The URL can be used to link to this page

Home My WebLink AboutELECTRONIC SYSTEMS INTERNATIONAL, INC. - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID SG DATE(MM/DDIYYYY) ELECT-1 1 12/22/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Six & Geving Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3630 Sinton Road Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I Colorado Springs CO 80907-5034 nm- i Phone: 719-590-9990 Fax:719-5901-9992 I r 11 �� I INSURERS AFFORDING COVERAGE NAIL # l I �ti t �7 r, ,. INSURED u IIINSURER A: max specialty Insurance Co. DEC 3 ®2009 IINSURERB: Pinnacol Assurance 41190 Electronic Systems dun International, Inc. INsuRERc: Acuity 14184 3010 Mallard Drive i;l Colorado Springs CO 80910-2247 IN D: 'Jy INSURER E: 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MM/DDIYY LIMITS A GENERAL LIABILITY X COMMERCIALGENERAL LIABILITY CLAIMS MADE � OCCUR MAX028800000087 01/01/10 01/01/11 EACH OCCURRENCE $ 2000000 PREMISES(Eaoccurence) $ 100000 MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 2000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC JECT PRODUCTS - COMP/OPAGG $ 2000000 C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS �SCHEDULEO'AUTOS HIRED AUTOS NON -OWNED AUTOS L75688 01/01/10 _ 01/01/11 COMBINED SINGLE LIMIT (Ea accident) $ 100QQQQ X BODILY INJURY (Per person) $ BODILY INJURY. (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN AUTO ONLY: - AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ B WORKERS COMPENSATION. AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 4076606 01/01/10 01/01/11 X TWC STA U- T E.L. EACH ACCIDENT ___ _ $ 500000 E.L. DISEASE - EA EMPLOYEE $ SOOOOO E.L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS v,rmItri%,Aia 11UL.UrK GANGELLATION City of Ft. Collins Director of Purchasing and Risk Management P.O. Box 580 Ft. Collins CO 80522-0580 CITYF-2 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 INSURER, ITS AGENTS OR Fkt,u a LO (LUul/utf) 9 ACORD CORPORATION 1988 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)