HomeMy WebLinkAbout318701 BUSINESS ENTERPRISE MAPPING INC - INSURANCE CERTIFICATEACORa� CERTIFICATE OF LIABILITY INSURANCE
DATE (MMrDDNYYY)
11/16/2011
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
CONTACT NAME' SCF Arizona
SCF Arizona and its subsidiaries -
3030 N. 3rd Street
AI N Eat . 602.631.2600 or 866.284.2694 A/c, Nor 602.631.2599
E-MAIL ADDRESSaskscf@scfaz.00m or webcens®scfaz.com
INSURERS) AFFORDING COVERAGE
NAIC0
INSURER A : SCF General Insurance Company
13043
Phoenix AZ 85012-3068 7,
INSURED
INSURER B:
INSURER C:
BUSINESS ENTERPRISE MAPPING INC
20645 N Pima Rd Ste 230
INSURER D:
INSURER E:
1 INSURER F:
Scottsdale AZ 85255
COVERAGES CERTIFICATE NUMBER: 109 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 FOUCiES DESCRIBED 'HEREIN 15 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSIT
LTq
TYPE OF INSURANCE —�
POLICY NUMBER
POLICY EFF
MMID
POLICY (P
MM/DDMY
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMSMADE❑ OCCUR
EACH OCCURRENCE
$
PREMISES Ea oxurtence
$
MED EXP(Any one person)
S
PERSONAL$ ADV INIURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-ECT LOC
PRODUCTS-COMP/OP AGG
IS
AL
OMOBILE LIABILITY
ANY AUTO
ALLOWNED SCHEDULED
AUTOS AUTOS
NON-OHIRED AUTOS AUTOS
-
_
COMBINED SINGLE UMI
Ea sodden!
E
BODILY INJURY (Per person)
$'
BODILY INJURY (Per sodden)
S
(Per sc ddsm AMAGE
$ _
$
UMBRELLA LIAR
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED
I I RETENTIONS
IS
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERlEXECUTIVE
OFFICERIMEMBER EXCLUDED'
(Mandatory in NH)
If yes deco ibe under
DESCRIPTION OF OPERATIONS ONow
N/A
G39305
12/01/2011
12/01/2012
WC STATU- OTH-
/�
E.L. EACH ACCIDENT
E. 11000,000
E.L. DISEASE - EA EMPLOYEE
S 1,000,000
E.L. DISEASE -POLICY LIMIT
IS 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additions] Remarks Schedule, it more space is required)
Proof of Coverage: Sales Collector Messenger Various AZ Locations
City of Fort Collins
215 N Mason St 2nd Floor
Fort Collins
CO 80522
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
ACORD 25 (2010/05)
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The ACORD name and logo are registered marks of ACORD