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HomeMy WebLinkAbout502401 FIRETROL PROTECTION SYSTEMS INC - INSURANCE CERTIFICATE/--- IN ® AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIVYYY) 12/2012012 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(les) 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 Ann Risk Insurance Services West, Inc. Newport Beach CA Office 100 Bayview Circle Newport Beach CA 92660 USA CONTACT P PHONEFAX (NC. No. Eat: (949) 608-6300 NC. No.: (949) 608-6459 UML EAR ADDRESS: J t/ 4/ INSURER(S) AFFORDING COVERAGE NAIC k INSURED Firetrol Protection Systems, Inc. 800 East 64th Avenue, Suite 17 Denver CO 80229 USA INSURER A: Zurich American Ins Co 16535 INSURER B: Catlin Specialty Insurance Company 15989 INSURER C: old Republic General Ins Corp 24139 INSURER D: INSURER E: _ INSURER F: V 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSR Me POLICY NUMBER POLICY EFF MMIDD POLICY EAP MWDD LIMITS GENERAL LIABILITY GL08Z5UUZbUi 01,01,2013 0110112014EACH OCCURRENCE $5,000,000 PREMISES Ea occuneem $100, 000 X COMMERCIAL GENERAL LIABILRY MED EXP(my one person) $5,000 CLAIMS -MADE ❑X OCCUR PERSONAL B ADV INJURY $5,000,000 Dec E26.000 %1 GENERAL AGGREGATE $5,000, 000 PRODUCTS -COMPIOP AGG $5,00Q000 GEN'L AGGREGATE LIMIT APPLIES PER'. POLICY X PRO LCC C AUTOMOBILE LIABILITY A CA 1 4 Ol Ol 4 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY( Per person) X ANY AUTO BODILY INJURY (Per a.,d.nl) ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE X HIRED AUTOS X NON-0WNEO AUTOS Peraccldent % Dad f1.1XD A X UMBRELLA LIAR EXCESS LIAB % OCCUR CLAIMS -MADE 801380040789 (Master Policy) O1/01/2013 01/01/2014 EACH OCCURRENCE 810.000, 000 AGGREGATE $10,000,000 DED I RETENTION C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANV GROPRIETOR/PARTNERI E%ECU_TIV_E A1Dw92321305 01 O1 2013 01 O1 2014 WC STATU- OTH- X TORY LIMITS ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 " OFFI CLMMEMDER EXGWDED? - (Mandatory in NH) R/A E.L. DISEASE -POLICY LIMIT $1,000,000 It descdbo under DESCRIPTION OF OPERATIONS below a Cant Poll/Prof CPL6729240114 Prof/Contr Pollution 01/01/2013 01/01/2014 Prof/Poll/Mold $5,000, 000 I SIR applies per policy terns & conch ions DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Pdtach ACORD 101, Addi ional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF FT COLLINS I AUTHORIZED REPRESENTATIVE P.O. Box 580 FT COLLINS CO 80522-0560 USA tJVOR ✓LEHL✓fAdllf6ftQi VGLLK2L! �✓9tC. S5 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD .4CORJL7® CERTIFICATE OF LIABILITY INSURANCE DATE2 201,YYYY) 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 Ann Risk Insurance Services West, Inc. Newport Beach CA office 100 Bayview Circle Newport Beach CA 92660 USA COW T NAME: PHONE (949) 608-6300 FA% (949) fi08-6459 (MC. No. EXt): aC. No.: EAMML ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL 0 INSURED INSURER A: Zurich American Ins Co 16535 INSURER B: Catlin Specialty Insurance Company 15989 Firetrol Protection systems, Inc. 800 East 64th Avenue, Suite 17 Denver co 80229 USA INSURER c: old Republic General Ins Corp 24139 INSURER D: INSURER E: INSURER F: rnVFRAaFc rFRTIFICATF NUMBER: 570048490168 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE MEN INSR SUBR Wen POLICY NUMBER MMIDD MMID LIMITS GENERAL LIABILITY GLO EACHOCCURRENCE $5,000,000 PREMISES Ea occurrence $100,000 X CO MMERCIALGENERALLIABILITY MED EXP(Any one person) $5,000 CLAIMS -MADE MOCCUR PERSONAL &ADV INJURY $5,000,006 X Dad$25.000 GENERAL AGGREGATE $5,000,000 GENT AGGREGATELIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $5,000,000 POLICY X PRO -CT LOC C AUTOMOBILE LIABILITY AIC4 304 01/01/2013 01/01/2014 COMBINED SINGLE LIMIT Es ecddem $1,000,000 BODILY INJURY (Per person) X ANY AUTO BODILY INJURY (Per acddenn ALL OWNED SCHEDULED AUTOS AUTOS NON OW NED X HIRED AUTOS X AUTOS PROPERTY DAMAGE Per acddent X oed fl.WO A X UMBRELLALMB E%LESS LIAa H OCCUR CLAIMS -MADE 801380040789 (Master Policy) 01/01/2013 O1/01/2014 EACH OCCURRENCE $10,000,000 AGGREGATE SI0,000,000 DED RETENTION C WORKERS COMPENSATION AND EMPLOYERSLIABILITYX ANY PROPRIETOR/ PARTNER I EXECUTIVE YIN OFFICENMEMBER EXCLUDED? (Mandatory In NM NIA A1Dw92321305 01/01/2013 01 O1 2014 we STATu- oLIABILITYTH To LIMITS ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE S1,000,000 -"-' r'Ya dosrdo. end e,- DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 B Cunt Poll/PrOf CPL6729240114 01/01/2013 01/01/2014 Prof/Poll/Mold $5,000,000 Prof/Contr Pollution SIR applies per policy terns & condi ions DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AUach ACORD 101, Acc hional Remarks Schedule, H more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF FT COLLINS AUTHORIZED REPRESENTATIVE P.O. BOX 580 �n FT COLLINS CO 80522-0560 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD