379 Fremont Road
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Los Altos Hills, CA 94022
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
0 1 966-201 6 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Dear Certificate Holder:
To streamline certificate delivery for our clients and in an effort to support our firm's commitment to
sustainability, going forward, we will only be providing renewal certificates of insurance electronically,
If you need to continue receiving a copy of the attached certificate, please send an email to
USOperations.email@marsh.com and include the following:
—Certificate # (Shown below Insured Name —e.8,A8[-1234Sd789-OI)
E -Mail for future delivery
For your convenience, If we do not receive your response, we will conclude that you no longer require proof of
insurance from the narned insured and will remove you from our records.
Thank you,
US Operations, Marsh USA, LLC
A business of Marsh McLennan
0043-0,�0001069-0002-0003296