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HomeMy WebLinkAbout404702 COPLOGIC INC - INSURANCE CERTIFICATECOPLOGI OP ID: DI '4�� CERTIFICATE OF LIABILITY INSURANCE DAT08101Onrrr) 08/01/12 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 endorsements . PRODUCER 410-228-6464 ONTACT Diann Critzer CNAME International 204 Cedar Street 410-228-7645 Cambridge, MD 21613 Jacque Brohawn •bv PHONEo ac Ne.410-228-7645NEa,410-901-0743 nooaess: Diann—Critzer@RPSins.com INSURERS AFFORDING COVERAGE NAIL # INSURERA:Great American ofNew York 22136 Kv INSURED Coplogic Inc INSURER B: Beazley USA Services, Inc. 231 Market Place #250 San Ramon, CA 94583 INSURERC: INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 LTR TYPE OF INSURANCE ADDL SUB R POLICY NUMBER POLICY EFF MM DD/YYYY POLICY EXP MMIDD/YYYr LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X SPP6175202 08/01/12 08/01/13 PREMISES Ea ccu ence $ 300,00 CLAIMS -MADE � OCCUR MED EXP (Any one person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 GENERALAGGREGATE $ 2,000,00 L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 _GE X POLICY PROJET LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) 1,000,00 BODILY INJURY (Per person) $ A ANY AUTO SPP6175202 08/01/12 08/01/13 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ Pe�accitlen PER DAMAGE $ X HIRED AUTOS X gUTOSWNED S X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 • CLAIMS -MADE SPP6175202 08/01/12 08/01/13 IEXCESSLIAB DED X RETENTION $ 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) NIA WC7576127 08/01/12 08/01/13 X WC STATU- OTH- E.L. EACH ACCIDENT $ 1,000,00 E. L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under On RITI TION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ 1,000,00 B Errors & Omissions V15TTR110301 08/01/12 08/01/13 Ded $25k 1,000,00 & Network Security CLAIMS MADE & REPORTED Include DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) City of Fort Collins is added as additional insured on the General Liability subject to the policy limitations, conditions and exclusions CERTIFICATE HOLDER CANCELLATION CITYFO1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 300 LaPorte Ave Fort Collins, CO 80521 AUTHORIZED REPRESENTATIVE Jam. l-CXL1U�d"� ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD