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HomeMy WebLinkAboutDYNAMIC SYSTEMS - INSURANCE CERTIFICATEACORD,a CERTIFICATE OF LIABILITY INSURANCE 04104/05°"""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McQueary Henry Bowles Troy LLP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 12700 Park Central Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 17th Floor Dallas, TX 75251-0470 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: American Guarantee & Llab 40142 Dynamic Systems Inc INSURER B: Zurich American Ins. Co. 3901 S Lamar INSURERC: St. Paul Surplus Lines Co Suite 100 INSURER D: Austin, TX 787040000 INSURER E: rnvcwencc 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR :NSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATM POLICY EXPIRATION DAT M LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx_1 OCCUR X Contractual 3437151 04/01/05 04/01/06 EACH OCCURRENCE $1 000 000 DAMAGES ( RENTED 1500.000 MED EXP (Any one person) $10 000 PERSONAL BADVINJURY S1000000 Liability GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X JE0oiEl LOC PRODUCTS - COMPIOP AGG $2 000 000 A B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIREDAUTOS NON -OWNED AUTOS TAP3437153TX BAP3437154 04/01/05 04/01/05 04/01/06 04/01/06 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGG $ $ C EXCESSIUMBRELLA LIABILITY X OCCUR 71 CLAIMS MADE DEDUCTIBLE X RETENTION $ 10 000 OZO6825045 04/01/05 04/01/06 EACH OCCURRENCE s5,000,000 AGGREGATE $5 000 000 S $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, desc iba under SPECIAL PROVISIONS below 3437152 04/01/05 04/01/06 X WC STATU- OTH- E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1,000 000 E.L. DISEASE -POLICY LIMIT $1 000 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: JOHN R. MARCHAND - SS#458-11-9361 City Of Fort Collins 281 North College Avenue Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -In DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001/08) 1 of 2 #M50164 AYL W Awlcu cvllcrvnAnvn TNaa IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2001108) 2 of 2 #M50164