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HomeMy WebLinkAboutELECTRONIC SYSTEMS - INSURANCE CERTIFICATE (2)�- ACORD CERTIFICATE OF LIABILITY INSURANCE CSR SG DATE(MM/DDYVYY) ELECT-1 01 O5 O5 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Six & Geving Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3630 Sinton Road, Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Colorado Springs CO 80907-5034 Phone:719-590-9990 Fax:719-590-9992 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Zurich American insurance Co INSURER B: Pinnacol Assurance Electron}c Systems International, Inc. 3010 Mallard Drive Colorado Springs CO 80910-2247 INsuRERc: INSURER D: INSURER E: COVERAGES 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 NSURANCE POLICY NUMBER DATEYMM/DDm DATE MMIDDIYY LIMITS Y EACH OCCURRENCE $1000000 A GENERAL LIABILITY SCP 42891292 01/01/05 01/01/06 PREMISES(Eaoccurence) $ 300000 rGENERAL ADE *1 OCCUR MED EXP(Any one person) $ 10000 PERSONAL &ADV INJURY $1000000 I GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2000000 POLICY1-1 PRO JECT LOC Emp Ben. 1000000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPER N DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 A X I OCCUR I—ICLAIMSMADE SCP 42891292 01/01/05 01/01/06 AGGREGATE $ 1000000 $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 4076606 01/01/05 01/01/06 X TORY LIMITS ER E.L. EACH ACCIDENT $ 100000 E.L. DISEASE - EA EMPLOYEE $ 100000 OFFICER/MEMBER EXCLUDED? It yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 1 $500000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Service Provider agrees to indemnify and save harmless the City, its officers, agents and employees against and from any and all actions, suits, claims, demands or liability of any character whatsoever brought or asserted for injuries to or death of any person or persons, or damages to prosperty arising out of, result from or occuring in connection with the performance CERTIFICATE HOLDER CANCELLATION CITYF- 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Ft. Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10yyyy DAYS WRITTEN Director and Risk P.O. Box of Purchasing Management 580 NOTICE TO THE ERTIFICATE HOLDER NAME IMPOS 100 IGATIONO IABILI FA O THE LEFT�B FAIL In E TO DO SO SHALL UPONTHE RER, ITS AGENTS OR Ft. Collins CO 80522-0580 REPR S ATIVEs. AUTH I RE NT Rand ACORD 25 (2001/08) 1 ©ACORD fORPORATION 1983 e .e 1e�, 1a.� of any service hereunder. Certificate Holder is named as Additional Insured as their interests may appear with the exception of Workmen's Compensation coverage.