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Insurance Certificates 2022/23 Frontier Communications' DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 07/14/2022 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(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). PRODUCER CONTACT MARSH USA INC Marsh I U.S Operations 540 W MADISON IA,C.NNo. Ead1: (866) 966 4664 FAX No): 212-948 0770 CHICAGO, IL 60661 E-MAIL ADDRESS: Chice9 q o CertRe ues marsh.com INSURER(S) AFFORDING COVERAGE NAIC # CN 1 02898337-PL-P/C-22-23 INSURERA : Syndicate 2623/623 at Lloyd's INSURED INSURER B : Frontier Communications of America, Inc 401 Merritt 7 INSURER C : Norwalk, CT 06851 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-010074393-02 REVISION NUMBER: 4 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. INSR TYPE OF INSURANCE AINSD DDL "UkWVD POLICY POLICY NUMBER MM/DDIYEYFY�Y POLICY LTR Y LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE FIOCCUR PREM E O RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL& ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT F� aCCidenl $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per ecc den! $ $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ��--ry--��^ OFFICERIMEMBEREXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatoryin NH) � E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT $ A Cyber/ W21`81C220201 07/01/2022 07/01/2023 Limit: 2,000,000 Tech E80 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. CERTIFICATE HOLDER CANCELLATION City of La Quinta 78495 Calle Tampico La Quinta, CA 92253 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 7,44g,Z4,Ci ZL.S'.i 9"c. ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACpRL7�° AGENCY CUSTOMER ID: CN102898337 LOC #: Chicago AMITIONAI RFMARKS SCHEDULE AGENCY NAMED INSURED MARSH USA INC. Frontier Communications of America, Inc. 401 Merritt 7 POLICY NUMBER Norwalk, CT 06851 CARRIER i NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Coverage evidenced above is subject to self -insured retentions for various perils covered. Page 2 of 2 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD 0265-01-00-0002812-0002-0007470 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 06/07/2022 MARSH USA INC. 540 W. MADISONCHICAGO, IL 60661 CN102898337--GAW-22-23 FC651 GAW Marsh | U.S. Operations (866) 966-4664 Chicago.CertRequest@marsh.com Steadfast Insurance Company Zurich American Insurance Company American Zurich Insurance Company 40142 16535 26387 Frontier Communications of America, Inc. 401 Merritt 7Norwalk, CT 06851 CHI-010079174-04 5 X X X X GLO 0285992 05 06/01/2022 06/01/2023 1,000,000 10,000 500,000 1,000,000 B X BAP 0285990 05 06/01/2022 06/01/2023 2,000,000 B C N WC 0285989 05 (WI) WC 0285988 05 (AOS) 06/01/2022 06/01/2022 06/01/2023 06/01/2023 1,000,000 1,000,000 1,000,000 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. City of La Quinta shall be shall be named as additional insured as respects the general liability policy where required by written contract. 2,000,000 4,000,000 XX A City of La Quinta of Marsh USA Inc. 78495 Calle Tampico La Quinta, CA 92253 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: MARSH USA INC. 2 2 Frontier Communications of America, Inc.401 Merritt 7Norwalk,CT 06851 25 Certificate of Liability Insurance CN102898337 Chicago CONTINUED FROM DESCRIPTION SECTION: 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. POLICY NUMBER: BAP 0285990-05 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are `insureds" for Covered Autos Liability Coverage under the Who Is An insured provision of the Coverage Form. This endorsement does not after coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: FRONTIER COMMUNICATIONS PARENT, INC. Endorsement Effective Date: 6/1/2022 SCHEDULE Name Of Person(s) Or Organization(s): ANY PERSON, ORGANIZATION, TRUSTEE, ESTATE, GOVERNMENTAL ENTITY OR ENTITY OF WHATEVER FORM IS AN ADDITIONAL INSURED AS REQUIRED BY CONTRACT, AGREEMENT OR PERMIT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. J CA20481013 O Insurance Services Office, Inc., 2011 Pagel of 0169-01-00-0001234-0002-0002906 Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph 0.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 0 Insurance Services Office, Inc., 2011 Page 2 of 2 POLICY NUMBER, GLO 0285992-05 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS,.LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location: And Description Of Completed O erations ONLY THOSE WHERE REQUIRED BY ALL LOCATIONS AND OPERATIONS WRITTEN CONTRACT OR WRITTEN AGREEMENT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I CG 20 37 12 19 0189-01-00-0001234-0003-0002907 b Insurance Services Office, Inc., 2018 Pagel of 2 a- A. Section II -- Who is An insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only appliesto- the extent- permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III -- Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 2 of 2 Other insurance Amendment -- Primary And Non - Contributory Named Insured: ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Address (including ZIP Code): This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part 1. The following paragraph is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is primary insurance to and will not seek contribution from any other insurance available to an additional insured under this policy provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by a written contract or written agreement that this insurance would be primary and would not seek contribution from any any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV W- Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. All other terms and conditions of this policy remain unchanged - U-GL-1327-B CW (1 Page Includes copyrighted material of Insurance Services Office, Inc., with its permission. 0189-01-00-0001234-0004-0002908 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84 ) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT, OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The Information below Is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement Effective 611/2022 Policy No. WC 0285988-05 Endorsement No. Insured: Frontier Communications Parent, Inc. ' Yii3 Wi $n Insurance Company: American Zurich Insurance Company Countersigned by WC 00 03 13 (Ed. 4-84 ) ii`j 1983 National Council on Compensation Insurance. 0207-01-00-0000214-0004-0000656 Waiver Of Subrogation (Blanket) indorsement Mlv`UOMMENT C1FV. NTGESTffE_T0_0rV._PYET. .FM.Y: This endorsement modifies insurance: provided under the: Commercial General Liability Coverage Part 'Fhe following is added to the Transfer Of :Rights Of Recovery Against Others To ins Condition: If you are required by a written contract or agreement, which is executed before a loss, to waive your rights of recovery from 1_a_ __. _____.._. 1__._ _I_�_ L_If L_ J L_ ' L _ oulel'), we agice"� W waive. lull llg'lIL1 of Inxive y. a IIt:X ♦Y211VL:1 M LIgiILW MIdIt III?L EX; ti,:� JIUMI. µt;U ILI I.M. A WAl Vul %V ILI) It;,Nj ;L:L LU any other operations in which the insured .has no contractual .i.nterest, U-GL-425-B C W (l?r0l) Pag .. l of t 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