HomeMy WebLinkAboutInterface Communications Company Inc - Insurance Certificate 2024 A��"® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
3/1/2025 12/26/2024
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 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).
PRODUCER Lockton Companies,LLC
8110 E.Union Avenue IFAX
PHONE
Suite 700 E-MAIL
Denver CO 80237
(303)414-6000 INSURERS AFFORDING COVERAGE
NAIC#
INSURER A: The Phoenix Insurance Company 25623 INSURED Interface Communications Company Inc. INSURERB: The Travelers IndemnityCom an 25658
401085 1350 S Cherokee Street
Denver,CO 80223 INSURER C: 25674
INSURER D: Great American Insurance Com an 16691
INSURER E: Pinnacol Assurance Com an 41190
INSURER F
COVERAGES CERTIFICATE NUMBER: 14827652 REVISION NUMBER: XXXXXXX
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 C NDITIONS OF SUCH POLICIES.LIMIT SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUB EFF POLIC Y EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POL11MMI POLICY MMIDD LIMITS
A X COMMERCIAL GENERAL LIABILITY 9T-00-1 E208124-PHX-24 03/01/202 03/01/202
EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE�OCCUR
S 1,000,000
Y N MED EXP An one arson $ 1 O OOO
GEN'L AGGREGATE LIMIT APPLIES PER:
PERSONAL&ADV INJURY $ 1 000 000
POLICY PRO--ECT ❑LOC GENERAL AGGREGATE $ 2,000,000
OTHER:
PRODUCTS-COMP/OP AGG $ 2,000,000
B AUTOMOBILE LIABILITY 810-8L528113-24-26-G 03/01/202 03/01/202 Ee aBcINED ilentSINGLE LIMIT $ 1,000,000
X ANY AUTO
OWNED SCHEDULED BODILY INJURY(Per person) $ XXXXXXX
AUTOS ONLY AUTOS Y N BODILY INJURY(Per accident) S XXXXXXX
HIRED NON-OWNED
AUTOS ONLY AUTOS ONLY PROPERTY AMAGE
Per accident $ XXXXXXX
C X UMBRELLA LIAB X $ XXXXXXX
OCCUR CUP-1J741632-24-26 05/29/202 03/01/202 EACH OCCURRENCE $ 5,000,000
EXCESS LIAB CLAIMS-MADE N N
AGGREGATE S 5,000,000
DED RETENTION$
WORKERS COMPENSATION $ XXXXXXX
E AND EMPLOYERS'LIABILITY YIN 4248355 01/01/202 01/01/202 X
IN-
ANY PROPRIETOR/PARTNER/EXECUTIVE N
OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ 1,000,000
(Mandatory In NH)
If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000
DESCRIPTION OF OPERATIONS below
D Prof/Poll Liab PCM33423908 E.L.DISEASE-POLICY LIMIT $ 1,000,000
C Inst.Fltr/BR 03/01/202 03/01/2025 Lim:$2M per claim;Agg:$2M
C N N QT-660-8F328280-TIL-24 03/01/202 03/01/2025 Lim:$1M
Lease/Ran QT-630-4H594822-TIL-24 03/01/202 03/01/2025 Lim:$500,000 PER ITEM
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Certificate Holder is Additional Insured as respects General and Auto Liability as required by written contract.
CERTIFICATE HOLDER CANCELLATION See Attac merits
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
14827652 AUTHORIZED REPRESENTATIVE
The City of Fort Collins
Purchasing Department
PO Box 580
Fort Collins,CO 80522
1
ACORD 25 2016/03 ` 88-20 rig is reserve
( ) The ACORD name and logo are registered marks of ACORD