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452774 NICKEL SECURITY LLC - INSURANCE CERTIFICATE (3)
TE , ". o CERTIFICATE OF LIABILITY INSURANCE DA/22/2010) �..� 7/22/2010 PRODUCER (425) 357-1555 FAX: (800) 521-1528 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION InsuranceTek, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CA #OE32789 Fax 800-521-1528 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 70 Snohomish WA 98291-0070 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Western Heritage Ins CO Nickel Investigation & Security, LLC INSURER B The Hartford Ins Co 21e22 P . O. BOX 270132 INSURER C: INSURER D: Fort Collins CO 80525 1 INSURER E: rnvrRanac 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OFSUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IR LTR LTSR NSR TYPE OF INSURANCE POLICYNUMBER POLICYEFFECTIVE DATE MMIDD/YYYY POLICY EXPIRATION DATE MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 1000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 A CLAIMS MADE ®OCCUR CP0807670-049 7/29/2010 7/29/2011 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X Professional E&O, X Blanket Addl Insured GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMPIOP AGG $ 1,000,000 X POLICY PRO LOC Professional E&O 1 000, 000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Perperson) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSI UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE Waiver of Subro lies APBER X WCSTATU- OTH- E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH), 52WECFV8775 8/14/2009 8/14/2010 E.L. DISEASE- EA EMPLOYE $ 1 000 000 Ifyes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEM ENTI SPECIAL PROVISIONS The certificate holder is added as additional insured when required by contract CERTIFICATE HOLDER CANCELLATION (970)221-6707 City of Fort Collins Purchasing Division Attn: John B Stephan Box 580 Fort Collins, CO 80522 ACORD 25 (2009101) SHOULD ANY OF THE ABOVEDESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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 cki Boser/VICKI ©1988-2009 ACORD CORPORATION. All rights reserved IIYOULU (ZUUJU1).U1 I ne mt-u su name ana Togo are reglsierea marKB oT At-UKU