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HomeMy WebLinkAbout296701 TIBURON / COMPUDYNE - INSURANCE CERTIFICATE (4)ACOPS . CERTIFICATE OF LIABILITY INSURANCE 9/I/2010 DnT8/31/2009Y) PRODUCER Lockton Companies, LLC Denver 8110 E. Union Avenue Suite700 Denver 80237 (303)414-6000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Tiburon, Inc. 1317249 6200 Stoneridge Mall Pleasanton CA 94588 INSURERA: Fedeml Insurance C0rt7 art} 20281 INSURERS Groat Northam Insuranoc Company ---- 20303 INSURERC: Pacific IndemnityCompany 20346 INSURER DNational Union Fire Ills Co Pittsburgh PA 19445 INSURER E: COVERAGES GORNCO2 1i:i THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING SURER AUTH RIZED REPRESENTATIVE EPRESENTATIV OR PRODUCER AND TH CERTIFICATE HOLDER 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(MM/DD/YY) POLICY EXPIRATION DATE(MWDD/YYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1.000.000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE E OCCUR 3591-10-23 9/l/2009 9/l/2010 _ _ DAMAGE TORENTEDPREMISES Ea $ 1000000 MED EXP (Any one person) $ 10,000 _ PERSONAL & ADV INJURY $ 1 000 000 GENERAL AGGREGATE $ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S 2000.000 Ro- POLICY JPECT LOC B A AUTOMOBILE X LIABILITY ANY AUTO 7355-87-29 7355-87-27(VA) 9/1/2009 9/1/2009 9/1/2010 9/1/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ XXXXXXX HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) S XXXXXXX GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOTAPPLICABLE OTHER THAN EA ACC $ XXXXXXX $ XXXXXXX AUTO ONLY: AGG D EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE 011785019 9/I/2009 9/I/2010 EACH OCCURRENCE S I00W000 AGGREGATE $ 10000.000 S XXXXXXX ❑ UMBRELLA S XXXXXXX DEDUCTIBLE FORM $ XXXXXXX X RETENTION $ 10.000 C WORKERS COMPENSATION AND 7173-97-17 9/i/2009 9/1/2010 X WC BLTATU JMIT OTH- ER I EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 OFFICEWMEMBER EXCLUDED? If yes, describe ender No SPECIAL PROVISIONS Bela. E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER A Installation Floater 3591-10-23 9/1/2009 9/1/2010 Limit$5,000,000 Deductible: $10,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THE. CITY AND COUNTY THF.IR OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSUREDS REGARDING GENERAL. LIABILITY AS RESPECTS WORK PLRFORMED BY OR ON BFL-IALF OF THE NAMED INSURED, AS RFQUIRF.D BY WRITTEN CONTRACT. 10603580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY CLERK'S OFFICE DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN, 300 LAPORTE AVENUE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL P.O. BOX 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80522-0580 REPRESENTATIVES. AUTHORIZED REPRESC T E C ACORD 25(2001/08) Por Peesuo0sregardmq mis00numnm, 0omnam0n0nmerllsmamme•RroaOcer'sectionaow0andydesIIeme0d0•GORNCUI'. ACORD CORPORATION 1988