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Home My WebLink About125353 SAFE SYSTEMS INC - INSURANCE CERTIFICATE (10)''l h® CERTIFICATE OF LIABILITY INSURANCE 4%10/2012 ' 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 endorsemengs).- PRODUCER n' L!..cl . .. 1 Taggart &Associates, Zac.� 1600 Canyon Boule�ia.rd P..O.. BOX, 1471c-•+ Boulder, •' -"NCO 80306' CONTANAME: Courtney Ouellette,'PWCAM'.' PRONE (303)442-1484! `-r�,..--FAX`-". (3031.:2=ee22"--" E-MAIL . courtneyo@taggartinsuranceCcbm"-_%• "- ` ------ INSURERS) AFFORDING COVERAGE NAICM INSURERA:Pinnacol Assurance "' 1190 INSURED \ t 1Vl; y Safe Systems, Inc. 7 / 421 S. Pierce Avenue Louisville CO 80027 INSURER B: INSURER C: INSURER D: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER:12-13 Master 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 LTRIMMIODNYYYI TYPE OF INSURANCE ADDL BR POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ EMI aoccumence $ ` COMMERCIAL GENERAL LIABILITY ,. CLAIMS -MADE r OCCUR MED EXP oneperson) $ PERSONAL B ADV INJURY $ « 'r : "'[:f✓],r t. ".c.': _. ,. - ... 'e.. .. .. . .. ._._ ..___ .. GENERAL AGGREGATE '1r' E .. .. .. _.. GEN'L AGGREGATE LIMB APPLIES PER PRODUCTS': COMP/OP AGG $ �_.. ' � � " i. " "• - _.._..... .. _• .. .... ........_.. S POLICY .PRO- ,. ___ _ LOC _.. ... _._._. .. � AUTOMOBILE UABIUTY-"-••' � - COMBINED SINGLE LIMB E. accident . ANY AUTO - BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE ccidentl $ HIRED AUTOS AN�OSNMED - S UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTIONS $ A, WORKERS COMPENSATION X VJC STATU- OTH- - AND EMPLOYERT LIASIUTY Y / N ANY PROPRIETORJPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? El (Mandatory in NH) NIA/ A Tg7952 /1/2031 /i/2013 E.L. DISEASE -EA EMPLOYE S 500,000 M yes, describe under DESCRIPTION OF OPERATIONS lr.a E.L. DISEASE - POLICY LIMIT E 500 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AHach ACORD 101, Additional Remarks Schedule, H more apace Is required) City of Fort Collins PO Box 580 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 25120101051 Ouellette, PWCAM/AJ INS025 (201005).01 The ACORD name and logo are registered marks of ACORD All riahts reserved