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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