T-MOBILE WEST CORPORATION - 2010

Home Browse Search

4coR ®® CERTIFICATE OF LIABILITY INSURANCE �Ir.../ DATEIMMIDD/YYYY) 04/2112016 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 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 NAME: Automatic Data Processing Insurance Agency, Inc. 1 Adp Boulevard AICNNO ExtExtL__. __ . JAIC AD RIESS, Roseland, NJ 07066 _ INSURER(S) AFFORDING COVERAGE NAICH INSURER A: Technology Insurance Company, Inc. 42376 EACH OCCURRENCE INSURED PHOENIX TOWER INTERNATIONAL INVEST INSURER B: INSURER C: _ DBA: Phoenix Tower International Investment LLC 1001 YAMATO RD SUITE 105 INSURER D: Boca Raton, FL 33431 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 479810 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. ILTR TYPE OF INSURANCE INSD B WVD POLICY NUMBER POLICY EFF MM /DDIYYYV - POLICY EXP MWDDIYVYY LIMITS Suite 105 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Boca Raton, FL 33431 AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ - -- $ DAMAGE REITr PREMISES RERTurrence _ MED EXP (Any one person) $ PERSONAL &ADV INJURY GEN'LAGGREGA_TE LIMITAPPLIES PER __$ GENERAL AGGREGATE $ _ POLICY r - PRO- JECT [::] LOC JI -- PRODUCTS - COMP /O_P_AGG $ $ CTHER: AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT Fa Ea accident) $ _ ANY AUTO I'. BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS 'BODILY INJURY (Per adent ( cci_ $ _ -- NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE -- (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB ._CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICE / / /Men NHR EXCLUDED? ❑N rvIA (Mandatory ) If yes, describe under DESCRIPTION OF OPERATIONS below N TWC3524415 12/21/2015 11/12/2016 X I PER OT STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 _ EL DISEASE -EA EMPLOYEE $ 1,000,000 E. L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) i LHIYLCLLH I I V N ACORD 25 (2014101) 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 Phoenix Tower International Investment LLC ACCORDANCE WITH THE POLICY PROVISIONS. 1001 Yamato Road Suite 105 Boca Raton, FL 33431 AUTHORIZED REPRESENTATIVE ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD