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Certificates of Insurance
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MANDD/YYYY) 4 12/10/2010 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 Marsh USA Inc. NAME: _ - 1 601 Poydras Street, Suite 1850 i ti(1o.iElCt): (A/C, No): New Orleans, LA 70130 -6031 & MA Attn: 212-948-0537 NewOrleans .CertRequest @marsh.com ( r ADDRESS: ( PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A : Greenwich Insurance Company 22322 CenturyLink, Inc. XL Specialty Insurance Company 37885 (See Attached) - .. INSURER B : y 100 CenturyLink Drive t,,_... r IIGihpEd'c : NIA i N/A I • Monroe, LA 71203 _ ..._____ ` INSURER D : - - INSURER E : - INSURER F : I COVERAGES CERTIFICATE NUMBER: HOU 001659881 - 13 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. INSR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MM/DD/YYYY) A GENERAL LIABILITY RDG943740201 12/15/2010 12/15/2011 EACH OCCURRENCE $ 5,000,000 I X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 1 000 PREMISES (Ea occurrence) $ CLAIMS -MADE X OCCUR MED EXP (Any one person) $ N/A PERSONAL & ADV INJURY $ 5,000,000 GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT n APPLIES PER: PRODUCTS - COMP /OP AGG $ 5,000,000 I POLICY 1r�, r PRO- I� LOC _ $ A AUTOMOBILE LIABILITY RAD943740301 12/15/2010 12/15/2011 COMBINED SINGLE LIMIT $ 5,000,000 (Ea accident) X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS //�� BODILY INJURY (Per accident) $ SCHEDULED AUTOS J MAGE X HIRED AUTOS j / $ , / ` lll�lll/// t 14 �FM* � X NON -OWNED AUTOS � $ 1111 $ UMBRELLA LIAB I �a, !' OCCUR Y EACH OCCURRENCE $ EXCESS LIAB I CLAIMS -MADE , Y ) '] AGGREGATE $ DEDUCTIBLE ( . (�/ $ RETENTION $ v $ B WORKERS COMPENSATION RWD943528901 (AOS) 12/15/2010 12/15/2011 X I WC STATU I 10TH AND EMPLOYERS' LIABILITY TORY I IMITS FR B ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N RWR943529001 (WI) 12/15/2010 12/15/2011 E.L. EACH ACCIDENT $ 5,000,000 OFFICER/MEMBER EXCLUDED? N N / A (Mandatory in NH) (c - r (�G' E.L. DISEASE - EA EMPLOYEE $ 5,000,000 It yes, describe under !�'�"' 5,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B Excess WC RWE943529101 (WA) 12/15/2010 12/15/2011 SIR $1,000,000 $5,000,000 B Excess WC RWE9435300 (OH) 12/15/2010 12/15/2011 SIR $1,000,000 $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Monroe County BOCC is named as Additional Insured (except for workers' compensation) when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 of Marsh USA Inc. Robert C. Hill R.,-.4.....,e- c . ® 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD ADDITIONAL INFORMATION HOU- 001659881 -13 DATE(MM/DD/YY) 12/10/2010 PRODUCER Marsh USA Inc. 601 Poydras Street, Suite 1850 New Orleans, LA 70130-6031 Attn: 212-948-0537 NewOrleans.CertRequest ©marsh.com INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER G: Century Link, Inc. (See Attached) INSURER H: 100 CenturyLink Drive INSURER I: Monroe, LA 71203 INSURER J: TEXT CenturyTel, Inc. and all subsidiaries for which the named insured has the responsibility of providing insurance and for which coverage is not otherwise specifically provided, including the following Embarq entities: Actel, LLC Bloomingdale Telephone Company, Inc. (20%) Century Cellunet Intemational, Inc. Cellunet of India Limited Century Interactive Fax, Inc Century Telephone of West Virginia, Inc. CenturyTel Acquisition LLC CenturyTel of Adamsville, Inc. CenturyTel of Arkansas, Inc. CenturyTel Broadband Services, LLC CenturyTel Broadband Wireless, LLC CenturyTel of Central Indiana, Inc. CenturyTel of Central Louisiana, LLC CenturyTel of Chatham, LLC CenturyTel of Chester, Inc. CenturyTel of Claibome, Inc. CenturyTel of East Louisiana, LLC CenturyTel of Evangeline, LLC CenturyTel Fiber Company II, LLC CenturyTel Holdings, Inc. Century Marketing Solutions, LLC Century Color Graphics, LLC CenturyTel Arkansas Holdings, Inc. CenturyTel of Central Arkansas, LLC CenturyTel of Northwest Arkansas, LLC CenturyTel Holdings Alabama, Inc. CenturyTel of Alabama, LLC CenturyTel Holdings Missouri, Inc. CenturyTel of Missouri, LLC CenturyTel Investments of Texas, Inc. CenturyTel of the Northwest, Inc. Brown Equipment Corp. Carter Company, Inc. Honomach PR, Inc. Cascade Autovon Company CenturyTel /Cable Layers, Inc. CenturyTel of Central Wisconsin, LLC CenturyTel of Colorado, Inc. CenturyTel of Eagle, Inc. CenturyTel of Eastem Oregon, Inc. CenturyTel Entertainment, Inc. CenturyTel of Fairwater - Brandon -Alto, LLC CenturyTel of Forestville, LLC CenturyTel of the Gem State, Inc. (97%) CenturyTel of Inter Island, Inc. CenturyTel of Larsen - Readfield, LLC CenturyTel of the Midwest - Kendall, LLC CERTIFICATE HOLDER Monroe County Board of County Commissioners Risk Management 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Robert C. Hill C. Pag �.. _ ADDITIONAL INFORMATION DATE(MM/DDIYY) HOU- 001659881 -13 1211012010 PRODUCER Marsh USA Inc. 601 Poydras Street, Suite 1850 New Orleans, LA 70130-6031 Attn: 212-948-0537 NewOrleans.CertRequest @marsh.com INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER G: Century Lnk, Inc. (See Attached) INSURER H: 100 CenturyLink Drive INSURER 1: Monroe, LA 71203 INSURER J: TEXT CenturyTel of the Midwest - Wisconsin, LLC CenturyTel of Minnesota, Inc. CenturyTel of Monroe County, LLC CenturyTel of Montana, Inc. (99 %) CenturyTel of Northern Wisconsin, LLC CenturyTel of Northwest Wisconsin, LLC CenturyTel of Oregon, Inc. CenturyTel of Paradise, Inc. CenturyTel of Cowiche, Inc. CenturyTel of Postville, Inc. CenturyTel of Southem Wisconsin, LLC CenturyTel of the Southwest, Inc. CenturyTel Telecom Service, Inc. CenturyTel Telephone Utilities, Inc. CenturyTel TeleVideo, Inc. CenturyTel/Teleview of Wisconsin, Inc. CenturyTel of Upper Michigan, Inc. CenturyTel/UTI, Inc. CenturyTel of Washington, Inc. CenturyTeI/WORLDVOX, Inc. CenturyTel of Wyoming, Inc. Eagle Valley Communications Corporation International Communications Holdings, Inc. Pacific Telecom, Inc. (Shell) PTI Communications of Ketchikan, Inc PTI Communications of Minnesota, Inc. PTI Transponders, Inc. Universal Contracting Corp. Universal Manufacturing Corp. Universal Telephone Long Distance, Inc. CenturyTel of Idaho, Inc. CenturyTel Interactive Company CenturyTel International, Inc. CenturyTel Internet Holdings, Inc. centurytel.com, LLC CenturyTel Investments, LLC CenturyTel Long Distance, LLC CenturyTel of Michigan, Inc. CenturyTel Midwest - Michigan, Inc. CenturyTel Mobile Communications, Inc. CenturyTel of Mountain Home, Inc. CenturyTel of North Louisiana, LLC CenturyTel of North Mississippi, Inc. CenturyTel of Northern Michigan, Inc. CenturyTel of Northwest Louisiana, Inc. CenturyTel of Odon, Inc. CenturyTel of Ohio, Inc. CenturyTel of Ooltewah - Collegedale, Inc. CenturyTel of Port Aransas, Inc. CenturyTel of Redfield, Inc. CenturyTel of Ringgold, LLC —_ - - - - - - -_ - - - -- ---._---------- - CERTIFICATE HOLDER Monroe County Board of County Commissioners Risk Management 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Robert C. Hill Page 3 ADDITIONAL INFORMATION HOU- 001659881 -13 DATE(MMIDDIYY) 12/10/2010 PRODUCER Marsh USA Inc. 601 Poydras Street, Suite 1850 New Orleans, LA 70130 -6031 Attn: 212-948-0537 NewOrleans .CertRequest @marsh.com INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER G: Century Link, Inc. (See Attached) INSURER H: 100 CenturyLink Drive INSURER I: Monroe, LA 71203 INSURER J: TEXT CenturyTel SM Telecorp, Inc. CenturyTel Telecommunications, Inc. SM Telecom, Inc. CenturyTel /SM, Inc. CenturyTel of San Marcos, Inc. CenturyTel San Marcos Investments, LLC CenturyTel Security Systems, Inc. CenturyTel Security Systems of Arkansas, LLC CenturyTel Security Systems of Colorado, L.L.C. CenturyTel Security Systems of Louisiana, L.L.C. CenturyTel Security Systems of Mississippi, L.L.C. CenturyTel Security Systems of Montana, L.L.C. CenturyTel Security Systems of Ohio, L.L.C. CenturyTel Security Systems of Oregon, L.L.C. CenturyTel Security Systems of Washington, L.L.C. CenturyTel Security Systems of Wisconsin, L.L.C. Lone Star Security Systems, LLC Texas- CenturyTel Security Systems, LLC CenturyTel Service Group, LLC CenturyTel Solutions, LLC CenturyTel of South Arkansas, Inc. CenturyTel of Southeast Louisiana, LLC CenturyTel of Southwest Louisiana, LLC CenturyTel Supply Croup, Inc. CenturyTel/Tele -Max, Inc. CenturyTel of Lake Dallas, Inc. CenturyTet Web Solutions, LLC CenturyTet of Wisconsin, LLC Embarq Corporation Carolina Telephone and Telegraph Company LLC NOCUTS, Inc. SC One Company Centel Corporation Centel Capital Corporation Centel Directories LLC Centel- Texas, Inc. Central Telephone Company of Texas EQ Central Texas Equipment LLC Telcon, Inc. Central Telephone Company Central Telephone Company of Virginia Embarq Florida, Inc. The Winter Park Telephone Company Perry Protection Services, Inc. CenturyLink Sales Solutions, Inc. Embarq, Inc. Embarq Capital Corporatione SC Seven Company Embarq Communications, Inc. Embarq Communications of Virginia, Inc. - - -- - - -- — -------_------- CERTIFICATE HOLDER Monroe County Board of County Commissioners Risk Management 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Robert C. Hill Page 4 ADDITIONAL INFORMATION DATE(MMIDD/YY) HOU- 001659881 -13 — - -- ---- - - - - -- - - - - - - -- -- - - - - -- - 12/10/2010 PRODUCER Marsh USA Inc. 601 Poydras Street, Suite 1850 New Orleans, LA 70130 -6031 Attn: 212-948-0537 NewOrteans .CertRequest @marsh.com INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER G: CenturyLink, Inc. (See Attached) INSURER H: 100 CenturyLink Drive INSURER I: Monroe, LA 71203 INSURER J: TEXT Embarq Holdings Company LLC Embarq Directory Trademark Company, LLC Embarq Interactive Holdings LLC Embarq Interactive Markets LLC Embarq Management Company EQ Management Equipment LP Embarq Mid - Atlantic Management Services Company Embarq Minnesota, Inc. Embarq Missouri, Inc. SC Eight Company Embarq Network Company LLC Embarq Payphone Services, Inc. Embarq Risk (Bermuda) Limited EQ Equipment Leasing, Inc. United Telephone Company of the Carolinas LLC SC Two Company United Telephone Company of Eastem Kansas United Telephone Company of Florida Vista - United Telecommunications (49 %) United Telephone Company of Indiana, Inc. SC Four Company United Telephone Company of Kansas Embarq Midwest Management Services Company United Tetetervica: I United Telephone Company of New Jersey, Inc. United Telephone Company of the Northwest United Telephone Company of Ohio SC Five Company United Telephone Company of Pennsylvania LLC The SC Six Company Valley Network Partnership (40% aggregate) United Telephone Company of Southcentral Kansas United Telephone Company of Texas, Inc. EQ United Texas Equipment LLC United Telephone Company of the West United Telephone Southeast LLC SC Three Company Hillsboro Telephone Company, Inc. (20 %) La Crosse Telephone Corporation Lafayette MSA Limited Partnership (49 %) Madison River Communications Corp. Gallatin River Holdings L.L.C. Gallatin River Communications L.L.C. Gallatin River Long Distance Solutions, LLC Madison River Communications, LLC Gulf Communications, LLC Savannah River Communications, LLC Madison River Finance Corp. Madison River Holdings LLC Madison River Long Distance Solutions LLC CERTIFICATE HOLDER Monroe County Board of County Commissioners Risk Management 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Robert C. Hill Page 5 ADDITIONAL INFORMATION HOU-001659881 -13 DATE(MMIDD/YY) 1211012010 PRODUCER — - -- - - -- -- — - - -- -- - - - -- -- Marsh USA Inc. 601 Poydras Street, Suite 1850 New Orleans, LA 70130 -6031 Attn: 212-948-0537 NewOrleans.CertRequest@marsh.com INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER G: Century Link, Inc. (See Attached) INSURER H: 100 CenturyLink Drive INSURER I: Monroe, LA 71203 INSURER J: TEXT Madison River LTD Funding LLC Coastal Communications, Inc. Coastal Utilities, Inc. Coastal Long Distance Services LLC Gulf Coast Services, Inc. Gulf Long Distance LLC Gulf Telephone Company Madison River Management LLC Mebtel, Inc. Mebtel Long Distance Solutions LLC Pacific Telecom Cellular of Alaska RSA #1, Inc. SkyComm Technologies Corporation (50.0 %) Spectra Communications Group, LLC TeIUSA Holdings, LLC (89 %) Telephone USA of Wisconsin, LLC CERTIFICATE HOLDER Monroe County Board of County Commissioners Risk Management 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Robert C. Hill • PIg 6 • 0005843 SP 0122 - C01- P05845 -1 Monroe County Board of County Commissioners Risk Management 1100 Simonton Street Key West, FL 33040 ± yl qc R CERTIFICATE D ATE (MM/DD/YYYY) OF LIABILITY INSURANCE 07/12/2012 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 Marsh USA Inc. NAME: CA License #0437153 PHONE FAX 1301 5th Avenue, Suite 1900 Saki Lo EM): (A/C, No): Seattle, WA 98101 -2682 ADDRESS: Attn: SeatUe.certrequest @marsh.com, Fax: 212.948.4326 INSURER(S) AFFORDING COVERAGE NAIC # J13913 CTL- GAW -11 -12 INSURER A : National Union Fire Ins Co Pittsburgh PA 19445 INSURED INSURER B : Insurance Company Of The State Of PA 19429 CenturyLink, Inc.; Embarq Corporation; Qwest Communications International Inc.; INSURER C : and All Affiliated, Subsidiary & Associated Companies INSURER D 1801 Califomia Street, Suite 1150 Denver, CO 80202 INSURER E : INSURER F : _ COVERAGES CERTIFICATE NUMBER: SEA - 002331710 - 01 REVISION NUMBER: 2 I 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 ADDL SUBR EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (M M//YYYY) (MM /DD //YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ II. MIN COMMERCIAL GENERAL LIABILITY PREMISES E EN ence) $ CLAIMS -MADE OCCUR AP Y Y M MED EXP (Any one person) $ — 1. W1 41 PERSONAL & ADV INJURY $ Or GEN'L AGGREGATEPL PRO- LIMIT APPLIES PER: c � � ( G GENERAL AGGREGATE $ POLICY ill PRODUCTS - COMP /OP AGG $ !FCT LOC TeaA gleS . AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ■ ANY AUTO BODILY INJURY (Per person) $ ■ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ ■ HIRED AUTOS AUTO NON -OWNED S PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB OCCUR $ EACH OCCURRENCE $ ■ EXCESS LIAB ■ CLAIMS -MADE AGGREGATE $ DED RETENTION $ W C061967927 (AOS) $ B WORKERS COMPENSATION ( ) 07/01/2012 09/01/2012 X WC STA7U- OTH- B AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE WC061967643 (CA) 07/01/2012 09/01/2012 1,000,000 B OFFICER/MEMBER EXCLUDED? N N / A E.L. EACH ACCIDENT $ (Mandatory in NH) WC061967644 (FL) 07/01/2012 09/01/2012 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 A D yes s decribe under W (MA OH WI WY) 07/01/2012 09/01/2012 DESCRI OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A XS Workers' Compensation /EL XWC1192417 (WA) 07/01/2011 09/01/2012 Excess of $1,000,000 SIR $1,000,000 A XS Workers' Compensation /EL XWC1192419 (OH) 07/01/2011 09/01/2012 Excess of $1,000,000 SIR $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West, FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. / • AUTHORIZED REPRESENTATIVE CC : of Marsh USA Inc. Cheryll L. Koch (l 44,,u_. "5 moo , © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD