HomeMy WebLinkAboutFIRE DETECTION SYSTEMS LLC - INSURANCE CERTIFICATEAC- RD„ CERTIFICATE OF LIABILITY INSURANCE OP ID RC DATE(MM/DD(YYYY)
FIRED-1 08 21 08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
LBN Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4848 Thompson Pkwy ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Johnstown CO 80534
Phone: 970-635-9400 Fax:970-635-9401 INSURERS AFFORDING COVERAGE NAIC#
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INSURED INSURERA: Safeco Insurance Cont ies 24740
INSURERS Pinnacol Assu.
Fire Detection Systems LLC INSURER C. evareec ZnaammitY ine.
1351 West 121stAve. INSURER D:
Westminster CO 80234
V V V C(Wl]CJ
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.
ID'—.
LTR
NSR
TYPE OF INSURANCE
___
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD/YY
P L�ICY EXPIRATION
DATE(Ni
_ _..
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1 r 000 r 000
C
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE O OCCUR
51GL003337-071
09/15/07
09/15/08
AMAGENRENTED-
PREMISES (Ea OCCUrence)
-
$50,000
MED EXP (Any one person)
$ 5 r 000
X Blanket Waiver
PERSONAL &ADV INJURY
$ 1 r 000 r 000
•
Blanket Ada$ r l Ins
GENERAL AGGREGATE
$ 2 r OOO r OOO
G ENT AGGREGATE LIM IT APPLIES PER:
PRODUCTS-COMP/OP AGG
$2,000,000
POLICY PR
JECOT LOC
--'
AUTOMOBILE
LIABILITY
ANY AUTO
01CG400105
09/01/08
09/01/09
COMBINED SINGLE LIMIT
(Ea accident)
$l OOO OOO
r r
A
x
ALL OWNED AUTOS--
SCHEDULED AUTOS
BODILY INJURY
(Per person)
-----_--
$
HIRED AUTOS
NON-OWNEDAUTOS
X
BODILY INJURY
(Per accident)
$
%
PROPERTY DAMAGE
(Per accident)
$
-----------
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
-
OTHERR THAN EA ACC
- - -
5
$
AUTO ONLY: AGG
C
EXCESS/UMBRELLA LIABILITY
X OCCUR �CLAWSMADE
15CCO01085-072
09/15/07
09/15/08
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$2,000,000
DEDUCTIBLE
$
RETENTION $
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
4073320
Ol
09 / /08
09/01/09
X TORYLIMITS ER
_ _
_ E.L. EACH ACCIDENT
$ 1 r 000 r 000
OFFICER/MEMBER EXCLUDED?
If yes, describe under
EL DISEASE - EA EMPLOYEE
------
-
_
$ 1._000.000
SPECIAL PROVISIONS below
E.L. DISEASE - POLICYLIMIT
$1 000 000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
Alarm Service & Testing
�MrlI IriCAI t MULL tK CANCELLATION
CTYFTCO SHOU LD ANY OF THE ABOVE DESCRI BED 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
City of Ft. Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P.O. BOX 580 REPRESENTATIVES.
Ft. Collins CO 80522 AUT IzWMRESE;qlATIvE
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.