2019-103-E IT - Open Broadband LLCedar Grove tower attachment

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DoctJSign Envelope ID: 1419B9C3-F506-4E89-97DF-2DDA12ACE26F F5/7/2018 ATE MWDDTMY �—� kock I frKPA I C Vr UnBILITY INSURANCE THIS CERTIFICATEIS 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 INSURERSS],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 endorsemen s. PRODUCER CONTACT NAME- NUTMEG INS AGENCY INC/PHS PHONE o.rxR wc.Na} (8881 443-5112 210775 P: F: (888) 443�-6112 aD�ESS: PO SOX 29611 INSURER(S)AFFORDING COVERAGE NAIL* CHARLOTTE NC 28229 NSURrtRA- twin City Fire --Ps Co mist9 ED INSURER 9- IN%JRER C: OPEN BROADBAND LLC INSURERD- PPO BOX 723 INSURER E: 6v'A=W NC 28173 INSURERr- COVERAGES CERTIFICATE NUMBER- 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. LN.SR TFPEOFEVS,RANCk ADD SU6 T X1C*YIVVAr8ETt POCLCP FFF PUT,II.Y EXP LDS rhrnvDD� COMMERCIALGENERALLIQLUTY EACH OCCURRENCE s2, 000, 000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) 5l, 0001 000 A X General Liab x 75 Sso BB7998 04/17/2018 04/17/2D19 MED EX?(Any oneperson) s10, 000 PERSONAL&ADV INJURY s2, 000, 0 0 0 GEN'L AGGREGATE UMiT APPLIES PER. GENERAL AGGREGATE 5 4, 000, 000 POLICY F JECT LOC PRODUCTS-COMPlOP AGG 64, 000, 000 OTHER: $ COMUINED SINGLE LIMIT 2 O D Yt n AUTOMOBILE LIABILITY (Ea accident} r , R ANY AUTO BODILY INJURY(Per person) A SCHEDULED AUTOS ONLY AUTOS 76 SE4 BE799B 04/17/2018 04/17/2019 BODILY INJURY(Per awdent) AUTOS X HIRED x NONIOWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) ¢ X UMBRELLA LIAR N OCCUR EACH OCCURRENCE $1, 0 0 0, 0 0 0 A EXCESS L[AD CLAIMS-MADE 76 SBU B137998 04/17/2018 04/17/2019 AGGREGATE $1, 000, 000 DBE X RETaMM S1 0,0 0 IYn(t3'}�SLYJNPENS.9TIUM1' 41M >7TJ4- -�'•'P 15afpL(lY!]P.S fca@JLJ77- STATUTE ER ANY PROPRIETOWARTNERIEXECUTNEYM E.L EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? eAfirndafpry in NH) ElW w U.L DISEASE-EA EMPLOYEE 5 IF yes,describe under $ ❑E5CRIP'R0N OF OPERATIONS below E.L DISEASE POLICY LIMIT DESCMP770M OF OPERATIONS/LOCATIONS/VEHICIUMRD 761,Additional Remarks Schedule,may ha attacbad it more space is requintd) Those usual to the Insured's Operations_ Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, NATIONAL MILLS LLC AUTHORIZED REPRESENTATIVE 710 CATAWBA ST STE D BELMONT, NC 28012 Cr31988-2015 ACORD CORPORATION.All rights reserved ACORD 25(2016103) The ACOR❑name and Iogo are registered marks of ACORD