HomeMy WebLinkAboutFIRST CLASS SECURITY SYSTEMS - INSURANCE CERTIFICATEACORDn CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY)
08/17/2004
PRODUCER (970) 484-2805 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
John C. Beckett & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
220 Smith Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Ft. Collins CO 80524- INSURERS AFFORDING COVERAGE NAIC #
'.INSURED INSURERA:The Mechanic Group, Inc.
First Class Security Systems, LLC INSURERB:UNITED FIRE
3835 West loth Street INSURER C: PINNACOL ASSURANCE
Suite 100-C INSuprR In. PROGRESSIVE
CO 80634-
LiUVt:KALitS
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.
INSR
LTR
ADD'L
INSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MWDDIYY
POLICY EXPIRATION
DATE MMIDD
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PGL727826
/ /
08/06/2004
/ /
08/06/2005
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
ZOO
0 $ , 00
MED EXP (Any oneperson)
$ 1,000
PERSONAL &ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY JECOT LOC
PRODUCTS - COMP/OP AGG
$
B
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NON -OWNED AUTOS
60064579
02/17/2004
/ /
/ /
02/17/2005
/ /
/ /
COMBINED SINGLE LIMIT
(Ea accident)
$ 500,000
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
/ /
/ /
AUTO ONLY - EA ACCIDENT
$
OTHER THAN FA ACC
AUTO ONLY:
AGG
$
9
EXCESS/UMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
/ /
/ /
EACH OCCURRENCE
$
AGGREGATE
$
S
$
*
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
4074364
10/25/2003
11/01/2004
X I TORY LIMITS ER
E.L. EACH ACCIDENT
$ 100,000
E.L. DISEASE - EA EMPLOYEE$
500,000
E.L. DISEASE - POLICY LIMIT
$ 100, 000
D
OTHER BUSINESS AUTO
02000633-2
08/03/2004'
02/03/2005
500,000
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
( ) - (970) 224-6134
ATT: Building & Zoning
CITY OF FT COLLINS
281 N. COLLEGE
P.O. BOX 580
FORT COLLINS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 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
AUTHORIZED REPRESENTATIVE
DRD 25 (2001108) ® ACORD CORPORATION 1988
INS025 (0108).0S ELECTRONIC LASER FORMS, INC. - (800)327-0545 Page 1 of 2
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 (2001108)
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" 6 INS025 (of ofiym Page 2 of 2