HomeMy WebLinkAbout296701 TIBURON / COMPUDYNE - INSURANCE CERTIFICATE (2)MARSH CERTIFICATE OF INSURANCE CERT10101117542-R
CLE-001117542-21
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
Atin (410)347-3600 COMPANIES AFFORDING COVERAGE
COMPANY
14069--GAUW-07-08 TIBUR A ACE AMERICAN INSURANCE COMPANY
INSURED
COMPANY
GORES PATRIOT HOLDINGS, INC
B AMERICAN HOME ASSURANCE COMPANY
TIBURON, INC
SUITE 400
COMPANY
6200 STONERIDGE MALL ROAD
C N/A
PLEASANTON, CA 94588
COMPANY
D
COVERAGES This certificate supersedes and replaces any previously Issued certificate for the policy period noted below 4
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
DATE (MMIDOM)
POLICY EXPIRATION
DATE IMMIDDAYYI
LIMITS
GENERAL LIABILITY
GENERAL AGGREGATE
$ 2,000000
PRODUCTS COMPIOPAcc
$ 2,000000
A
X COMMERCIAL GENERAL LIABILITY
EMIG 23857066
10/01/07
09/01/08
PERSONAL 8 ADV INJURY
$ 1,000,000
MADE OCCUR
IER58
EACH OCCURRENCE
$ 1 000 000
TCLAIMS
OWNCONTRACTORSPROT
FIRE DAMAGE IADy one fire)
$ 1,000000
X P-e LP-r01/Loc-Aggregate
MED EXP (Any onr FmV,)
$ EXCLUDED
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$ 1 000 000
X
B
ANY AUTO
CA 4576089
10/01/07
09/01/08
BODILY INJURY
$
ALL OWNED AUTOS
fP" Nelson)
SCHEDULED AUTOS
BODILY INJURY
FV'.a Many
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTOONLY EAACCIDENT
$
OTHER THAN AUTO ONLY
ANY AUTO
EAOH ACCIDENT
I¢
P
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FRM
OUMBRELLA
$
OTHER THANOFORM
B
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
WC 9844782 (CA)
10/01/07
09/01/08
X TATU
ER
CRY LIMITS I T
EL EACH ACCIDENT
$ 1,000000
EL DISEASE POLICY LIMIT
$ 1,000 000
B
THE PROPRIETORI X INCL
PARTNERSIEXECUTIVE
OFFICERS ARE EXCL
WC 9844783 (ADS)
10/01/07
09/01/08
EL DISEASE EACH EMPLOYEEI
$ 1 000 000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL 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
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF
THE INSURER AFFORDING COVERAGE VALL ENDEAVOR TO MAIL 3p DAYS WRITTEN NOTICE TO THE
CITY CLERK'S OFFICE
CERTIFICATE HOLDER NAMED HEREIN BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
300 LAPORTE AVENUE
PO BOX 580
UABILITYOFANY KINDUPONTHE INSURER AFFORDING COVERAGE ITS AGENTS OR REPRESENTATIVES OR THE
FORT COLLINS, CO 80522-0580
ISSUER OF THIS CERTIFICATE
MARSH USA INC
BY Timothy M Sasser i»..�1��
MM1(3/02) VALID AS OF 10/01/07