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