2019-355-E IT - Open Broadband tower attachment Meadowlands

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I DocuSign elope ID:48E2B242-8E58-4422-B158-BE446ECFB597 DATE w kook i irKPA i r- ur sLmBILITY INSURANCE 5/7/2018 THIS CERTIFICATEIS ISSUED AS A NATTER 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 INSURERIS),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 P�kC.No.Sx[Y FAX (888) 443-5112 210775 P: F: (888) 443-6112 Ao MS: PC) BOX 29611 INSURER(S)AFFORDING COVERAGE NAIL* CHARLOTTE NC 28229 NY;UR9RA- Twin City r--e --Ps Co 1AWRED INSURER 9; INSURER C: OPEN BROADBAND LLC INSURERD- PO BOX 723 INSURER E: 6v'A=W NC 28173 NSURER r 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 TYPE OF EVSUR NCE ADD4 SUTI TY)T.TCYIVVAr8ETt POLCCY EFF PULI4'YF.CP yes IMMIDWY COMMERCIALGENERALLIABUJTY EACH OCCURRENCE s2r 000r 000 DAMAGE TO R 000+ 000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrenceENTED ) Sl, A X General Liab x 76 Sap BB7998 04/17/2018 04/17/2D19 MED EXR(Any orre person) 510, 000 PERSONAL&ADVINJURY s2, 000, 000 GEN'L AGGREGATE UMrr APPLIES PER. GENERAL AGGREGATE 5 4, 000, 000 POLICY PRO-�x__ LOC PRODUCTS-COMPIOP AGG $4, 000, 000 OTHER: $ COMUINE❑SINGLE UMIT 2 0 0 0 0 Vr�0 AUTOMOBILE LABILITY (Ea accident} r i ANY AUTO BODILY INJURY(Per parson) OWNEA AUTOS ONLY AUTOS SCHEDULED 76 SEC BE799B 04/17/2018 04/17/2019 BODILY INJURY(Per accident)AUTOS X HIRED x NONIOWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) X UMBRELLA UAB X OCCUR EACH OCCURRENCE $1, 0 0 0, 0 0 0 A EXCESS L[AD CLAIM"ADE 76 SEp 33137998 04/17/2018 04/17/2019 AGGREGATE $1, 000, 000 De X RE-ramoN s10,p 0 a IV0ACFRS rVMFLA'S.9TI0A' PER OT1i- -�'�'P ISYPIfiY!]P.S rcaHam- STATUTE I ER ANY PROPRIETORIPA►iTNERIEXECUTNEIIM E.L EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? lAtandatpry is NH) ElW w U.L DISEASE-EA EMPLOYEE Ir yes,describe under E.L DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS be[ovr DESCRIP770N OF OPERATIONS I LOCATIONS I VEHICkUM1411 1 D1,Additional Remarks Schedule,may ha attached it more space is requirod) 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 AUTHORZEURGPRESENTATTyE 710 CATAWBA ST STE D BELMONT, NC 28012 Cc-1988-2015 ACORD CORPORATION.All rights reserved ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD