HomeMy WebLinkAbout296701 TIBURON / COMPUDYNE - INSURANCE CERTIFICATEMARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
CLE-001117542-17
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
120 E. BALTIMORE ST., STE. 1900 POLICY, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
BALTIMORE, MD 21202 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Attn: (410)347-3600
COMPANIES AFFORDING COVERAGE
COMPANY
14069—GAUW-07-08 TIBUR A ZURICH AMERICAN INSURANCE COMPANY
INSURED
COMPANY
TIBURON, INC.
B AMERICAN ZURICH INSURANCE COMPANY
SUITE 400
COMPANY
6200 STONERIDGE MALL ROAD
PLEASANTON, CA 94588
C N/A
COMPANY
D N/A
COVERAGE$ This certificate supersedes and replaces any previously issued certificate far the policy period noted below.: 3
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
DATE (MMIDDIYY)
DATE (MMIDD/YY)
GENERAL
LIABILITY
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS - COMP/OP AGG
$ 2,000,000
,t\
COMMERCIAL GENERAL LIABILITY
GLO3486405
04/01/07
04/01/08
CLAIMS MADE lxl OCCUR
I PERSONAL & ADV INJURY
$ 1,000,000
j EACH OCCURRENCE
$ 1,000,000
OWNER'S & CONTRACTOR'S PROT
X
FIRE DAMAGE (Any one fire)
$ 500,000
Per PlGjll Dr. Aggregate
MED EXP (An one rson
$ 5,000
AUTOMOBILE
LIABILITY
A
COMBINED SINGLE LIMIT
$ 2,000,000
X
ANY AUTO
BAP3486404
04/01/07
1104/01/08
BODILY INJURY
$
ALL OWNED AUTOS
E
SCHEDULED AUTOS
238YO0353($1MILx$iMIL)
04/01/07
04/01/08
(Per person)
BODILY INJURY
$
HIRED AUTOS
NON -OWNED AUTOS
(Per amident)
PROPERTY DAMAGE
$
iARARE LIABILITY
AUTO ONLY - EAACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY,
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
UMBRELLA FORM
AGGREGATE
$
OTHER THAN UMBRELLA FORM
$
WORKERS COMPENSATION AND
AT'
EMPIAYERS'LIABILITY
X TORY LIMITST-S ER
B
WC3486403
04/01/07
04/01/08
EL EACH ACCIDENT
$ SOO,000
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
EL DISEASE -POLICY LIMIT !
$ 500,000
OFFICERS ARE: IEXCLI
EL DISEASE -EACH EMPLOYEE
$ 500,000
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESISPECIAL ITEMS
THE CITY AND COUNTY, THEIR OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL
INSUREDS AS
RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED.
CERTIFICATE HOLDER
CANICELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
CITY CLERK'S OFFICE
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 3g DAYS WRITTEN NOTICE TO THE
300 LAPORTE AVE
SHALL IMPOSE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE POSE NO OBLIGATION OR
P.O. BOX 580
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES. OR THE
FORT COLLINS, CO 80522-0580
ISSUER OFTHIS CERTIFICATE.
MARSH USA INC.
BY: Timothy M. Sasser
MM I(3l92� VALID AS OF: 03/30/07
DATE IMWDDfM
13/30/07
PRODUCER
MARSH USA INC.
120 E. BALTIMORE ST., STE. 1900
BALTIMORE, MD 21202
Attn:(410)347-3600
714069--GAUW-07-08 TIBUR
INSURED
TIBURON, INC.
SUITE 400
6200 STONERIDGE MALL ROAD
PLEASANTON, CA 94588
CITY CLERICS OFFICE
300 LAPORTE AVE
P.O. BOX 580
FORT COLLINS, CO 80522-0580
COMPANY
E
COMPANY
F
COMPANY
G
COMPANY
COMPANIES AFFORDING COVERAGE I
DISCOVER PROPERTY AND CASUALTY INS CO
MARSH USA INC. BY
Timothy M. Sasser