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HomeMy WebLinkAboutSEITEL INC - INSURANCE CERTIFICATEOctober 31, 2011 Re: Seitel Inc. To Whom It May Concern: Attached is revised certificate for Seitel Inc. Please disregard any prior certificates received. Should you have any questions or need any changes please do not hesitate to call our office. Kindest Regards _-Tammy Grantham, ACSR Commercial Lines Arthur J. Gallagher Risk Management Services, Inc. 1900 West Loop South, Ste 1600 Houston, TX 77027 Direct Line Ph #: 713-358-5936 Direct Fax # 713-358-5937 Main Ph # 713-623-2330 Main Fax # 713-622-6722 Email: tammy Grantham@aiG.com CERTIFICATE OF LIABILITY INSURANCE p11/31/0/31/ DY2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 1-713-623-2330 Arthur S. Gallagher Risk Management Services, Inc. CONTACT NAME: PHONE FAX _(NO. No. EarlL`aF 1900 West Loop South Suite 1600 _ Houston, TX 77027 A DRIESS: INSURERS AFFORDING COVERAGE NAIL% INSURER A: STARR SURPLUS LINES INS CO 13604 Beverly Peaks (713)358-5826 INSURED INSURER B: STARR IND E LIAB CO 38318 Seitel, Inc. INSURER C HARTFORD CAS INS CO 29424 INSURER D: 10811 South Westview Circle Drive Suite 100, Building C Houston, TX 77043 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 23884221 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR R TYPE OF INSURANCE AODL SUER POLICY NUMBER EFF MMIpI O/YYYY MCY LICY EXP MIDOIYYYY LIMITS A GENERAL LIABILITY SLSLNRG02000911 10/31/1 10/31/12 EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGETO RENT D PREMISES Eao u $ 50, 000 CLAIMS MADE M OCCUR MED EXP (Any one parson) E 5,000 X $5,000 Dad Per Occur PERSONAL B ADV INJURY $ 1,000,000 X I Project Aggr-$5MM Cap GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 $ POLICY X PRO- LOC A AUTOMOBILE LIABILITY SISIPCA08218611 1 10/31/12 En BIKED SINGLE LIMIT 11000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ OPERTY Per acaden DAMAGE $ X HIRED AUTOS X AUUTOSWNEO E H LJ UMBRELLA LIAR X OCCUR SISIXNRO1011011 10/31/1 10/31/12 EACH OCCURRENCE $ 5.000,000 AGGREGATE $ 5,000,000 EXCESS LIAR ",MS -MADE DED RETENTION$N/A E C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? n N/A 61WEL07280 10/31/1� 10/31/12 X WC S- TATUOTH- EL EACH ACCIDENT $ 1,000,000 EL.DISEASE - EA EMPLOYE $1,000,000 (Mandatory in NHl IIy de scribe under DESCRIPTION OF OPERATIONS below E.L. DISEASEPOLICYLIMIT $ 1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace is required) Named Insured includes: Seitel Data, Ltd Blanket Additional Insured where required by written contract and Blanket Waiver of Subrogation where required by written contract as respect to General Liability. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 300 LaPorte Ave. AUTHORIZED REPRESENTATIVE pp Port Collins, CO B0521 --� IIle 1k I USA ACORD 25 (2010/05) tamgran 23884221 V 1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD *Starr Surplus Lines Insurance Company Chicago, IL 1-646-227-6300 Primary and Non-contributory, Additional Insured and Waiver of Subrogation Policy Number: SLSLNRG02000911 Named Insured: SEITEL, INC. Effective Date: This endorsement modifies the insurance coverage form(s) listed below that evidenced as such on the Declarations page. Please read the endorsement., air Commercial General Liability Owners and Contractors Protective Products/Completed Operations Li, Contractors Pollution Liability Professional Liability Cov Site Pollution Liability,Cm 12:01 A.M. and SCHEDULE Name of Person or Organization: AS REQUIRED IN A WRITTEN CONTRACT 1 -c, A. SECTION II - WHO IS AN INSURED'is"amended to include'as an insured the person or organization shown in the schedule of this endorsement, but only with respect to iiability arising out of "your work" for that insured by or for you. B. As respects additional insureds as defined above this insurance also applies to "bodily injury" or "property damage" arising out of your negligence when the:foll`owing written contract requirements are applicable: 1. Coverage available under this coverage, part shall apply as primary insurance. Any other insurance available tothese,:additional insured's'shall apply as excess and not contribute as primary to the 2. We waive any right,of recovery we may have against these additional insured's because of payments we make_.for injury`br'damage arising out of "your work' done under a written contract with the additional is used separately and now collectively, but the inclusion of more than one insured shall mils or coverage provided by this insurance. Insureds and ,Agents;r,are advised that certificates of insurance should be used only to provide evidence of insurance in lieu'of.an actual copy of the applicable insurance policy. Certificates should not be used to amend, expand or otherwise alter the terms of the actual policy. I All other terms and conditions of this Policy remain unchanged. SL - 023 (01109) Page 1 of 2 Copyright(D C. V. Starr& Company and Start Surplus Lines Insurance Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. Sign i Charles H. Dangelo, President �c ,�%l. ��Cel�c Honora M. Keane, General Counsel SL - 023 (01 /09) Page 2 of 2 Copyright O C. V. Stan-& Company and Start Surplus Lines Insurance Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with Its permission. Y�Nu„I N+t Arthur.l. Gallagher Risk Management Services, Inc. 1900 West Lnop South Suite 1600 1 louston,'I'X 77027 :w u�nwnr Electronic Service Requested EBIX BPO LL 0 ALL FOR AADC 800 20158 0.6871 AB 0.365 �'�1i��I"I1�1111111"1'��11�11���1'II�I'�Jnll�" ��IIIrILLIIr City of Fort Collins 146 300 LAPORTE AVE. FORT COLLINS, CO 80521-2719 This document was brought to you by F.bix/Certificateallow and Arthur J. Gallagher Risk Management Services, Inc. in Houston, TX. - If you have questions regarding the content of this document, please contact the Producer/Agent.listed on.the-certificate-of insurance.-- - — .— - ----- ---. — -.- The data included in this notice and in the attached document is confidential to - Ebix/Certificateallow and Arthur J. Gallagher Risk Management Services, Inc. - cc: l The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertifieatesNow - www.ConfirmNet.com - 877,669.8600 es„x�3.ux�. - 1 DDN A� �® CERTIFICATE OF LIABILITY INSURANCE D10/ATE128 201YYYI ID/28/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 1-713-623-2330 CONTACT NAME' Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX (AIC, NO, Ert): (NC, No). 1900 Weet Loop South EMAIL ADDRESS'. Suite 1600 Houston, TX 77027 INSURERS) AFFORDING COVERAGE NAICi Beverly Peaks (713)358-5826 INSURER A: STARR SURPLUS LINES INS CO 113604 INSURED INSURER B: ST'ARR IND & LIM CO '38318 Seitel, Inc. INSURER C :HARTFORD CAS INS CO 29424 10811 South Westview Circle Drive INSURER D: Suite 100, Building C j INSURER E Houston, TX 77043 : I Cr1VFRAGFR CFRTIFICATF NIIMRFR- 23863140 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRi 'ADDL SUER POLICY EfP POLICY E%P TYPE OF INSURANCE LTR POLICY NUMBER MMIOOIYYYV MMIDDIYYYY LIMITS A GENERALLIABILITY SLSLNRG02000911 10/31/11 10/31/12� EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED 50,000 COMMERCIAL GENERAL LIABILI IY I I PREMISES(Ee oO,urrence) $ CLAIMS MADE j X ,OCCUR NED EXP(My one per n) $ 5,000 X $5, 000 Ded Per Occur PERSONAL B ADV INJURY 5 1,000,000 X Project Aggr-$S$1M CdD GSNERALAGGRLGAIE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER IPRODUCTS- COMPIOP AGO $2,000,000 X EEO j 5 POLICY i I LUC A AUTOMOBILE LIABILITY ISISIPCA08218611 1 10/31/111112 COMBINED SINGLE LIMIT 1,000,000 (Ea aO,denl) $ ANY AUTO BODILY INJURY (Per person) $ j AUTOS 1 BODILY INJURY (Per nccMenl) $ [ AUTOSIILED AUTOS IAUT06 'NONOWNED X HIRED AUTOS X ;AUTOS PROPERTY DAMAGE I (Per axcaen0 $ $ B UMBRELLA LIAR X .00CUR ' SISIXNROIOIIOII 10/31/11 10/31/12; EACH OCCURRENCE $ 5,000,000 EXCESS LIAR CLAIMS MADE AGGREGATE 5 5,000,000 DEO RETENTIONS N/A I $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 61WEL07280 10/31/11 10/31/12; X WC STATU.i 'OTH' TORY LIMITS, Eft YIN ANY PROPRIETORIPAHTNEI3IE%ECU IIVE — NIA E I.. EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLIIOED? (Mandator, in NHI E L. DISEASE- EA EMPLOYEE $ 1,000,000 Ifyee describe under . DESCRIPTION OF OPERATIONS see. IE.L. DISEASE POLICY LIMIT 1 $1,000,000 I 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks ScbedNB, 11 more.pace ie.... o l) Blanket Additional Insured where required by written contract and Blanket written contract ae repects General Liability. City of FOrt`CollinB 300 LaPorte Ave. Fort Collin., CO 80521 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 7)QI If 19. ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD tamgran 23863140 0 ry Y�LAwi3�ixt2 Signed for STARR SURPLUS LINES INSURANCE COMPANY Y �— Charles H. Dangelo, President A , Honora M. Keane, General Counsel SL • 023 (01/09) Page 2 of 2 Copyright © C. V. Starr & Company and Starr Surplus Lines Insurance Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission.