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HomeMy WebLinkAboutInsurance Certificates 2026/27 Frontier CommunicationsHo l d e r I d e n t i f i e r : 77 7 7 7 7 7 7 0 7 0 7 0 7 0 0 0 7 7 7 6 1 6 1 6 0 4 5 5 7 1 1 1 0 7 6 6 6 0 6 1 1 7 2 1 4 5 5 6 2 0 74 4 3 1 3 7 7 6 2 4 1 7 2 0 1 0 7 3 6 4 1 5 7 7 1 4 6 3 2 0 0 3 0 7 7 3 5 0 5 5 4 6 1 3 7 5 5 4 7 0 74 6 7 1 5 0 2 6 3 6 7 5 4 0 2 0 7 4 2 6 6 2 7 1 3 2 1 6 3 3 2 0 0 7 5 0 4 0 7 3 1 1 6 6 3 2 3 1 2 0 73 4 0 0 5 5 3 1 2 2 7 4 1 3 0 0 7 6 7 2 7 2 4 2 0 3 5 7 7 2 0 0 0 7 7 7 7 7 7 7 0 7 0 0 0 7 0 7 0 0 7 77 7 7 7 7 7 7 0 7 0 7 0 7 0 0 0 7 3 5 2 5 6 7 7 1 1 5 4 5 6 0 0 0 7 3 2 0 0 0 5 1 6 1 2 7 1 1 3 0 0 71 3 3 3 3 6 3 4 3 1 6 3 0 0 0 0 7 0 2 3 2 2 6 2 4 3 0 7 3 1 1 0 0 7 1 3 3 3 3 6 2 5 2 0 7 3 0 0 1 0 70 2 3 3 3 7 2 4 3 0 7 2 0 0 0 0 7 1 2 3 2 3 6 2 4 2 1 7 3 1 1 0 0 7 0 2 3 3 2 6 2 4 3 0 7 3 1 0 0 0 71 3 2 3 2 6 2 5 3 1 7 3 0 1 0 0 7 7 7 5 6 1 6 3 3 5 1 7 6 5 5 4 0 7 7 7 7 7 7 7 0 7 0 0 0 7 0 7 0 0 7 Ce r t i f i c a t e N o : 57 0 1 2 0 6 3 1 2 7 5 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/05/2026 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. PRODUCER Aon Risk Services Northeast, Inc. New York NY Office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # (866) 283-7122 INSURED 33600LM Insurance CorporationINSURER A: 42404Liberty Insurance CorporationINSURER B: 23035Liberty Mutual Fire Ins CoINSURER C: INSURER D: INSURER E: INSURER F: FAX (A/C. No.):(800) 363-0105 CONTACT NAME: Frontier Communications of America, Inc. 2 Washington Street Norwalk CT 06854 USA COVERAGES CERTIFICATE NUMBER:570120631275 REVISION NUMBER: 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.Limits shown are as requested POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X GEN'L AGGREGATE LIMIT APPLIES PER: $1,000,000 $1,000,000 $10,000 $1,000,000 $4,000,000 $4,000,000 B 06/30/2026 06/30/2027TB7691550588146 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X BODILY INJURY (Per accident) $2,000,000C06/30/2026 06/30/2027 Auto - AOS AS2-691-550588-136C 06/30/2026 06/30/2027 Auto - NH TL2-691-550588-186C 06/30/2026 06/30/2027 Excess Auto - NH COMBINED SINGLE LIMIT (Ea accident) AS2-691-550588-126 EXCESS LIAB OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED UMBRELLA LIAB RETENTION E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT $1,000,000 X OTH- ER PER STATUTEA06/30/2026 06/30/2027 AOS WA769D550588076B 06/30/2026 06/30/2027 $1,000,000 Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED?N / AN MA WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below $1,000,000 WA569D550588096 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Frontier Communications of America, Inc.'s insurance certificate, as required by the Addendum to the Frontier Master Services Agreement between Frontier Communications of America, Inc. and City of La Quinta, CA. City of La Quinta are included as an Additional Insured with respect to the General Liability policy. The General Liability policy shall apply as Primary Insurance & Non-Contributory to each Additional Insured listed herein. Where permitted by law, the Named Insured parties listed herein waive all rights against Additional Insureds herein for recovery of damages to the extent these damages are covered by the above-referenced Workers Compensation policy and, as further limited by written contract between the parties. CANCELLATIONCERTIFICATE HOLDER AUTHORIZED REPRESENTATIVECity of La Quinta 78495 Calle Tampico La Quinta CA 92253 USA ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY See Certificate Number: See Certificate Number: 570120631275 570120631275 Aon Risk Services Northeast, Inc. 570000027366 ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSURER INSURER INSURER INSURER INSURER(S) AFFORDING COVERAGE Page _ of _ NAIC # Frontier Communications of America, Inc. TYPE OF INSURANCE POLICY NUMBER LIMITS WORKERS COMPENSATION A WC5691550588086 06/30/2026 06/30/2027 WI, MN N/A ADDL INSD INSR LTR SUBR WVD POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD