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Insurance Certificates 2023/24 Frontier CommunicationsAWRE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/12/2023 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 MARSH USA LLC. 540 W MADISON CHICAGO, IL 60661 CN102898337--GAW-23-24 FC651 GAW INSURED Frontier Communications of America, Inc. 401 Merritt 7 Norwalk, CT 06851 COVERAGES CERTIFICATE NUMBER: CONTACT NAME: Marsh I U.S. Operations PHONE (NC, .NP. Etrt): E-MAIL ADDRESS: (866) 966-4664 Chicago.CertRequestertl arsil.corn FAX No1: 212-948-0770 {A)C, INSURER(S) AFFORDING COVERAGE NAIL # INSURER A : Steadfast Insurance Company INSURER B : Zurich American Insurance Company INSURER C : American Zurich Insurance Company INSURER D: INSURER E : INSURER F : CHI-010079174-07 26387 16535 40142 REVISION NUMBER: 7 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 LTR TYPE OF INSURANCE .ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYYL LIMITS A X COMMERCIAL GENERAL LIABILITY X GLO 0285992 06 06/01/2023 06/01/2024 EACH OCCURRENCE $ 1,000,000- CLAIMS -MADE ' X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 500,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 LIPOLICY JER LOC PRODUCTS - COMP/OP AGG $ 4,000,000 OTHER: $ B AUTOMOBILE LIABILITY BAP 0285990 06 06/01/2023 06/01/2024 COMBINED SINGLE LIMIT Ma accident) $ 2,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED AUTOS ONLY _ SCHEDULED AUTOSaccident) BODILYINJURY(Per$ HIRED AUTOS ONLY _ _ NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per aneldent) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENT ON $ $ C B AND KERS RSOOMPEERS'NIA TIOI N X WC 0285988 06 (AOS) 06/01/2023 06/01/2024 x SPER TATUTE EFI ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBEREXCLUDED? n N /A WC 0285989 06 (RETRO) 06/01/2023 06/01/2024 E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 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 shall be shall be named as additional insured as respects the general liability policy where required by written contract. 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. 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 ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102898337 LOC #: Chicago OR�� AC ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY MARSH USA LLC. NAMED INSURED Frontier Communications of America, Inc 401 Merritt 7 Norwalk, CT 06851 POLICY NUMBER CARRIER 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 CONTINUED FROM DESCRIPTION SECTION: 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. ACORD 101 (2008/01) 0188-01-00-0001269-0002-0003065 © 2008 ACORD CORPORATION. All rights I The ACORD name and logo are registered marks of ACORD Other Insurance Amendment — Primary And Non - Contributory ZURICHo Policy No. E ff. Date of Pol. Exp. Date of Pol. Eft Date of End. Producer No. Add'l.Prem ReturnPrem. GLO 0285992-06 06/01/2023 06/01/2024 18232000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: FRONTIER COMMUNICATIONS PARENT, INC. Address (including ZIP Code): 401 MERRITT 7 NORWALK, CT 06851 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 — Commercial General Liability Conditions: This insurance is excess aver: 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 (04/13) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. POLICY NUMBER: GLO 0285992-06 COMMERCIAL GENERAL LIABILITY CG20101219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations CITY OF LA QUINTA, CA VARIOUS LOCATIONS ACROSS THE CITY OF LA QUINTA, CA Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG20101219 0188-01-00-0001269-0004-0003067 © Insurance Services Office, Inc-, 2018 Page 101 of 126 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", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However. 1. The insurance afforded to such additional insured only applies to 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 additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1.AI1 work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2.That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C.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 2010 1219 © Insurance Services Office, Inc., 2018 Page 102 of 126 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 06-01-23 Policy No. WC 0285988-06 Endorsement No. Insured FRONTIER COMMUNICATIONS PARENT, INC . Premium $ INCL. Insurance Company AM ERICAN ZURICH INSURANCE COMPANY Countersigned By Docu9lpned by: L IuGt gill& A401292E2325469 WC 00 03 13 (Ed. 4-84) • 1983 National Council on Compensation Insurance. 0188-01-00-0001269-0003-0003066