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HomeMy WebLinkAboutCOI - Boldyn Networks US, LLC - Expires: 2026-09-30COI10359Holder Identifier : 7777777707070700077763616065553330773706456215556707453126663406310072640477147231020736045553067451207562051772674512075662371760767740772401377023675207500433570676332077727252025773110777777707000707007 6666666606060600062606466204446200600000424226200206220206262242222060220062622400020622220604204220006002026260240000062202240422600200600200426224020006220024042220422066646062240664440666666606000606006Certificate No :570115642357CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/24/2025 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. PRODUCER Aon Risk Services Northeast, Inc. New York NY Office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED 20281Federal Insurance CompanyINSURER A: 10052Chubb National Ins CoINSURER B: AA1120187American International Group UK LtdINSURER C: INSURER D: INSURER E: INSURER F: FAX (A/C. No.): CONTACT NAME: Boldyn Networks US LLC 121 Innovation Dr Ste 200 Irvine CA 92617-3094 USA COVERAGES CERTIFICATE NUMBER:570115642357 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.Limits shown are as requested POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X X GEN'L AGGREGATE LIMIT APPLIES PER: $2,000,000 $2,000,000 $10,000 $2,000,000 $4,000,000 $4,000,000 A 09/30/2025 09/30/202699511216 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X BODILY INJURY (Per accident) $1,000,000A09/30/2025 09/30/2026 COMBINED SINGLE LIMIT (Ea accident) 7364-55-49 EXCESS LIAB X OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED $9,000,000 $9,000,000 09/30/2025UMBRELLA LIABA 09/30/202656718908 RETENTION X E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT $1,000,000 X OTH- ER PER STATUTEB09/30/2025 09/30/2026 $1,000,000 Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED?N / AN WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below $1,000,000 2671835186 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: AGMT: A01955. The City, and its elected and appointed council members, board members, commissioners, officers and officials are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. A Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability, Automobile Liability and Workers' Compensation policies. CANCELLATIONCERTIFICATE HOLDER AUTHORIZED REPRESENTATIVECity of Gilroy 7351 Rosanna Street Gilroy CA 95020 USA ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. 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 ACCORDANCE WITH THE POLICY PROVISIONS. AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY See Certificate Number: See Certificate Number: 570115642357 570115642357 Aon Risk Services Northeast, Inc. 570000075032 ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSURER INSURER INSURER INSURER INSURER(S) AFFORDING COVERAGE Page _ of _ NAIC # Boldyn Networks US LLC TYPE OF INSURANCE POLICY NUMBER LIMITS EXCESS LIABILITY C 32022120 09/30/2025 09/29/2026 Aggregate $39,414,000 Each Occurrence $25,000,000 1st XS ADDL INSD INSR LTR SUBR WVD POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Named Insureds AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY See Certificate Number: See Certificate Number: Aon Risk Services Northeast, Inc. 570000075032 570115642357 570115642357 Page _ of _ Boldyn Networks US LLC Old name: M3 Hilbert Towers, LLC……..……………............... New name: Boldyn Networks US VI LLC Old name: MobileComm Site Management LLC……..…………. New name: Boldyn Networks US V LLC Old name: Mobilitie* Operations LLC……..…………............…. New name: Boldyn Networks US Operations LLC Old name: Mobilitie Services, LLC……..…………...............…. New name: Boldyn Networks US Services LLC Old name: Mobilitie Investments III - C, LLC……..….…….……. New name: Boldyn Networks US III LLC Old name: Mobilitie Investments III - B, LLC……..………..……. New name: Boldyn Networks US II LLC Old name: Mobilitie Investments IV, LLC……..………......……. New name: Boldyn Networks US IV LLC Old name: Mobilitie Investments III - A, LLC……..…….....……. New name: Boldyn Networks US I LLC Old name: Mobilitie LLC…….............................…...........……. New name: Boldyn Networks US LLC Old name: Signal Point Systems LLC……..…..…............……. New name: Boldyn Networks US VII LLC Old name: Base Line Integrators LLC……......…................…. New name: Boldyn Networks US VIII LLC Old name: Apogee Telecom Inc................................................New name: Boldyn Networks Higher Ed, LLC ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Addendum AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY See Certificate Number: See Certificate Number: Aon Risk Services Northeast, Inc. 570000075032 570115642357 570115642357 Page _ of _ Boldyn Networks US LLC As respects Policy Number 32022120, Aon Commercial Risk (U.S.) is generating and distributing this certificate in an administrative capacity. Aon UK is the broker for the defined policy. ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD