Loading...
Insurance Certificates 2021/23 Frontier CommunicationsINSURANCE REVIEW RE: Please list the Contracting Party / Vendor Name, type of agreement to be executed, including any change orders or amendments, and the type of services to be provided. Make sure to list any related Project No. and Project Name. Insurance certificates required per the Agreement: ACCORD Certificate dated 10-days prior or less _____________________________ enter ACCORD issue date Commercial General Liability Insurance: $1,000,000 per occurrence/$2,000,000 aggregate OR $2,000,000 per occurrence/$4,000,000 aggregate Additional Insured Endorsement naming City of La Quinta Primary and Non-Contributory Endorsement Automobile Liability: $1,000,000 combined single limit for bodily injury and property damage. Workers’ Compensation: Statutory Limits / Employer’s Liability $1,000,000 per accident or disease Workers’ Compensation Endorsement with Waiver of Subrogation Sole Proprietor Professional Liability (Errors and Omissions): Errors and Omissions Liability insurance with a limit of not less than $1,000,000 per claim Cyber Liability/Technology Errors and Omissions Liability Insurance: $1,000,000 per occurrence/loss Other: ________________________________________________________ List other insurance types such as – molestation, harassment, etc. Approved by: ________________________ Date: ________________________ 5-YEAR TERM FROM EXECUTION DATE - APPROVE SERVICE AGREEMENTS WITH FRONTIER COMMUNICATIONS OF AMERICA, INC FOR THE LA QUINTA X-PARK PROJECT 2015-09 TO PROVIDE INTERNET SERVICES FOR THE PRO SHOP BUILDING LOCATED AT 46130 DUNE PALMS ROAD ✔ ✔ ✔ ✔ ✔ ✔ ✔ Monika Radeva 1/31/2022 NYC-011258410-01 N 3 07/01/2021Cyber/A 01/13/2022 2,000,000 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. La Quinta, CA 92253 City of La Quinta CN102898337-PL-P/C-21-22 Limit: Tech E&O 07/01/2022 1166 Avenue of the Americas Marsh USA, Inc. New York, NY 10036 401 Merritt 7 Frontier Communications of America, Inc. Norwalk, CT 06851 B6012BUSANMSL2101 78495 Calle Tampico Syndicate 2623/623 at Lloyd's Coverage evidenced above are subject to self-insured retentions for various perils covered. Marsh USA, Inc.401 Merritt 7 Frontier Communications of America, Inc. Norwalk, CT 06851 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY Willis Towers Watson Southeast, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA Frontier Communications of America, Inc. 401 Merritt 7 Norwalk, CT 06851 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 shall be shall be named as additional insured as respects the general liability policy where required by written contract. City of La Quinta 78495 Calle Tampico La Quinta, CA 92253 01/14/2022 1-877-945-7378 1-888-467-2378 certificates@willis.com Steadfast Insurance Company 26387 Zurich American Insurance Company American Zurich Insurance Company 16535 40142 W23764060 A 1,000,000 500,000 10,000 1,000,000 4,000,000 2,000,000 Y GLO 0285992-04 06/01/2021 06/01/2022 B 2,000,000 06/01/202206/01/2021BAP 0285990-04 WC 0285988-04 (AOS) C Y 1,000,000No06/01/2021 06/01/2022 1,000,000 1,000,000 B Workers Compensation (WI) Per Statute EL Each AccidentWC 0285989-04 (RETRO) 06/01/2021 06/01/2022 EL Disease-Ea Empl. Y and Employers Liab.EL Disease-Pol. Limit 237367722102561SR ID:BATCH: $1,000,000 $1,000,000 $1,000,000 Willis Towers Watson Certificate Center Page 1 of 2 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: Frontier Communications of America, Inc. 401 Merritt 7 Norwalk, CT 06851 Coverage under the general liability policy shall be primary and non-contributory to any other insurance available to the Additional Insured where required by written contract. Waiver of subrogation in favor of the Additional Insured shall apply to the workers’ compensation policy where required by written contract and as permitted by law. 22 Willis Towers Watson Southeast, Inc. See Page 1 See Page 1 See Page 1 See Page 1 25 Certificate of Liability Insurance W23764060CERT:2373677BATCH:22102561SR ID:                                !""!#$#%    &'()*(+,!!( !#$- !"'.,'.        !            "   /0!1'.).'1!"!!2' !111)0"'(('+!3  4  44 /5 4 4 /  #  $$%&%'( ')*+$ +)',)- + +'%.&%',)- /&%',)-  0+$ 1+&%')                "'.)!'6!1)''.2())0!01(#!"')0'+7' #+!((70'+!)08()!'$   /&%'   2 ) ' ')*+$ !.11)' !(111!)!'(!1)02'9:' '3!;)!'9: 0'+ ! )0 01(# 7) '(< +!)02))'(!7!(!)<"'=7'1!(<!><=#=2'2)< 1.3= ' =2'( 1 1 )!!3 !><= 1#!+0'('!2)#7<  ')''.!!'?'  /0)''.!!''")0')!3'<' 70("? !)02"'.'"<''3'!3'2)!'"' )0 11!)!'( !19: ) )0 (')!'9: 1!3)17' $ @'+   /0 ! ""'11 )' 0 11!)!'( !1'(<22(!)')0A))2.!))17< (+?1  "' 32' !11)')011!)!'(!1! 6!1 7<  ')) ' 3.)# )0 !""'11 )' 0 11!)!'( !1 +!(( ') 7 7'1 )0 )0) +0!0 <'  6!1 7< )0 ')) ' 3.) )' 2' !1"'011!)!'(!1$  &!)0 2) )' )0 ! ""'11 )' )0 11!)!'( !1# )0 "'(('+!3 11!)!'( A(!'22(< /0!!1'')22(<)'=7'1!(<!><=' =2'2)<1.3='!3")  4(( +'B# !(1!3 .)!(# 2) ' 6!2.) "!01 ! ')!' +!)0 0 +'B# ' )0 2'>) 9')0 )0  !# .!)'2!:)'72"'.17<' ' 70(" '" )0 11!)!'( !19: ) )0 (')!' '" )0 ' 1 '2)!' 0 7 '.2()1?'  /0) 2')!' '" =<' +'B= ') '" +0!0 )0 !>< ' 1.3 ! 0 7 2) )' !) !)11  7< < 2' ' '3!;)!' ')0)0')0'))''7'))' 331 ! 2"'.!3 '2)!' "'  2!!2(2)'")0.2'>)$      !""!#$#%       &!)0 2) )' )0 ! ""'11 )' )0 11!)!'( !1# )0 "'(('+!3 ! 111 )' /&%'   %#%&)  ')*+'/3 " ' 3 2' !11 )' )011!)!'( !1 ! 6!17<'))'3.)#)0.')+ +!((2<'70("'")011!)!'(!1!)0 .')'"!  6!17<)0'))'3.)?'  4 !(7( 1 )0 22(!7( (!.!) '" !? +0!0 !($ /0! 1'.) 0(( ') ! )0 22(!7((!.!)'"!$                                         !"#$%&'()"*)&' #!&+&,'# '-.-/')(')#$&*'##'.             0  !"#$0 1('#"&#*)*"''#'#!&$&,'""!"&)(0 #  % &'#(!& )1( /'$&&$('#"""))( )(&#!&"')'+)'*+#  % &' #&#0 1('# '#!& '# $&'*&% '#!& ) " /'  ) #2 )&'3!)' &* % )(& '#!& ,' 3  )  ""')' '#!&"!"&)('#$ '%$&,'"")()0 1(""')' '#!&"'#4*"#!&"!"&#!()(&'#!&5" %6!&&7!'&"3%/&')))&)&/&'))&*))())('#'#!&/! "3$&'*&%"/! ") #2)&'3!)'&*%%)(&'#!&,' 3 ))(""')' '#!&". ,1( /'$&&$('#""")&&$(-%)( )(&#!&"')'+)'*+#   % &'#&#0 1('#'#!&'#8##,&0 9%)()(&'#!&-/()(&$&'*&%-8##-)')&%)(&3#'#-,' 3 )""')'  '#!&"-' /('( )(""')' '#!&"!&$ '% '# #,&"#""')' '#!&" )(& $ '% $&,'"',&&)(#*:!&&:-#- '*&:#!'):.1('#$&,'#'"#)$$ %)%$ '%' /('()(""')' '#!&"'#4*"#!&"#!()(&$ '%"/(&!&$ '%'#&7!'&"3%/&')) )&)&/&'))&*))$&,'",&))(""')' '#!&"$&'*&%" )&'3!)&%3#'#. 9 )(&)&*#""')'#)('#$ '%&*'!(".                                                    !  "  #      $    %     &      #             "   "                          #                        !"#$%!&'!()"*+",!'-(%),!")#%)))+,)+&)*+%%!.".$"$%!! %.!'/-01    '()(**)   +, -* ./    , 0 1 -+ 20 + 3  0 -4 5 0 - -     2334531  $6!  - )/ 6,-- 0 20 71 #8                                                !  "  #      $    %     &      #             "   "                          #                        !"#$%!&'!()"*+",!'-(%),!")#%)))+,)+&)*+%%!.".$"$%!! %.!'/-01    '()(**)   +, -* ./ /   , 0 1 -+ 20 + 3  0 -4 5 0 - -     2334531  $6!  - )/ 6,-- 0 20 71 #8 From:Cucinella, Vincent To:Douglas Kinley III Cc:Gilbert Villalpando;Chris Escobedo;Christina Calderon Subject:RE: City of La Quinta - Frontier Solution for X-Park - Addendum to existing Frontier Service Agreement Date:Friday, January 14, 2022 1:56:15 PM Attachments:image001.png image002.png image003.png image004.png image005.png Frontier Exhibit F - City of La Quinta (FTR clean 1 12 2022).docx Frontier Exhibit F - City of La Quinta (FTR redlined 1 12 2022).docx City of La Quinta--Frontier Liability Insurance Certificate #W23764060 1-14-22.PDF City of La Quinta--Frontier Errors and Omissions and Cyber Liability Insurance Certificate #NYC-011258410 1-13-22.pdf Importance:High ** EXTERNAL: This message originated outside of the City of La Quinta. Please use proper judgement and caution when opening attachments, clicking links or responding to requests for information. ** Good afternoon, Doug, Regarding Exhibit F: Please See redlined and clean copies of the Exhibit F attached- all changes accepted except one word. Regarding Exhibit E: The first insurance certificate shows proof that we maintain general liability, auto liability and workers’ compensation insurance. The second insurance certificate shows proof that we maintain errors and omissions insurance (i.e., tech E&O) and cyber liability insurance. There are two insurance certificates because each group of insurance policies are issued by different insurance brokers, and only the broker who is responsible for a particular group of policies can issue the insurance certificate for those policies. Looking forward to getting executed contracts back at your earliest convenience and we can get this order started for you next week. Thank you and have a great weekend! Best, Vince Cucinella | Sr. Account Executive, Enterprise West |M 909.263.6367 |vincent.cucinella@ftr.com Frontier.com From: Douglas Kinley III <dkinley@laquintaca.gov> Sent: Tuesday, January 11, 2022 12:21 PM To: Cucinella, Vincent <vincent.cucinella@ftr.com> Cc: Gilbert Villalpando <Gvillalpando@laquintaca.gov>; Chris Escobedo <cescobedo@laquintaca.gov>;