HomeMy WebLinkAboutMERLIN GUE INVESTIGATIVE - INSURANCE CERTIFICATEACORa CERTIFICATE OF LIABILITY INSURANCE OP ID GC DATE(MM/DDlYYYY)
MERLI-1 07 29 09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Robertson Ryan & Assoc., Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Two Plaza East, Suite 650 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
330 East Kilbourn Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Milwaukee WI 53202
Phone:414-271-3575 Fax:414-271-0196 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: National Specialty Ins Co _
INSURER B:
Merlin Grue Investigative INSURERC:
and Consulting Services
8935 S. Wood Creek Dr. #110 INSURERD:
Oak Creek WI 53154
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.
NSR_
LTR
ADD
NSR
TYPE OF INSURANCE
POLICY NUMBER
ICY€�F TIE
DATE MMIDDlYY
P L RATI N
DATE MMlDD/YY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X ] OCCUR
NSW0 6 9 9 5 9 2
0 2/ 10 / 0 9
0 2/ 10 / 10
EACH OCCURRENCE
$ 1000000
PREMISES (Ea occurence)
$ 100000
MED EXP (Any one person)
$ 5000
PERSONAL & ADV INJURY
$ 1000000
GENERAL AGGREGATE
$ 2000000
GEN'LAGGREGATE LIMIT APPLIES PER:
PRO -
X POLICY n JECT PRO- r LOC
PRODUCTS - COMP/OPAGG
$ 2000000
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESS/UMBRELLA LIABILITY
OCCUR El CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
TORY LIMITS ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS ! LOCATIONS ! VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Dectective Agency w/o Firearms
GERTIFIGATE HOLDER CANCELLATION
CITYFOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN
Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
215 N., Mason Street
City of Fort CollinsIMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80521 REPRESENTATIVES.
AUTHOF&ED REPRESENTATIVE
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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 (2001/08)