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HomeMy WebLinkAboutAPI Systems Integrators - Insurance Certificate 2024 Page 1 of 1 Acd CERTIFICATE OF LIABILITY INSURANCE FD12/13ATE //202 Y) fir. 12/13/2024 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 CONTACT WTW Certificate Center NAME: Willis Towers Watson Midwest, Inc. PHONE 1-877-945-7378 FAX 1-888-467-2376 c/o 26 Century Blvd A!C No P.O. Box 305191 AIL ADDRESS: certificates@wtwco.com Nashville, TN 372305191 USA M INSURERS AFFORDING COVERAGE NAIC# INSURER A: Zurich American insurance company 16535 INSURED INSURER B_ APi Croup Life Safety USA LLC DRA API Systems Integrators, Inc. 7306 W. Yellowstone Hwy INSURERC: Casper, WY 82604 INSURERD: _ INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:W36631705 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 I TYPE OF INSURANCE ADDL'SUBR - POLICY EFF . POLICY EXP .l.. LTR' POLICYNUMBER MMlDD/YYYY MM4)DIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY FACHOCCURRENCE I$ 2,000,000 A X!Cont a foal CLAIMS-MADE X j OCCUR PREMISES_LEa occurrenceZ_ $ 2,000,000 ---- ---- Liability 1 MED EXP(Any one person) $ 10,000 Y GLO 8902940-05 !12/31/2024 12/31/2025 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 GE r- - — - POLICY X JECTPRO• LOG PRODUCTS-COMP/OP AGG S 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5,000,000 X! ANY AUTO BODILY INJURY(Per person) S A OWNED '--' SCHEDULED Y AUTOS ONLY ' AUTOS BAP 8488453-05 12/31/2024 12/31/2025) BODILY INJURY(Per accident) $ HIRED �NON-OWNED PROPERTY DAMAGE AUTOS ONLY X AUTOS ONLY $ $ UMBRELLA LIAB OCCURi EACH OCCURRENCE I$ EXCESS LIAR CLAIMS-MADE j AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X E OTH. OFFICE PRIETO IPARTN R/E No NIA ,STATUTE ER AND EMPLOYERS'LIABILITY ❑ YIN 5,000,000 A ANYPROWEMB REXC EXCLUDED? WC 8902941-05 12/31/2024 12/31/2025 -EL.EACHACCIDENT i (Mandatory In NH) E.L.DISEASE-EA EMPLOYEEr$ 51000,000 II yes,describe under -- DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more space is required) The City and PFA, its officers, agents and employees are included as Additional Insureds under the General Liability and Automobile Liability policies when required by written contract, agreement or permit and executed prior to the loss. 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. City of Fort Collins Purchasing Division AUTHORIZED REPRESENTATIVE PC Box 580 Fort Collins, CO 80522 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD sn M 26878230 BATCH: 3741888 42816: 2 of