HomeMy WebLinkAboutBronco Fire Alarm Systems, Inc. - Insurance Certificate 2023-2024 / 7 ® DATE(MM/DD/YYYY)
ACORO CERTIFICATE OF LIABILITY INSURANCE
OS/07/2023
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 Moody Insurance Agency
NAME:
Moody Insurance Agency,Inc. A/C No Ext: (303)824-6600 aC No):
(303)370-0118
8055 East Tufts Avenue EMAIL certrequest@moodyins.com
ADDRESS:
Suite 1000 INSURER(S)AFFORDING COVERAGE NAIC#
Denver CO 80237 INSURERA: Cincinnati Specialty Underwriters Ins Co 13037
INSURED INSURER B:
Bronco Fire Alarm Systems,Inc INSURER C:
8421 Stacy Drive INSURER D:
INSURER E:
Federal Heights CO 80260 INSURER F:
COVERAGES CERTIFICATE NUMBER: 23-24 Master 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.
EXP
INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDY/YYYY MM DDY/YYYY LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
DAMAGE ToENTED
CLAIMS-MADE Fx_]OCCUR PREMISES Ea occurrence) $ 100,000
MED EXP(Any one person) $ 5,000
A CSU0117717 08/01/2023 08/01/2024 PERSONAL&ADV INJURY $ 1,000,000
MOTHER
LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000
POLICY [APRO ❑ 2,000,000
JECT LOC PRODUCTS-COMP/OPAGG S: $
AUTOMOBILE LIABILITY CMBINED SINGLE LIMIT $ Included in GL
EOa accident
ANYAUTO BODILY INJURY(Per person) S
A OWNED SCHEDULED CSU0117717 08/01/2023 08/01/2024 BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED �/ NON-OWNED PROPERTY DAMAGE $
X AUTOS ONLY /� AUTOS ONLY Per accident
$
UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 4,000,000
A X EXCESS LAB CLAIMS-MADE CSU0117719 08/01/2023 08/01/2024 AGGREGATE $ 4,000,000
DED I I RETENTION S 0 $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
Professional Liability Each Claim $1,000,000
A CSU0117718 08/01/2023 08/01/2024 Aggregate $1,000,000
Retention $10,000
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
City of Ft Collins ACCORDANCE WITH THE POLICY PROVISIONS.
281 N College Ave
AUTHORIZED REPRESENTATIVE
Ft Collins, CO 80524 mow V 1ftAV , t/��'n k `@ 198888-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID:
LOC#:
AFRO® ADDITIONAL REMARKS SCHEDULE Page of
AGENCY NAMED INSURED
Moody Insurance Agency,Inc. Bronco Fire Alarm Systems,Inc
POLICY NUMBER
CARRIER NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance:Notes
CONTRACTUAL LIABILITY APPLIES PER POLICY TERMS AND CONDITIONS
General Liability:
CSGA 437 12 13 Form Attached Includes:
Blanket Additional Insured status applies only to the extent provided in form CSGA 437 12 13 when required by written contract.
Completed Operations applies only to the extent provided in form CSGA 437 12 13 when required by written contract.
Coverage applies as Primary and Non-contributory only to the extent provided in form CSGA 437 12 13 when required by written contract.
Blanket Waiver of Subrogation applies only to the extent provided in for,CSGA 4087 12 12 when required by written contract.
Excess Liability:
Excess Liability policy is on a follow form basis for the following underlying insurance coverages:General Liability. Additional insured status will follow when
required by written contract including Primary and Non-Contributory status when required by written contract.
IMPORTANT:
The policy forms referenced will be sent via email only.To obtain copies,please send your request with the email address to certrequest@moodyins.com.
ACORD 101 (2008/01) @ 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD