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HomeMy WebLinkAbout125353 SAFE SYSTEMS INC - INSURANCE CERTIFICATE (5)nco CERTIFICATE OF LIABILITY INSURANCE °ATE`MM/°°YYYY' `..� . 3/10/2010 PRODUCER (303) 442-1484 FAX: (303) 442-8822 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Taggart & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR. 1600. Canyon Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P'. 0. Box..147 I Boulder;... _,.' � .. CO 80306 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Pinnacol Assurance`- 41190 Safe Systems; J InC.:. INSURER B: 421 •S. 'Piiar'ce'"Avenue INSURER C_-------- - ,. • ---- ----- INSURER D: Louisville CO 80027 INSURER E: COVFPAnFs THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAN DING 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. R IADD'LI LTR POLICY NUMBER POLICYEFFECTIVE 2TEMIDD YY I POLICY E TIONI DATE `I LIMITS GENERAL LIABILITY EACH OCCURRENCE _ - $ j COMMERCIAL GENERAL LIABILITY l� CLAIMS MADE 0 OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence)_ $ MED EXP (Any one person) $ PERSONAL & ADV INJURY I $ GENERAL AGGREGATE I$ GENT AGGREGATE LIMIT APPS POECR: PRODUCTS -COMP/OP AGG I $ 1 PRO- POLICY AUTOMOBILE LIABILITY ANY AUTO , COMBINED SINGLE LIMIT (Ea accident) $ I ' BODILY INJURY (Per person) -•- .. 5 I• W ALL OWNED AUTOS. - SCHEDULED AUTOS .. .. _ - .. .... -- _ - • II ,BODILY INJURY (Per accident) - .HIRED AUTOS - -- NON -OWNED AUTOS .. _. -. - .. PROPERTY DAMAGE (Per accident) -- - --- $ ' GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC _ $ _l ANY AUTO _ $ , AUTO ONLY: AGG ! EXCESS I UMBRELLA LIABILITY _ f I EACH OC_CU_RR_ENCE - OCCUR CLAIMS MADE - _. _ AGGREGATE j�$ _ -_-- -- $__—- _ _j _ _ _ _• - — DEDUCTIBLE -----------------' $ I I RETENTION $ -Y I $--------- A I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (MandatoryinNH) 1747952 4/1/2010 —i 4/1/2011 X i WC STAIU- IOTH-I _ _ i TORY - E.L. EAC_HACCIDENT E.L.DISEASE - - $ 100,009 - $ 100,000 If yes, describe under SPECIAL PROVISIONS below _-_EAEMPLOYEE E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ( City of Fort Collins At'tn. Accounts Payable PO Box-580 Fort Collins, CO 80522 GANGLLLAI ION 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 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE - C Nistler, CIC/ASH�Oa�� ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200s0t) The ACORD name and logo are -registered marks of ACORD ,