HomeMy WebLinkAboutFibertel, LLC dba Fibertel CA, LLC 05.30.2026ACORN iMwoonrvv�
CERTIFICATE OF LIABILITY INSURANCE jos„o,zo26
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 certificateholder is an ADDITIONAL INSURED, the policy(iss) 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 can
this certificate does not confer rights to the certifipate holder in lieu of such. endorsement(s).
PRODUCERCONTACT
Marsh USA LLC NAME: VAX
4400 Comerica Bank Tower PHONE )d
(AIC, -No):
1717 Main Street E-nnA1L
Dallas, TX 75.201 ADDRESS:
INSURER(S) AFFORDING. COVERAGE NAIC #
CN103122494--002-G2A2 25379 INSURER A ; Old Republic Insurance Company 241.47
INSURED INSURER B: NIA NIA
Fibertel, LLC dba Fibertel CA, LLC
A Quanta Services Company INSURER,C:
893 North 450 West INSURER D
Springville, UT 84663
INSURER E
INSURER F: ppr.+
.AAms .'®.=oft A &mrw0% A-rr ma mmina r%. .in] i. r%AA'3M)C1a A”)
-WMM/ M soup Y/-L%A■w.M
CERTIFY THAT THE POLICIES OF INSURANCE LISTED. BELOW HAVE BEEN. ISSUED TorTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD
THIS IS T C E
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 rOF SUCH LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
r
TYPE OF INSURANCE
ADDL
SUBRPOLICY.
POLICY NUMBER
EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
A
X COMMERCIAL GENERAL LIABILITYMWZY
CLAIMS -MADE OCCUR
Y
313093 26
MWZX 313095 26
06/01/2026
06/01/2026
06101/2027
06/01/2027
EACH OCCURRENCE � 2,000,000
AMACE TO RENTED
PREMISES Ea occurrence $ 1,600;000
MED EXP (Any one person] $ EXCLUDED
PERSONAL & ADV INJURY $ 1,0O0,0Q0
CEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO- LOC
JECT
OTHER:
GENERALAGGREGATE 4,000,000
PRODUCTS - COMP/OP AGO. $ 4,000,000
$
A
A
AUTOMOBILE LIABILITY
X ANY AUTO
X GINNED SCHEDULED
AUTOS ONLY, AUTOS
HIRED NON -OWNED
X AUTOS ONLY X AUTOS. ONLY
Y
MWTB-313Q92-26
MWZX 313091 26
06/01/2026
06/01/2026
06/01/2027
06/01/2027
E� aBCoideDtSINGLE LIMIT $ 2,000,000
BODILY INJURY (Per person)
BODILY INJURY (Per accident) $
PROPERTY.DAMAGE $
Per accident
$
UMBRELLA LIAB
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE $
AGGREGATE -
DED RETENTION $O
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPRt PRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatary in NH)
UIf yyes., describe under
DESCRIPTION OF OPERATIONS below
N / A
MWC 313094 26
06/0102026
06/01/,202.7
TUTE ERHw
X STA
E,L. EACH.ACCIDENT $ 1,000,000 .
E,L. DISEASE - EA EMPLOYEE $ 1,000,000
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 HOLDER
The Town of los Altos Hills
26379 Fremont Road
Los Altos Hills, CA 94022
ACORD 25 (2016/03)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE.
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
', ZV 409
0 1988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
G* Marsh ��r��
Dear Certificate Holder:
To streamline certificate delivery for our clients and in an effort to support our firrn'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.ernai|@nnarsh.cornand include the following:
—Certificate # (Shown below Insured Name —e.8,/\B[-123456789-01)
—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 named insured and will remove you from our records.
Thank you,
US Operations, Marsh USA, LLC
^=»me�o/".�'^'`o mrLe".m".
0045-01-00-0002684-0002-0007979